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01
AFFIANT INFORMATION
02
CASE INFORMATION
03
MONTHLY INCOME SOURCES
04
ASSETS
05
MONTHLY EXPENSES
06
FINANCIAL SUMMARY
TOTAL MONTHLY INCOME
$0.00
TOTAL MONTHLY EXPENSES
$0.00
NET MONTHLY INCOME (INCOME − EXPENSES)
$0.00
07
REASON CANNOT PAY FILING FEES
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BARKER RICHARDSON, PLLC →WHAT IS IN FORMA PAUPERIS?
- "In forma pauperis" means "in the manner of a pauper" — it allows the court to waive filing fees for those who cannot afford them
- Authorized under G.S. 1-110 for civil cases and appeals
- You must swear under oath that the financial information is true — perjury applies
- The Clerk of Court has discretion to grant or deny the waiver
- If granted, you may also be entitled to free service of process
FILING FEE SCHEDULE (APPROX.)
Civil Filing$150 – $250
Expunction$175
Appeals$20 – $200
G.S. 1-110IFP authority
G.S. 7A-305Fee schedule
INCOME THRESHOLD GUIDANCE
- NC courts generally look to 125% of the Federal Poverty Level as a guideline
- 2025 FPL (48 states): $15,650/yr individual; add ~$5,380 per additional person
- 125% FPL (1 person): ~$19,563/yr (~$1,630/mo)
- The Clerk considers income, assets, expenses, and dependents together — not income alone
- You may qualify even above the threshold if expenses leave you unable to pay
WHAT GETS GENERATED
- Formal sworn affidavit with your financial disclosures
- Case caption, court, and file number pre-filled
- Notary / jurat block included — bring to a notary or swear before the Clerk
- Court-ready PDF, letter size (8.5" × 11")