This form is an Affidavit and Authorization for Withdrawal from Inmate Account in a case pending before the US District Court for the Northern District of Georgia. Because of poverty, inmate plaintiff authorizes money to be withdrawn from inmate account to pay court costs in connection with the case.
Georgia Authorized Withdrawal Form, Certified Affidavit of Inmate Account Status
State:
Georgia
Control #:
GA-ND-517A
Format:
PDF
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