Petition for Writ of Certiorari — Huron Fields, Petitioner v. United States

ORIGINAL

No.

FILED

DEC 1 9 ®

IN THE

SUPREME COURT OF THE UNITED STATES

OFFICE OF THE CLERK

SUPREME COURT, U.S.

— PETITIONER

(Your Name)

VS.

RESPONDENT(S)

MOTION FOR LEAVE TO PROCEED LV FORMA PAUPERIS

The petitioner asks leave to file the attached petition for a writ of certiorari

without prepayment of costs and to proceed in forma pauperis.

Please check the appropriate boxes:

Petitioner has previously been granted leave to proceed in forma pauperis in

the following court(s):

Petitioner has not previously been granted leave to proceed in forma

pauperis in any other court.

[^Petitioner’s affidavit or declaration in support of this motion is attached hereto.

Petitioner’s affidavit or declaration is not attached because the court below

appointed counsel in the current proceeding, and:

□ The appointment was made under the following provision of law:-------------

_

or

a copy of the order of appointment is appended.

(Signature)

AFFIDAVIT OR DECLARATION

IN SUPPORT OF MOTION FOR LEAVE TO PROCEED IN FORMA PAUPERIS

I,

__ , 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

Averag monthly amount during

the pas 12 months

Employment

Self-employment

Income from real property

(such as rental income)

Interest and dividends

You

Spouse

$/Vz^____

$ //^A____

Sa/a

$ a//A

Sa//a

$ A//A

Sa//a

s///a

Sa//a

$ //Zk___

$ a//A-

sa//a

$ A//a

Sas/aL

$ a//A

$ a//a

$ a//A

Sa/Za

saa/A

$ a//a

$ a//a___

Saa/a.

S a//a

$ m/aC___

$ aa/A

$ ,a//a

$ a//A

$ a/A4

Sa//a

S A//ft___

% a//A

$ a//a

Saa/A

$ aa/A

SA///?

Gifts

Alimony

Child Support

Retirement (such as social

security, pensions,

annuities, insurance)

Disability (such as social

security, insurance payments)

Unemployment payments

Public-assistance

(such as welfare)

Other (specify):

Total monthly income:

Amount expected

next month

Saa/a

Sa//A

Saa/a

2. List your employment history for the past two years, most recent first.

is before taxes or other deductions.)

Employer

Gross monthly pay

Dates of

Employment

Address

(Gross monthly pay

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

Gross monthly pay

Dates of

Employment

Address

$.

$

$

^=-

4. How much cash do you and your spouse have? $

Below, state any money you or your spouse have in bank accounts or in any other financial

institution.

Type of account (e.g., checking or savings)

Amount you have

Amount your spouse has

$.

$.

$.

$.

$.

$.

5. List the assets, and their values, which you own or your spouse owns.

and ordinary household furnishings.

Home

z

Value /vZX

Other real estate

Value 40

Motor Vehicle #1

/.

Year, make &, model /Kat

Value A///4________

Motor Vehicle #2

Year, make & model

Value

Other assets

Description

Value

Do not list clothing

6. State every person, business, or organization owing you or your spouse money, and the

amount owed.

Person owing you or

your spouse money

Amount owed to your spouse

Amount owed to you

7. State the persons who rely on you or your spouse for support.

instead of names (e.g. “J.S.” instead of “John Smith”).

For minor children, list initials

Name

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.

You

Rent or home-mortgage payment

(include lot rented for mobile home)

Are real estate taxes included?

Yes

Is property insurance included?

Yes

Utilities (electricity, heating fuel,

water, sewer, and telephone)

Home maintenance (repairs and upkeep)

Food

Clothing

Laundry and dry-cleaning

Medical and dental expenses

No

No

Your spouse

Your spouse

You

Transportation (not including motor vehicle payments)

Recreation, entertainment, newspapers, magazines, etc.

Insurance (not deducted from wages or included in mortgage payments)

/v/A

Homeowner’s or renter’s

$

Life

$

Health

$

Motor Vehicle

$///$

Other:

a//a/

$

A///!

$ /V7/Z

aZ^

$ /Z/Z?

$

a.AA

$ Az/A______

Taxes (not deducted from wages or included in mortgage payments)

$ aaA

pecify):

$ /aAA

Installment payments

kAa__ _

$. t

/4

_

$.

a/a___

$_

a/Aa__ _

$.

/vAa____

$_

/aAA___ _

$.

aAa___

Alimony, maintenance, and support paid to others

$_

/aSA__ _

$.

Regular expenses for operation of business, profession,

or farm (attach detailed statement)

/

$ /VZ<4

$ a/a____

$ a/Aa

%/v/a____

Motor Vehicle

$_

Credit card(s)

$_ m

Department store(s)

Other:

Other (specify):

a/AA_________

/vZz_________

Total monthly expenses:

$

AfArf

Aa____

_________

$ Af/fc___

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

IJNo

No

If yes, describe on an attached sheet.

10. Have you paid - or will you be paying - an attorney any money forsefvices in connection

with this case, including the completion of this form?

Yes [K 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?

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 declare under penalty of perjury that the foregoing is true and correct.

Executed on:

(Signature)

Inmate Inquiry

Inmate Reg 5;

04641()<) 1

Current Institution:

Inmate Name:

FIF 1 ..DS. HURON

Housing Unit:

V1AK-F-A

Report Date:

U 17- -025

Diving Quarters:

!1;2 -<)<>?!

Report Time;

1:42:51 PM

General Information

|

|

Account Balances

Commissary History

|

General Information

Administrative Hold Indicator:

No

No Power of Attorney:

No

Never Waive NSF Fee:

No

Max Allowed Deduction %:

100

PIN:

2509

PAC it--.

Revalidation Date:

FRP Participation Status:

Arrived From:

476616986

4th

No Obligation

OKI.

Transferred To:

Account Creation Date:

Local Account Activation Date:

8/8/2002

3/21/2023 3:13:20 AM

A

Sort Codes:

Last Account Update:

sr

12/16/2025 1:16:37 PM

Account Status:

Active

Phone Balance:

$18.66

Pre-Release Plan Information

Target Pre-Release Account Balance:

Pre-Release Deduction %:

Income Categories to Deduct Front:

$ 10,000.00

50%

Payroll

FRP Plan Information

FRP Plan Type

Expected Amount

Expected Rate

Account Balances

Account Balance:

$580.96

Pre-Release Balance:

$580.77

Debt Encumbrance:

$0.00

SPO Encumbrance:

$0.00

Other Encumbrances:

$0.00

Outstanding Negotiable Instruments:

$0.00

Administrative Hold Balance:

$0.00

Available Balance:

$0.19

National 6 Months Deposits:

$2,356.84

Outside Source Funds

Marion T.-SP

Commissary Restrictions

|

Comments

National 6 Months Withdrawals:

$1,989.10

Available bunds to be considered for IFRP Payments:

$1,906.84

National 6 Months Avg Daily Balance:

$613.76

Local Max. Balance - Prev. 30 Days:

$689.36

Average Balance - Prev. 30 Days:

$566.62

Commissary History

Purchases

Validation Period Purchases: $141.50

YTD Purchases: $808.65

Last Sales Date: 12/16/2025 1:16:37 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: Yes

Spending Limit: $255.00

Expended Spending Limit: $93.40

Remaining Spending Limit: $ 161.60

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

Comments

Comments:

List Type

Start Date

End Date

Active