231 Pa. Code Rule 240
(a) This rule shall apply to all civil actions and proceedings except actions pursuant to the Protection From Abuse Act and Protection of Victims of Sexual Violence or Intimidation Act.
Official Note
The term ‘‘all civil actions and proceedings’’ includes all domestic relations actions except those brought pursuant to the Protection From Abuse Act, 23 Pa.C.S. § 6106, and Protection of Victims of Sexual Violence or Intimidation Act, 42 Pa.C.S. § § 62A01—62A60.
(c) Except as provided by subdivision (d), the party shall file a petition and an affidavit in the form prescribed by subdivision (h). The petition may not be filed prior to the commencement of an action or proceeding or the taking of an appeal.
(3) Except as provided by subdivision (j)(2), the court shall act promptly upon the petition and shall enter its order within twenty days from the date of the filing of the petition. If the petition is denied, in whole or in part, the court shall briefly state its reasons.
(d)(1) If the party is represented by an attorney, the prothonotary shall allow the party to proceed in forma pauperis upon the filing of a praecipe which contains a certification by the attorney that he or she is providing free legal service to the party and believes the party is unable to pay the costs.
(f) A party permitted to proceed in forma pauperis shall not be required to
(h) The affidavit in support of a petition for leave to proceed in forma pauperis shall be substantially in the following form:
(Caption)
1. I am the (plaintiff) (defendant) in the above matter and because of my financial condition am unable to pay the fees and costs of prosecuting or defending the action or proceeding.
2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of litigation.
3. I represent that the information below relating to my ability to pay the fees and costs is true and correct:
(a) Name:
Address:
(b) Employment
If you are presently employed, state
Employer:
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
Type of work:
(c) Other income within the past twelve months
Business or profession:
Other self-employment:
Interest:
Dividends:
Pension and annuities:
Social security benefits:
Support payments:
Disability payments:
Unemployment compensation and
supplemental benefits:
Workers’ compensation:
Public assistance:
Other:
(d) Other contributions to household support
(Wife) (Husband) Name:
If your (wife) (husband) is employed, state
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
Contributions from parents:
Other contributions:
(e) Property owned
Cash:
Checking account:
Savings account:
Certificates of deposit:
Real estate (including home):
Motor vehicle: Make , Year
Cost , Amount Owed $
Stocks and bonds:
Other:
(f) Debts and Obligations
Mortgage:
Rent:
Loans: Other:
(g) Persons dependent upon you for support
(Wife) (Husband) Name:
(i) The praecipe required by subdivision (d) shall be substantially in the following form:
(Caption)
Kindly allow
, (Plaintiff) (Defendant) to proceed in forma pauperis.
I,
, attorney for the party proceeding in forma pauperis, certify that I believe the party is unable to pay the costs and that I am providing free legal service to the party.
Attorney for
(j)(1) If, simultaneous with the commencement of an action or proceeding or the taking of an appeal, a party has filed a petition for leave to proceed in forma pauperis, the court prior to acting upon the petition may dismiss the action, proceeding or appeal if the allegation of poverty is untrue or if it is satisfied that the action, proceeding or appeal is frivolous.
Official Note
A frivolous action or proceeding has been defined as one that ‘‘lacks an arguable basis either in law or in fact.’’ Neitzke v. Williams, 490 U.S. 319, 109 S.Ct. 1827, 104 L.Ed.2d 338 (1989).
(2) If the petitioner commences the action by writ of summons, the court shall not act on the petition for leave to proceed in forma pauperis until the complaint is filed. If the complaint has not been filed within ninety days of the filing of the petition, the court may dismiss the action pursuant to subdivision (j)(1).
Official Note
The filings required by this rule are subject to the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania. See Rule 205.6.
Children, if any:
Initials: Age:
Other Persons:Name:
Relationship:
4. I understand that I have a continuing obligation to inform the court of improvement in my financial circumstances which would permit me to pay the costs incurred herein.
5. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities.
Date:
…
Petitioner
The provisions of this Rule 240 adopted March 25, 1983, effective April 1, 1983, 13 Pa.B. 1125; amended March 11, 1991, effective July 1, 1991, 21 Pa.B. 1274; amended November 26, 1991, effective January 1, 1992, 21 Pa.B. 5715; amended April 3, 1992, effective immediately, 22 Pa.B. 2221; amended June 3, 1994, effective September 1, 1994, 24 Pa.B. 3018; amended April 19, 1995, effective July 1, 1995, 25 Pa.B. 1767; amended April 12, 1999, effective July 1, 1999, 29 Pa.B. 2266; amended June 8, 2001, effective July 1, 2001, 31 Pa.B. 3305; amended October 22, 2009, effectively immediately, 39 Pa.B. 6426; amended March 2, 2012, effective April 2, 2012, 42 Pa.B. 1363; amended January 5, 2018, effective January 6, 2018, 48 Pa.B. 475; amended June 1, 2018, effective July 1, 2018, 48 Pa.B. 3519. Immediately preceding text appears at serial pages (390059) to (390063).