Sagastume, Walter Arnold

• Court: Court of Appeals of Texas
• Decided: September 16, 2015
• Docket: PD-0396-09
• Status: Published

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE /7/v/ DISTRICT OF TEXAS /3*//

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Place of Confinement

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APPLICATION TO PROCEED IN FORMA PAUPERIS

Defendant's name and address wyfH

SEP 14 2015 I, Ulfl/lrEf mMn&d 3ft&WVaeclare. 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 sta< poverty, I am unable to pay in advance the filing fee for said proceedings or to give security for the filing fee. I believe 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? Yes • No [y b. Rent payments, interest or dividends? Yes • No Q^ c. Pensions, annuities or life insurance payments? Yes • No B^ d. Gifts or inheritances? Yes • No q/ e. Family or friends? Yes • No Q/y f. Any other sources? Yes • No Q'

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? . Yes • No M • ..-• •

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

AATCIFP (REV. 9/02) Do you own real estate, stocks, bonds, note, automobiles, or other valuable property, excluding ordinary household furnishings and clothing?

Yes • No gT

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 vU5u.fJrSdav of kkS^s)r _, 20 15

Mint, Signature of Plaintiff ID Number

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.

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tes. Court of appals nurnbtT; QS~07-ol£sfl-C£ (A) tdc01bs8 - PASSPORT Tuesday, September 01, 2015, 15:38:36 PM

CSINIB02/CINIB02 TEXAS DEPARTMENT OF CRIMINAL JUSTICE 09/01/15 1BS8/FJ00021 IN-FORMA-PAUPERIS DATA 15:38:27 TDCJ#: 01.478496 SID#: 07803910 LOCATION: DANIEL INDIGENT DTE: 01/16/15 NAME: SAGASTUME,WALTER ARNOLD BEGINNING PERIOD: 03/01/15 PREVIOUS TDCJ NUMBERS: CURRENT BAL: 0.01 TOT HOLD AMT 0.00 3MTH TOT DEP: 0, 00 6MTH DEP: 1.47 6MTH AVG BAL 0.0 9 6MTH AVG DEP: 0, 25 MONTH HIGHEST BALANCE TOTAL DEPOSITS MONTH HIGHEST BALANCE TOTAL DEPOSITS 08/15 0,,01 0.00 05/15 0, 01 0.00 07/15 0,,01 0.00 04/15 0, 01 0.00 06/15 0,,01 0.00 03/15 3, 16 1.47 PROCESS DATE HOLD AMOUNT HOLD DESCRIPTION

STATE OF TEXAS COUNTY OF ON THIS THE J_ DAY OF jfrfl-fe^ \fT, fcTI CERTIFY THAT THIS DOCUMENT IS A TRUE, COMPLETE,AND UNALTERED COPY MADE BY ME OF INFORMATION CONTAINED IN THE COMPUTER DATABASE REGARDING THE OFFENDER'S ACCOUNT. NP SIG: PF1-HELP PF3-END ENTER NEXT TDCJ NUMBER: OR SID NUMBER: