Case Information

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IN THE UNITED STATES DISTRICT COURT FOR THE EIRA DISTRICT OF TEXAS Daliar DIVISION

Walter Arnold SaGastume * 1478496

Plaintiff's name and ID Number Pric Daniel Unit Place of Confinement 05-07-01666-CR CASE NO. 05-07-01559-CR (Clerk will assign the number) V.

APPLICATION TO PROCEED IN FORMA PAUPERIS

Walter Arnold SaGastume.

Defendant's name and address

SEP 142015

1. Walter Arraldo SaGastumeclare, depose, and say I am the Plaintiff in the above entitled case. In support of my motion to proceed without being required to prepay fees, costs, or give security therefor, I staGastume is a poverty, I am unable to pay in advance the filing fee for said proceedings or to give security for the filing fee. I believe I am entitled to relief.

I, further declare the responses which I have made to the questions and instructions below are true.

1. Have you received, within the last 12 months, any money from any of the following sources? a. Business, profession or from self-employment? b. Rent payments, interest or dividends? c. Pensions, annuities or life insurance payments? d. Gifts or inheritances? e. Family or friends? f. Any other sources?

| Yes | $◻$ | No | | :-- | :-- | :-- | | Yes | $◻$ | No | | Yes | $◻$ | No | | Yes | $◻$ | No | | Yes | $◻$ | No | | Yes | $◻$ | No | | Yes | $◻$ | No |

If you answered YES to any of the questions above, describe each source of money and state the amount received from each during the past 12 months. 2. Do you own cash, or do you have money in a checking or savings account, including any funds in prison accounts?

$$\text{Yes}◻\text{No}$$

If you answered YES to any of the questions above, state the total value of the items owned.

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1. Do you own real estate, stocks, bonds, note, automobiles, or other valuable property, excluding ordinary household furnishings and clothing?

Yes $◻$

No $\yen$

If you answered YES, describe the property and state its approximate value.

I understand a false statement in answer to any question in this affidavit will subject me to penalties for perjury. I declare (certify, verify, or state) under penalty of perjury that the foregoing is true and correct (28 U.S.C. §1746).

Signed this the $A$ is day of $A$ asust 2015

YOU MUST ATTACH A CURRENT SIX (6) MONTH HISTORY OF YOUR INMATE TRUST ACCOUNT. YOU CAN ACQUIRE THE APPROPRIATE INMATE ACCOUNT CERTIFICATE FROM THE LAW LIBRARY AT YOUR PRISON UNIT.

*3 Dias, District Clerk. At this time I, Walter Arnold, SaSastume, T.d.c.J. no. 1478496

As a (Prose) would like to receive corics of of all Transcripts (Court), Clerks Records, Arrest Retort, and Court Retorters Records, including indictment and Judgement in sentenins in—cause no. 05-07-0/557-CR 05-07-0/560-CR

Enclosed is a copy on my In-Forms Raueris Form, and Data, Stating my inability to pay cost or fees for these Court Documents.

Thank You for Your Assistance. Sincerly, 10

Walter Arnold, SaSastume No 5 Vs. State of Texas

In the EYeb th District Court of Dallas County, Texas.

Re: Court of areats number: 05-07-0/559-CR

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