STATE OF INDIANA	)
	) SS:
COUNTY OF DELAWARE	)

IN THE DELAWARE CIRCUIT COURT NO. ____

IN RE THE GUARDIANSHIP OF:

CAUSE NO: 18C0__________________________

ORDER ON FEE WAIVER

The Petitioner, has filed a Verified Motion for Fee Waiver, which the Court has read and finds should be granted

IT IS THEREFORE ORDERED that Petitioner may file this case:

_____ without the pre-payment of any filing fees, costs, security, bond, or other expenses; or

_____ upon the pre-payment of $ ___________ which is a portion of the filing fee set by statute. Such sum must be paid by the Petitioner to the Clerk within the next 20 days.

The Court will determine whether any or additional costs are to be paid at a preliminary or final hearing in this case.

Date

Judge, Delaware Circuit Court No. ____

Distribution:

Petitioner Name

Address

City, State, Zip

Phone Number