Julio Cruz v. David Hallenbeck, Superintendent, Hale Creek Correctional Facility
FirstAmendment DueProcess HabeasCorpus Privacy JusticiabilityDoctri
Whether the Eighth Amendment's prohibition on excessive fines applies to the states through the Fourteenth Amendment
No question identified. : AFFIDAVIT OR DECLARATION IN SUPPORT OF MOTION FOR LEAVE TO PROCEED JN FORMA PAUPERIS I, Ju | iO Cla , am the petitioner in the above-entitled case. In support of my motion to proceed in forma pauperis, I state that because of my poverty I am unable to pay the costs of this case or to give security therefor; and I believe I am entitled to redress. 1. For both you and your spouse estimate the average amount of money received from each of the following sources during the past 12 months. Adjust any amount that was received weekly, biweekly, quarterly, semiannually, or annually to show the monthly rate. Use gross amounts, that is, amounts before any deductions for taxes or otherwise. Income source Average monthly amount during Amount expected the past 12 months next month You Spouse You Spouse AMelbky. . P Employment s$®yoo $s GO sSone g¢_O | Self-employment ¢ O ¢ © $_ OC gs O Income from real property ¢$ O $ Cy gs © $ © (such as rental income) Interest and dividends $ O ¢ © 3 O nO) Gifts s_O s_O s_O s_O Alimony ¢ © $ © £4#¢$O ¢§ O Child Support s_O $_6 sO 3s ORetirement (such as social 3 O 3$_O $ O $ © security, pensions, annuities, insurance) Disability (such as social s O $_@ ¢_0 ¢ © security, insurance payments) Unemployment payments ¢_O ¢_ © $ O s OO Public-assistance $ O ¢s_ O $_© $ QO (such as welfare) Other (specify): $ C 2 $ © $ O $ O __ Total monthly income: $24 Ga $ O $_S AVA s O | 2. List your employment history for the past two years, most recent first. (Gross monthly pay is before taxes or other deductions.) Employer Address Daies of Gross monthly pay ye Employment Woh how Brwsla Ss 9 ieMags™ aseti-ry si2bo Rar owy ———EE ——— S$ = a a — 8. List your spouse’s employment history for the past two years, most recent employer first. (Gross monthly pay is before taxes or other deductions.) Employer Address Dates of Gross monthly pay Employment NIA So ——— ee a — eS — — 4, How much cash do you and your spouse have? $ Below, state any money you or your spouse have in bank accounts or in any other financial institution. Type of account (e.g., checking or savings) Amount you have Amount your spouse has ch Van BS avin SABY Check, $ WR Seu $_ So @ @ $ N R ga, FC RN __. 5. List the assets, and their values, which you own or your spouse owns. Do not list clothing and ordinary household furnishings. 7) Home / ae Uc rh 0 Other real estate Value MV 8 o vaue Ao o AY /ALA. AS (1 Motor Vehicle #1 v As CO Motor Vehicle #2 WV “A Year, make & model Msn Year, make & model Median Value Value CU Other assets Description A) Value 6. State every person, business, or organization owing you or your spouse money, and the amount owed. Person owing you or Amount owed to you Amount owed to your spouse your spouse money : Ne sO sO — gh sO s O 7. State the persons who rely on you or your spouse for support. For minor children, list initials instead of names €.g. “J.S.” instead of “John Smith”). Name Relationship Age SS NR NA 8. Estimate the average monthly expenses of you and your family. Show separately the amounts paid by your spouse. Adjust any payments that are made weekly, biweekly, quarterly, or annually to show the monthly rate. You Your spouse Roun Rent or home-mortgage payment 4 (include lot rented for mobile home) $ So O.X Me wigs OG Ayre real estate taxes included? (1 Yes No Is property insurance included? CL Yes No vr sysye sos on N Utilities (electricity, heating fuel, \ Q water, sewer, and telephone) eM enor OB __ Home maintenance (repairs and upkeep) gg OO $ O \ Food sso a Wa (s_O Clothing Pe: sO AVY wars O Laundry and dry-cleaning gQra omnes [fb 8) Medical and dental expenses = $ AOD mony $ (®) You Your spouse Transportation (not including motor vehicle payments) gs monks g¢ OO Recreation, entertainment, newspapers, magazines, etc. g WR s © Insurance (not deducted from wages or included in mortgage payments) Homeowner’s or renter’s $ SOO s © Life gs O 5 O Health $_ 200 s O Motor Vehicle gs © g QO Other: g OO s