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Page 1 of 5 AO 239 Rev. 12/13 Application to Proceed in District Court Without Prepaying Fees or Costs Long Form UNITED STATES DISTRICT COURT for the District of Plaintiff/Petitioner v. Defendant/Respondent Civil Action No. APPLICATION TO PROCEED IN DISTRICT COURT WITHOUT PREPAYING FEES OR COSTS Long Form Affidavit in Support of the Application Instructions I am a plaintiff or petitioner in this case and declare...
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form 239
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