Brown v. Otis Bantum Correctional Facility

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

RASHAWN BROWN,

Plaintiff,

24-CV-9630 (LTS)

-against-

ORDER DIRECTING PAYMENT OF FEES

OR IFP APPLICATION AND PRISONER

OTIS BANTUM CORRECTIONAL CENTER;

AUTHORIZATION

ET AL.,

Defendants.

LAURA TAYLOR SWAIN, Chief United States District Judge:

Plaintiff, who is currently incarcerated at Otis Bantum Correctional Facility, brings this

action pro se. To proceed with a civil action in this Court, a prisoner must either pay $405.00 in

fees – a $350.00 filing fee plus a $55.00 administrative fee – or, to request authorization to

proceed in forma pauperis (IFP), that is, without prepayment of fees, submit a signed IFP

application and a prisoner authorization. See 28 U.S.C. §§ 1914, 1915. If the Court grants a

prisoner’s IFP application, the Prison Litigation Reform Act requires the Court to collect the

$350.00 filing fee in installments deducted from the prisoner’s account.1 See 28 U.S.C. §

1915(b)(1). A prisoner seeking to proceed in this Court without prepayment of fees must

therefore authorize the Court to withdraw these payments from his account by filing a “prisoner

authorization,” which directs the facility where the prisoner is incarcerated to deduct the $350.00

filing fee from the prisoner’s account in installments and to send to the Court certified copies of

the prisoner’s account statements for the past six months. See 28 U.S.C. § 1915(a)(2), (b).

1 The $55.00 administrative fee for filing a civil action does not apply to persons granted

IFP status under 28 U.S.C. § 1915.

Plaintiff submitted the complaint without the filing fees or a completed IFP application

and prisoner authorization. Within thirty days of the date of this order, Plaintiff must either pay

the $405.00 in fees or submit the attached IFP application and prisoner authorization. If Plaintiff

submits the IFP application and prisoner authorization, they should be labeled with docket

number 24-CV-9630 (LTS).2

No summons shall issue at this time. If Plaintiff complies with this order, the case shall be

processed in accordance with the procedures of the Clerk’s Office. If Plaintiff fails to comply

with this order within the time allowed, the action will be dismissed.

The Court certifies under 28 U.S.C. § 1915(a)(3) that any appeal from this order would

not be taken in good faith, and therefore IFP status is denied for the purpose of an appeal. Cf.

Coppedge v. United States, 369 U.S. 438, 444–45 (1962) (holding that appellant demonstrates

good faith when seeking review of a nonfrivolous issue).

SO ORDERED.

Dated: December 17, 2024

New York, New York

/s/ Laura Taylor Swain

LAURA TAYLOR SWAIN

Chief United States District Judge

2 Plaintiff is cautioned that if a prisoner files a federal civil action or appeal that is

dismissed on the grounds that it is frivolous, malicious, or fails to state a claim upon which relief

may be granted, the dismissal is a “strike” under 28 U.S.C. § 1915(g). A prisoner who receives

three “strikes” cannot file federal civil actions IFP as a prisoner, unless he is under imminent

danger of serious physical injury, and he must pay the filing fees at the time of filing any new

action.

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

(full name of the plaintiff or petitioner applying (each person

must submit a separate application))

CV ( ) ( )

-against- (Provide docket number, if available; if filing this with

your complaint, you will not yet have a docket number.)

(full name(s) of the defendant(s)/respondent(s))

APPLICATION TO PROCEED WITHOUT PREPAYING FEES OR COSTS

I am a plaintiff/petitioner in this case and declare that I am unable to pay the costs of these proceedings

and I believe that I am entitled to the relief requested in this action. In support of this application to

proceed in forma pauperis (IFP) (without prepaying fees or costs), I declare that the responses below are

true:

1. Are you incarcerated? Yes No (If “No,” go to Question 2.)

I am being held at:

Do you receive any payment from this institution? Yes No

Monthly amount:

If I am a prisoner, see 28 U.S.C. § 1915(h), I have attached to this document a “Prisoner Authorization”

directing the facility where I am incarcerated to deduct the filing fee from my account in installments

and to send to the Court certified copies of my account statements for the past six months. See 28

U.S.C. § 1915(a)(2), (b). I understand that this means that I will be required to pay the full filing fee.

2. Are you presently employed? Yes No

If “yes,” my employer’s name and address are:

Gross monthly pay or wages:

If “no,” what was your last date of employment?

Gross monthly wages at the time:

3. In addition to your income stated above (which you should not repeat here), have you or anyone else

living at the same residence as you received more than $200 in the past 12 months from any of the

following sources? Check all that apply.

(a) Business, profession, or other self-employment Yes No

(b) Rent payments, interest, or dividends Yes No

(c) Pension, annuity, or life insurance payments Yes No

(d) Disability or worker’s compensation payments Yes No

(e) Gifts or inheritances Yes No

(f) Any other public benefits (unemployment, social security,

Yes No

food stamps, veteran’s, etc.)

(g) Any other sources Yes No

If you answered “Yes” to any question above, describe below or on separate pages each source of

money and state the amount that you received and what you expect to receive in the future.

If you answered “No” to all of the questions above, explain how you are paying your expenses:

4. How much money do you have in cash or in a checking, savings, or inmate account?

5. Do you own any automobile, real estate, stock, bond, security, trust, jewelry, art work, or other

financial instrument or thing of value, including any item of value held in someone else’s name? If so,

describe the property and its approximate value:

6. Do you have any housing, transportation, utilities, or loan payments, or other regular monthly

expenses? If so, describe and provide the amount of the monthly expense:

7. List all people who are dependent on you for support, your relationship with each person, and how

much you contribute to their support (only provide initials for minors under 18):

8. Do you have any debts or financial obligations not described above? If so, describe the amounts owed

and to whom they are payable:

Declaration: I declare under penalty of perjury that the above information is true. I understand that a false

statement may result in a dismissal of my claims.

Dated Signature

Name (Last, First, MI) Prison Identification # (if incarcerated)

Address City State Zip Code

Telephone Number E-mail Address (if available)

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF NEW YORK

(full name of the plaintiff/petitioner)

CV ( ) ( )

-against- (Provide docket number, if available; if filing this with your

complaint, you will not yet have a docket number.)

(full name(s) of the defendant(s)/respondent(s))

PRISONER AUTHORIZATION

By signing below, I acknowledge that:

(1) because I filed this action as a prisoner,1 I am required by statute (28 U.S.C. § 1915) to pay

the full filing fees for this case, even if I am granted the right to proceed in forma pauperis

(IFP), that is, without prepayment of fees;

(2) the full $350 filing fee will be deducted in installments from my prison account, even if my

case is dismissed or I voluntarily withdraw it.

I authorize the agency holding me in custody to:

(1) send a certified copy of my prison trust fund account statement for the past six months

(from my current institution or any institution in which I was incarcerated during the past

six months);

(2) calculate the amounts specified by 28 U.S.C. § 1915(b), deduct those amounts from my

prison trust fund, and disburse those amounts to the Court.

This authorization applies to any agency into whose custody I may be transferred and to any

other district court to which my case may be transferred.

Date Signature

Name (Last, First, MI) Prison Identification #

Address City State Zip Code

1 A “prisoner” is “any person incarcerated or detained in any facility who is accused of, convicted of,