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12 verbatim requirements from 6th Circuit Administrative Order 2019-067.
Sixth Judicial Circuit (Pinellas/Pasco). Administrative orders change without notice; the court's own order controls. Procedural information only; not legal advice.
Verbatim from the order, fetched live 2026-08-03; whitespace normalised only. • Further, in cases where indigent status is denied, the Clerk of Court shall attach to the application the “Petition for Court Review of Clerk’s Determination of Non-Indigence for Appointment of Counsel for Civil Litigants,” attached hereto as “Attachment B.” 3. • Where a designation of indigent status is sought pursuant to section 27.52, Florida Statutes, seeking indigent status as to costs only, section 27.52, Florida Statutes, provides that such request shall be submitted directly to the Court without initial review by the Clerk. • Also, where the applicant is represented by counsel, he or she must attach an affidavit attesting to the estimated amount of attorney’s fees and the source of payment for such fees. • Also, in the event that the Court finds the applicant indigent for costs, the Clerk shall provide a copy of the Court’s order to the applicant or his or her attorney for use in requesting payment of due process expenses through the Justice Administration Commission. • When the Clerk of Court in Pinellas County receives a request for review of the denial of indigent status in felony and misdemeanor criminal cases, or a request for a determination by the Court of indigent status for costs only in such cases, the Clerk shall provide the request with the supporting affidavit(s) to the Criminal Administrative Judge. • When the Clerk of Court in Pasco County receives a request for review of the denial of indigent status in any matter, or a request for a determination by the Court of indigent status for costs in a criminal matter, the request shall be provided to the assigned section judge. • Despite an indigent party’s present inability to pay for services, the indigent party shall receive the services of the courts, sheriffs, and clerks such as filing fees, service of process, certified copies of orders and final judgments, mediation fees, examining fees, and other costs pursuant to section 57.081, Florida Statutes. • If an applicant prevails in an action, costs shall be taxed in his or her favor as provided by law and, when collected, shall be applied to pay filing fees or costs that have not been paid. • To make such a request, you must notify the Clerk by marking the appropriate statement below: ______ I hereby request review by the Court of the denial of indigent status at my next scheduled hearing. ______ I hereby request review by the Court of the denial of indigent status prior to my next scheduled hearing because I need services prior to the next scheduled hearing or because no hearing is scheduled. • Under penalties of perjury, I declare that the facts stated above are true. ________________________________ Defendant Signature PRINT Full Legal Name: _____________________ Address: __________________________________ Driver’s License # or ID #: ____________________ Date of Birth: ______________________________ Telephone #: ______________________________ If a clerk or deputy clerk helped you fill out this form, he or she must fill out the blank below. • Sixth Circuit Administrative Order 2019-067 – Attachment C Page 2 of 2 I understand that I may be requi red to enter into a payment plan with the Clerk of the Circuit Court, not to exceed 2% of my annual income divided by 12, for the payment of deferred costs. ________________________________ Defendant Signature PRINT Full Legal Name: _____________________ Address: __________________________________ Driver’s License # or ID #: ____________________ Date of Birth: ______________________________ Telephone #: ______________________________ If a clerk or deputy clerk helped you fill out this form, he or she must fill out the blank below. • COURT’S FINAL DETERMINATION OF INDIGENT STATUS ______ Defendant is Indigent for costs, and must enter into a deferred payment plan for payment of deferred costs. ______ Defendant is Not Indigent.
Further, in cases where indigent status is denied, the Clerk of Court shall attach to the application the “Petition for Court Review of Clerk’s Determination of Non-Indigence for Appointment of Counsel for Civil Litigants,” attached hereto as “Attachment B.” 3.
Reviewer note: Composed from the court's own bytes during the 6th's ledger close 2026-08-03; scope from the court's numbering convention (PI-/PA-/PA⁄PI) or an exclusive county mention.
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