UNITED STATES DISTRICT COURT

__________________ DISTRICT OF TEXAS
										
__________________  DIVISION

UNITED STATES OF AMERICA	                 §
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MOTION TO PROCEED IN FORMA PAUPERIS

TO THE HONORABLE ///, JUDGE, UNITED STATES DISTRICT COURT FOR THE /// DISTRICT OF TEXAS, /// DIVISION:

	COMES NOW ///, Defendant in this cause and requests that he/she be allowed to proceed on appeal in forma pauperis and for cause would show the Court as follows:
	The Defendant has been imprisoned continuously since ///.  Due to this extended period of incarceration the Defendant has ///.  He/She is currently indigent and has no assets with which to pay attorney's fees or the costs of an appeal.  In support of his/her motion, the Defendant submits his/her Declaration In Support Of Request To Proceed In Forma Pauperis which is attached hereto as "Exhibit "A".
	WHEREFORE, the Defendant prays that he/she be allowed to proceed In forma pauperis for the prosecution of his/her appeal.
							Respectfully Submitted,

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							Name												State Bar No. 
							Address
							Phone
							Attorney for Defendant

CERTIFICATE OF SERVICE

	This is to certify that a true and correct copy of the above and foregoing Motion For Sanctions And Motion To Proceed In Forma Pauperis was hand delivered to ///, Assistant United States Attorney, /// Street, ///, Texas ///, on the /// day of ///, 20___///.

							____________________________________
							Attorney for Defendant

	

 	UNITED STATES DISTRICT COURT

__________________ DISTRICT OF TEXAS
										
__________________  DIVISION

UNITED STATES OF AMERICA	                 §
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ORDER

	CAME ON to be considered the motion of Defendant /// to proceed In Forma Pauperis in the prosecution of his/her appeal.  The Court finds that the Defendant does not have funds to pay for the cost of the appeal or for attorney’s fees.  Accordingly, the motion is GRANTED and the Defendant shall be allowed to proceed In forma pauperis in the prosecution of his/her appeal.
	IT IS SO ORDERED.
	Signed on ____________________, 20_____.

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							UNITED STATES JUDGE