EUN JUNG LIM
[Enter Address]
Plaintiff In Pro Per

UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA

EUN JUNG LIM,
Plaintiff,
vs.
CITY OF IRVINE et al.,
Defendant

Case No.:

NOTICE OF MOTION FOR LEAVE TO
PROCEED IN FORMA PAUPERIS

NOTICE TO THE DEFENDANT(S) AND SPECIAL NOTICE TO THIS
HONORABLE COURT,
PLAINTIFF’S MOTION FOR LEAVE TO PROCEED IN FORM PAUPERIS
This Motion is based on this Notice, the Motion, the Declaration in Support, and on such
further oral and documentary evidence as may be presented or judicially noticed at the hearing of
this Motion.

Dated: _________________

__________________________
Eun Jung Lim

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MOTION TO PROCEED IN FORMA PAUPERIS

EUN JUNG LIM
[Enter Address]
Plaintiff In Pro Per

UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA

EUN JUNG LIM,
Plaintiff,
vs.
CITY OF IRVINE et al.,
Defendant

Case No.:

MOTION FOR LEAVE TO PROCEED IN
FORMA PAUPERIS

MAY IT PLEASE THE COURT,
Plaintiff respectfully moves this Honorable Court to order that Plaintiff be allowed to
prosecute the writ of mandamus in forma pauperis pursuant to Rule 24 of the Federal Rules of
Appellate Procedure and L.R. 5-2 of the Local Rules for the U.S. District Court, Central District
of California.
As grounds for this motion, Plaintiff avers that she is currently on medical benefits. She
is unable to pay the fees and costs for the writ of mandamus. She has also been proceeding in
forma pauperis in the state court, at the trial stage of the instant action.
In support of this motion, Plaintiff has attached a Declaration, under oath, in Support of
this Motion. In the Declaration, Plaintiff has testified as to her poverty and her inability to pay
the costs of this proceeding or to give security of the same.

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MOTION TO PROCEED IN FORMA PAUPERIS

WHEREFORE, Plaintiff EUN JUNG LIM prays this Honorable Court grant her leave to
proceed in forma pauperis, and waives the costs of this Petition for writ of mandamus or giving
of security for the same.

DATED:

Respectfully submitted,

__________________________
Eun Jung Lim

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MOTION TO PROCEED IN FORMA PAUPERIS
CERTIFICATE OF SERVICE

I hereby certify that on [ENTER DATE], copies of the foregoing Motion have been sent
to the Defendant(s) in the following address(es):

[ENTER ADDRESSES FOR DEFENDANT(S)].

Dated: _________________

__________________________
Eun Jung Lim

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