Fillable Hawaii Family Court Form 5F-P-167 REQUEST FOR WAIVER OF PREPAYMENT OF COURT COSTS

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Hawaii Family Court Form 5F-P-167 REQUEST FOR WAIVER OF PREPAYMENT OF COURT COSTS

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The Hawaii Family Court Form 5F-P-167 REQUEST FOR WAIVER OF PREPAYMENT OF COURT COSTS form is 1 page long and contains:

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STATE OF HAWAI‘I
FAMILY COURT
FIFTH CIRCUIT
REQUEST FOR WAIVER OF
PREPAYMENT OF COURT COSTS
CASE NUMBER
FC- NO. - -
PLAINTIFF/PETITIONER,
VS.
DEFENDANT/RESPONDENT.
This document is prepared by:
Name:
Address:
Telephone No. ( ) - -
I, the above-named Plaintiff/Petitioner, swear under penalty of perjury that I do not
have the resources or income to pay the costs of this matter and request that prepayment
of the costs be waived.
DATE PLAINTIFF/PETITIONER’S SIGNATURE
Reprographics REQUEST FOR WAIVER OF PREPAYMENT
(10/08) OF COURT COSTS 5F-P-167
RevaComm 508 Certified
CLEAR FORM
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Hawaii Family Court Form 5F-P-167 REQUEST FOR WAIVER OF PREPAYMENT OF COURT COSTS

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Completed 13 May 2020

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