Paul Andrew Mitchell, Sui Juris c/o general delivery San Marcos [ZIP code exempt] TEXAS STATE In Propria Persona All Rights Reserved, without prejudice At Law DISTRICT COURT OF TEXAS STATE HAYS COUNTY Paul Andrew Mitchell, ) Case No. CV-98-0547 ) Plaintiff, ) APPLICATION FOR LEAVE ) TO PROCEED IN FORMA v. ) PAUPERIS, AND AFFIDAVIT ) OF INABILITY TO PAY COSTS City of San Marcos, ) San Marcos Utility, ) Community Action, Inc. ) of Hays, Caldwell, & ) Blanco Counties, ) Century Telephone, Inc., ) and Does 1 thru 25, ) ) Defendants. ) _________________________) COMES NOW Paul Andrew Mitchell, Sui Juris, Citizen of Arizona state, Federal Witness, Counselor at Law, Private Attorney General, and Candidate for the United States ("U.S.") House of Representatives, currently inhabiting Hays county in Texas state ("Plaintiff"), to petition this honorable Court for leave to proceed In Forma Pauperis ("IFP"), and to present this, His AFFIDAVIT OF INABILITY TO PAY COSTS. Said AFFIDAVIT now follows: I, Paul Andrew Mitchell, Sui Juris, am the Plaintiff in this case. I am of majority age, and competent to make this verified declaration concerning My present inability to pay the normal costs associated with such a law suit as this. My revenue, resources, and expenses are set out in the schedule which now follows: MONTHLY REVENUE (a) Public Benefits: zero (b) Net Compensation: zero (c) Other Compensation: zero (d) Spouse's Revenue: no spouse PROPERTY (a) Cars or Trucks: one 1978 Datsun 280-Z, currently needs $575 repair to failed exhaust manifold gasket, before it can run (b) Checking and/or Savings Account: none (c) Cash: zero (d) Other Property (excluding homestead): none MONTHLY EXPENSES Rent/Mortgage: $500/mo. Food: $250/mo. Car payment: 0/mo. Child Care: 0/mo. Transportation: 0/mo. Medical/Dental: 0/mo. Insurance: 0/mo. Utilities: $75/mo. Clothing/Laundry: $15/mo Other: 0/mo. Total Monthly Expenses: $840/mo. DEBTS AND CHILD SUPPORT OBLIGATIONS (exclude house and automobile): Creditor: Amount Due ----------------------------------- ---------- 1. Central Texas Medical Center, Emergency Room, to treat assault $307.75 2. San Marcos - Hays County EMS, Inc. transport to CTMC Emergency Room $292.00 3. Rent due on June 1, 1998 to Mr. Andrew Thomas Scott: $500.00 4. Rent past due on May 16, 1998 to Mr. Andrew Thomas Scott: $112.50 5. Miscellaneous utility bills to Mr. Ron Holmes (ex-roommate) $ 65.19 --------- Total Debts: $1,277.44 ========= I am unable to pay the court costs in this case, but offer to pay them, in full, from any damages which are awarded to Me in this case. REMEDY REQUESTED Wherefore, all premises thus duly considered, Plaintiff requests leave of this honorable Court to proceed In Forma Pauperis, and to be exempt from court costs, until such time as further orders are issued in this regard by this Court. VERIFICATION I, Paul Andrew Mitchell, Sui Juris, a Citizen of ONE OF the United States of America, hereby verify, under penalty of perjury, under the laws of the United States of America, that the above statement of facts is true and correct, according to the best of My current information, knowledge, and belief, so help Me God, pursuant to 28 U.S.C. 1746(1). See Supremacy Clause. Dated May 26, 1998 Respectfully submitted, /s/ Paul Andrew Mitchell Paul Andrew Mitchell, B.A., M.S. Counselor at Law, Federal Witness, Private Attorney General, and Candidate for the U.S. House of Representatives All Rights Reserved without Prejudice [See USPS Pub. 221 for addressing instructions.] # # #
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Mitchell v. City of San Marcos et al.