Form IFP103 "Supplemental Affidavit for Proceeding in Forma Pauperis (Ifp)" - Minnesota

What Is Form IFP103?

This is a legal form that was released by the Minnesota District Courts - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the Minnesota District Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IFP103 by clicking the link below or browse more documents and templates provided by the Minnesota District Courts.

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Download Form IFP103 "Supplemental Affidavit for Proceeding in Forma Pauperis (Ifp)" - Minnesota

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CONFIDENTIAL
State of Minnesota
District Court
County of:
Judicial District:
Court File Number:
Case Type:
Plaintiff/Petitioner
vs.
Respondent
1.
I am a party in this action and make this request in good faith.
2.
(Check one of the following:)
An Order allowing me to proceed in forma pauperis without paying filing fees,
service and publication fees, and copy fees has previously been issued in this case.
OR
I have completed and attached an Affidavit for Proceeding In Forma Pauperis.
OR
This is a Conciliation Court case. I have completed and attached an Affidavit of
Inability to Pay.
3.
I am asking for an order directing payment of the following costs by the state courts:
a.
Witness/expert witness for:
Name and address of witness:
I expect this witness to provide the following evidence or testimony (please give
a general description):
I estimate the costs for this witness to be:
Supplemental Affidavit for Proceeding IFP
Supplemental Affidavit for Proceeding IFP
IFP103
IFP103
State
State
ENG
ENG
Rev 8/20
Rev 8/20
www.mncourts.gov/forms
www.mncourts.gov/forms
Page 1 of 2
Page 1 of 2
CONFIDENTIAL
State of Minnesota
District Court
County of:
Judicial District:
Court File Number:
Case Type:
Plaintiff/Petitioner
vs.
Respondent
1.
I am a party in this action and make this request in good faith.
2.
(Check one of the following:)
An Order allowing me to proceed in forma pauperis without paying filing fees,
service and publication fees, and copy fees has previously been issued in this case.
OR
I have completed and attached an Affidavit for Proceeding In Forma Pauperis.
OR
This is a Conciliation Court case. I have completed and attached an Affidavit of
Inability to Pay.
3.
I am asking for an order directing payment of the following costs by the state courts:
a.
Witness/expert witness for:
Name and address of witness:
I expect this witness to provide the following evidence or testimony (please give
a general description):
I estimate the costs for this witness to be:
Supplemental Affidavit for Proceeding IFP
Supplemental Affidavit for Proceeding IFP
IFP103
IFP103
State
State
ENG
ENG
Rev 8/20
Rev 8/20
www.mncourts.gov/forms
www.mncourts.gov/forms
Page 1 of 2
Page 1 of 2
CONFIDENTIAL
Subpoena
Service Fee
Mileage
Attendance Fee
Other :
b.
Transcript expenses:
Date of hearing, trial or deposition:
I need a copy of this transcript for the following reasons:
I estimate the costs of obtaining this transcript to be:
Court reporter fees
Copy fees
Other
c.
Other expenses:
These expenses are necessary because:
Estimated costs
I declare under penalty of perjury that everything that I have stated in this document is true and
correct. Minn. Stat. § 358.116.
Dated:
Signature
Name:
County and State where signed
Address:
City/State/Zip:
Telephone:
E-mail address:
Supplemental Affidavit for Proceeding IFP
Supplemental Affidavit for Proceeding IFP
IFP103
IFP103
State
State
ENG
ENG
Rev 8/20
Rev 8/20
www.mncourts.gov/forms
www.mncourts.gov/forms
Page 2 of 2
Page 2 of 2
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