Petition for Writ of Certiorari — Donald Brian Winberg, et ux., Petitioners v. United States
Supreme Court briefNov 20, 2019
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case no.
y-6 § 83
IN THE SUPREME COURT OE THE
UNITED STATES
:!
Supreme Court, U.S.
FILED
DONALD BRIAN WINBERG
PETITIONER
NOV 2 0 2019
OFFICE OF THE CLERK
VS .
UNITED STATES GOVERNMENT
RESPONDENT
MOTION FOR LEAVE TO PROCEED
IN FORMA PAUPERIS
The PRO SE. petitioner DONALD BRIAN WINBERG, asks leave
to file the attached petition for a writ of certioari without
prepayment.of costs, to proceed in forma pauperis.
Petitioner has previously been granted leave to proceed
in forma pauperis in the United States District Court and Appeals
Court for the Tenth Circuit of Colorado.
Petitioners affidavit in support of this motion is attached
hereto.
date. 11/
DONALD BRIAN WINBERG
/fi/^
AFFIDAVIT OR DECLARATION
IN SUPPORT OF MOTION FOR LEAVE TO PROCEED IN FORMA PAUPERIS
DONALD BRIAN
I, —MINBERG------
, am the petitioner in the above-entitled case. In support of
my motion to proceed in forma, pauperis, I state that because of my poverty I am unable to pay
the costs of this case or to give security therefor; and I believe I am entitled to redress.
1. For both you and your spouse estimate the average amount of money received from each of
the following sources during the past 12 months. Adjust any amount that was received
weekly, biweekly, quarterly, semiannually, or annually to show the monthly rate. Use gross
amounts, that is, amounts before any deductions for taxes or otherwise.
Income source
Average monthly amount during
the past 12 months
Amount expected
next month
You
Spouse
You
Spouse
Employment
$___ 0
$.__ 0
$__ 0
$__ 0
Self-employment
$___0
$__ 0
$__ 0
$__ 0
Income from real property
(such as rental income)
$__ Q.
$___0
$__ 0
S__ 0
interest and dividends
$___ 0
$____0
s o
$__ 0
Gifts
$___ 0
$___0
$__0
$.
Alimony
$___ 0
$___0
$__ 0_
$___0
Child Support
$___ 0
$.__o
$_o
$__o
Retirement (such as social
security, pensions,
annuities, insurance)
$___ 0
$___0
$__ 0
$___0
Disability (such as social
$___ 0
$__ 0.
$__ 0
$_o.
Unemployment payments
$___ 0
$__o
$_o
$__ g
Public-assistance
(such as welfare)
$__ o.
$__o
$_o
$__o
Other (specify); none
$___0
s__o
$_o
$__o
$___ g
$__ g
$_g
$__g
0
security, insurance payments)
Total monthly income:
& 2008 Matthew Bender & Company, Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
2. List your employment history for the past two years, most recent first (Gross monthly pay
is before taxes or other deductions.)
Employer
Address
none
none
none-
none
none
none
Dates of
Employment
Gross monthly pay
none
none
none
$
$
$
none
none
none
3. List your spouse’s employment history for the past two years, most recent employer first
(Gross monthly pay is before taxes or other deductions.)
Employer
Address
none
none
none
none
none
none
Dates of
Employment
Gross monthly pay
$
5
$
none
none
none
none
none
none
4. How much cash do you and your spouse have? $
0____________________
Below, state any money you or your spouse have in bank accounts or in any other financial
institution.
Financial Institution
Type of account
none
none
none
none
none
none
Amount you have
$
$.
$.
none
none
none
Amount your spouse has
$.
$.
$.
none
none
none
5. List the assets, and their values, which you own or your spouse owns. Do not list clothing
and ordinary household furnishings.
□ Home
Value
>iki
□ Other real estate
none
Value
none
□ Motor Vehicle #1
Year, make & model
0
Value
□ Other assets
Description _
Value___0_
none
□ Motor Vehicle #2
- Year, make & model
Value
Q_____
none
none
■O 2008 Matthew Bender & Company. Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
6. State every person, business, or organization owing you or your spouse money, and the
amount owed.
Person owing you or
Amount owed to you
Amount owed to your spouse
your spouse money
none
$___ 0
$___ 0
none
$___ 0
$
none
$___ 0
$___ 0
7. State the persons who rely on you or your spouse for support.
Name
Relationship
none
0
none
0
none
0
0
Age
0
0
0
8. Estimate the average monthly expenses of you and your family. Show separately the amounts
paid by your spouse. Adjust any payments that are made weekly, biweekly, quarterly, or
annually to show t^lmonthly rate.
You
Rent or home-mortgage payment
(include lot rented for mobile home)
Are real estate taxes included? □ Yes [S No
Is property insurance included? □ Yes [3 No
$
Your spouse
0
$.
0
Utilities (electricity, heating fuel,
water, sewer, and telephone)
$___ 0
$.
0-
Home maintenance (repairs and upkeep)
$___ 0
$
0
Food
$___ 0
$_a
Clothing
%___ 0
$.
Laundry and dry-cleaning
$___ 0
$__ 0
Medical and dental expenses
$___ 0
$__ 0
0
£ 2008 Matthew Bender & Company, Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
You
Your spouse
Transportation (not including motor vehicle payments)
$__o
Recreation, entertainment, newspapers, magazines, etc.
$__ 0
$_0
Insurance (not deducted from wages or included in mortgage payments)
Homeowner’s or renter’s
$__ 0
$_0
Life
$__ 0
$__ 0
Health
$__0
Motor Vehicle
$__ 0
$.
$__o
$_o
Other:
none
0
Taxes (not deducted from wages or included in mortgage payments)
(specify):
0
none
$_o_
Installment payments
Motor Vehicle
$___0
$___0
$___0
$.
Department store(s)
$__o
$___0
none
$___0
Credit card(s)
0
•;,N
Other:
„
$___0
Alimony, maintenance, and support paid to others
$___0
$___0
Regular expenses for operation of business, profession,
or- farm (attach detailed statement)
$__o
$_^0
Other (specify):
no ne
$___0
$___0
Total monthly expenses:
$___0
$__o
■0 2008 Matthew Bender & Company, Inc., a member of die LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
9. Do you expect any major changes to your monthly income or expenses or In your assets or
liabilities during the next 12 months?
□ Yes
S3 No
If yes, describe on an attached sheet.
*f
10. Have you paid - or will you be paying - an attorney any money for services in connection
with this case, including the completion of this form? □ Yes K3 No
If yes, how much?______________ _______
If yes, state the attorney’s name, address, and telephone number:
11. Have you paid—or will you be paying—anyone other than an attorney (such as a paralegal or
a typist) any money for services in connection with this case, including the completion of this
form?
□ Yes
m No
If yes, how much?
If yes, state the person’s name, address, and telephone number:
12. Provide any other information that will help explain why you cannot pay the costs of this case.
I am incarcerated iru.a Federal Prison
- 1 have no income
I declare under penalty of perjury that the foregoing is true and correct.
Executed on:
if / 'kt?
2
t
(Signature)
© 2008 Matthew Bender & Company, Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
rage i 01j
is®
pipiii
;
Inmate Inquiry
40433013
Current Institution:
Inmate Name:
WINBERG, DONALD
Housing Unit:
SHE-E-G
Report Date:
Report Time:
General Information
02/12/2019
3:01:24 PM
Account Balances
Living Quarters:
E07-005U
Inmate Reg ft:
Commissars' History
I
Sheridan FCI
Commissary Restrictions
|
Comments
General Information
Administrative Hold Indicator:
No
No Power of Attorney:
No
Never Waive NSF Fee:
No
Max Allowed Deduction %:
100
PIN:
0926
PAC#:
Revalidation Date:
FRP Participation Status:
Arrived From:
982822716
10th
ExemptTmp
OKL
Transferred To:
Account Creation Date:
2/6/2015
Local Account Activation Date:
7/14/2018 3:12:30 AM
Sort Codes:
Last Account Update:
___
2/9/2019 5:52:29 PM
Account Status:
Active
Phone Balance:
$0.00
Pre-Release Plan Information
Target Pre-Release Account Balance:
Pre-Release Deduction %:
Income Categories to Deduct Frotn:
$0.00
0%
0 Payroll _
0 Outside Source Funds
FRP Plan Information
Expected Amount
FRP Plan Type
Expected Rate
Account Balances
Account Balance:
$0.50
Pre-Release Balance:
$0.00
Debt Encumbrance:
$0.00
SPO Encumbrance:
$0.00
Other Encumbrances:
$0.00
Outstanding Negotiable Instruments:
$0.00
https://10.33.12.106/truweb/InmateInquiryCombined.aspx
2/12/2019
rage z uij
Administrative Hold Balance:
$0.00
Available Balance:
$0.50
National 6 Months Deposits:
$82.90
National 6 Months Withdrawals:
$84.00
Available Funds to be considered for EFRP Payments:
($367.10)
National 6 Months Avg Daily Balance:
$1.11
Local Max. Balance - Prev. 30 Days:
$19.50
Average Balance - Prev. 30 Days:
$0.88
Commissary History
Purchases
Validation Period Purchases: $0.00
YTD Purchases: $0.00
Last Sales Date: No Comm Sales
SPO Information
SPO's this Month: 0
SPO $ this Quarter: $0.00
Spending Limit Info
Spending Limit Override: No
Weekly Revalidation: No
Bi-Weekly Revalidation: Yes
Spending Limit: $180.00
Expended Spending Limit: $0.00
Remaining Spending Limit: $180.00
Commissary Restrictions
Spending Limit Restrictions
Restricted Spending Limit: $0.00
Restricted Expended Amount: $0.00
Restricted Remaining Spending Limit: $0.00
Restriction Start Date: N/A
Restriction End Date: N/A
Item Restrictions
List Name
List Type
Start Date
End Date
Active
(
https://l 0.33.12.106/truweb/InmateInquiryCombined.aspx
2/12/2019
-68 8
case nb.v*
IN THE SUPREME COURT OF THE
UNITED STATES
a«
' ■■ ,^r
r r\ r a ■;
Supreme Court, U.S.
FILED
NOV 2 0 2019
OFFICE OF THE CLERK
KARLIEN RICHEL WINBERG
petitioner
vs.
UNITED STATES GOVERNMENT'
respondent
MOTION FOR LEAVE TO PROCEED IN FORMA PAUPERIS
The PRO SE, petitioner KARLIEN RICHEL WINBERG, asks leave
to file the attached petition for a writ of certioari without
prepayment of costs to proceed in forma pauperis.
Petitioner has previously been granted leave to proceed in
forma pauperis in the United States District Court and Appeals
Court for the Tenth Circuit of Colorado.
Petitioners affidavit in support of this motion is attached
hereto.
Date*
I
KARLIEN RICHEL WINBERG
AFFIDAVIT OR DECLARATION
IN SUPPORT OF MOTION FOR LEAVE TO PROCEED IN FORMA PAUPERIS
KARLIEN RICHEL
I, Winberg
, am the petitioner in the above-entitled case. In support of
my motion to proceed in forma pauperis, I state that because of my poverty I am unable to pay
the costs of this case or to give security therefor; and I believe I am entitled to redress.
1. For both you and your spouse estimate the average amount of money received from each of
the following sources during the past 12 months. Adjust any amount that was received
weekly, biweekly, quarterly, semiannually, or annually to show the monthly rate. Use gross
amounts, that is, amounts before any deductions for taxes or otherwise.
Income source
Average monthly amount during
the past 12 months
Amount expected
next month
You
Spouse
You
Spouse
Employment
$___ 0
$__0
$_o
$__ 0
Self-employment
$___ 0
$___0
$__ 0
$__ 0
Income from real property
(such as rental income)
$___ 0
$__ Q.
$__ 0
S__ Q
Interest and dividends
s.
0
$__ 0
$__0
$__ 0
Gifts
$___ 0
$__ 0
$_o
$___0
Alimony
$___ 0
$___0
$__ 0
$___0
Child Support
$___ 0
$___0
s_0
$__ 0
Retirement (such as social
security, pensions,
annuities, insurance)
$___ 0
$__ 0
$__ 0
$__ 0
$___ 0
Disability (such as social
security, insurance payments)
$__0
$__ 0
$__0
Unemployment payments
$__ o
$___0
s_o
$__g
Public-assistance
(such as welfare)
S,__ 0
$__o
$_o
$__o.
Other (specify): none
$__ g
S.
0
$_o
$__o
$___ g
$
0
$_g
$__g
Total monthly income.
'O 2008 Matthew Bender & Company, Inc., a member of die LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
2. List your employment history for the past two years, most recent first (Gross monthly pay
is before taxes or other deductions.)
Employer
Address
none
none
none-
none
none
none
Dates of
Employment
Gross monthly pay
none
none
none
$
$
£
none
none
none
3. List your spouse’s employment history for the past two years, most recent employer first
(Gross monthly pay is before taxes or other deductions.)
Employer
Address
none
none
none
none
none
none
Dates of
Employment
none
Gross monthly pay
$.
none
none
$
$
none
none
none
4. How much cash do you and your spouse have? $
0_____________________
Below, state any money you or your spouse have in bank accounts or in any other financial
institution.
Financial institution
none
none
none
Type of account
none
none
none
Amount you have
none
$.
none
$.
none
$.
Amount your spouse has
none
$.
none
$.
none
$.
5. List the assets, and their values, which you own or your spouse owns. Do not list clothing
and ordinary household furnishings.
□ Home
Value
□ Other real estate
none
Value
none
□ Motor Vehicle #1
Year, make & model
Value
0
□ Other assets
Description _
Value___ Q_
none
□ Motor Vehicle #2
Year, make & model
Value
0______
none
none
Vi 2008 Matthew Bender & Company, Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and tenns and conditions of the Matthew Bender Master Agreement.
6. State every person, business, or organization owing you or your spouse money, and the
amount owed.
Amount owed to you
Amount owed to your spouse
none
$___ 0
$___ 0
none
$___ 0
$__ .0
none
$__ o
$___ 0
Person owing you or
your spouse money
7. State the persons who rely on you or your spouse for support.
Relationship
Name
0
none
0
none
0
none
Age
0
0
0
8, Estimate the average monthly expenses of you and your family. Show separately the amounts
paid by your spouse. Adjust any payments that are made weekly, biweekly, quarterly, or
annually to show the monthly rate.
Your spouse
You
Rent or home-mortgage payment
(include lot rented for mobile home)
Are real estate taxes included? □ Yes 3 No
Is property insurance included? □ Yes 3 No
$.
0
$.
0
Utilities (electricity, heating fuel,
water, sewer, and telephone)
$___ 0
$.
Home maintenance (repairs and upkeep)
%___ 0
$__ 0
Food
$__ o
$_a
Clothing
$___ 0
$__0
Laundry and dry-cleaning
$___ 0
$__0
Medical and dental expenses
$__ o
$__2.
0-
i;; 2008 Matthew Bender & Company. Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
You
Your spouse
Transportation (not including motor vehicle payments)
$___0
0
Recreation, entertainment, newspapers, magazines, etc.
$___0
$__0
Insurance (not deducted from wages or included in mortgage payments)
Homeowner’s or renter’s
$__ 0
$___0
Life
S__ 0
$___0
Health
$_0
Motor Vehicle
$_0
Other
none
$__o
$__2.
:
$__o
Taxes (not deducted from wages or included in mortgage payments)
$__0
0
Motor Vehicle
0
0
Credit card(s)
$___0
$___o
Department store(s)
$___0
$___0
(specify):
none
Installment payments
Other:
none
$
0
„
$___ 0
0
Alimony, maintenance, and support paid to others
$___0
Regular expenses for operation of business, profession,
or- farm (attach detailed statement)
•
$___0
Other (specify):
none
$___0
$___0
Total monthly expenses:
$___0
$_o
'D 2008 Matthew Bender & Company, Inc., a member of the LexisNexis Group. All rights reserved. Use of this product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
9. Do you expect any major changes to your monthly income or expenses or in your assets or
liabilities during the next 12 months?
□ Yes
© No
If yes, describe on an attached sheet.
■t
10. Have you paid - or will you be paying - an attorney any money for services in connection
with this case, including the completion of this form? □ Yes K3 No
If yes, how much?______________ ^_______
If yes, state the attorney’s name, address, and telephone number
11. Have you paid—or will you be paying—anyone other than an attorney (such as a paralegal or
a typist) any money for services in connection with this case, including the completion of this
form?
□ Yes
m No
If yes, how much?
If yes, state the person's name, address, and telephone number:
12. Provide any other information that will help explain why you cannot pay the costs of this case.
I am incarcerated inua Federal Prison
1 have no income
I declare under penalty of perjury that the foregoing is true and correct.
Executed on:
'1/1a
20j£
(Signature)
D 2008 Matthew Bender & Company, Inc., a member of the LexisNexis Group. All rights reserved. Use ofthis product is subject to the restrictions
and terms and conditions of the Matthew Bender Master Agreement.
Inmate Inquiry
Inmate Reg #:
40434013
Current Institution:
Bryan FPC
Inmate Name:
WINBERG, KARLIEN
Housing Unit:
BRY-D-A
Report Date:
01/09/2019
Living Quarters:
D02-711U
Report Time:
General Information
12:17:37 PM
Account Balances
Commissary History
Commissary Restrictions
«MI
|
Comments
General Information
Administrative Hold Indicator:
No
No Power of Attorney:
No
Never Waive NSF Fee:
No
Max Allowed Deduction %:
100
PIN:
6809
PAC #:
Revalidation Date:
FRP Participation Status:
Arrived From:
569792986
13th
Participating
OKL
Transferred To:
Account Creation Date:
Local Account Activation Date:
Sort Codes:
Last Account Update:
2/6/2015
11/16/2017 3:12:55 AM
’___
1/8/2019 1:09:42 PM
Account Status:
Active
Phone Balance:
$6:17
Pre-Release Plan Information
Target Pre-Release Account Balance:
Pre-Release Deduction %:
Income Categories to Deduct From:
$1.00
0%
j\/j Payroll
j«71 Outside Source Funds
FRP Plan Information
FRP Plan Type
Quarterly
Expected Amount
$25.00
Expected Rate
0%
Account Balances
Account Balance:
$5.92
Pre-Release Balance:
$0.00
Debt Encumbrance:
$0.00
SPO Encumbrance:
$0.00
Other Encumbrances:
$0.00
https://10.33.72.106/truweb/InmateInquiryCombined.aspx
1/9/2019
Outstanding Negotiable Instruments:
$0.00
Administrative Hold Balance:
$0.00
Available Balance:
$5.92
National 6 Months Deposits:
$298.86
National 6 Months Withdrawals:
$301.05
Available Funds to be considered for IFRP Payments:
($201.14)
National 6 Months Avg Daily Balance:
$14.98
Local Max. Balance - Prev. 30 Days:
$24.67
Average Balance - Prev. 30 Days:
$13.14
Commissary History
Purchases
Validation Period Purchases: $37.05
YTD Purchases: $92.25
Last Sales Date: 1/8/2019 1:09:42 PM
SPO Information
SPO's this Month: 0
SPO $ this Quarter: $0.00
Spending Limit Info
Spending Limit Override: No
Weekly Revalidation: No
Bi-Weekly Revalidation: No
Spending Limit: $410.00
Expended Spending Limit: $24.55
Remaining Spending Limit: $385.45
Commissary Restrictions
Spending Limit Restrictions
Restricted Spending Limit: $0.00
Restricted Expended Amount: $0.00
Restricted Remaining Spending Limit: $0.00
Restriction Start Date: N/A
Restriction End Date: N/A
Item Restrictions
List Name
List Type
Start Date
End Date
Active
-?
https://l 0.33.72.106/traweb/InmateInquiryCombined.aspx
1/9/2019
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.