Fill and Sign the In Thecourt Ofcitycounty State of Montana Form

IN THE COURT OF CITY/COUNTY, STATE OF MONTANA BEFORE , JUSTICE OF THE PEACE/CITY JUDGE* * * * * * * , ) ,) Plaintiff(s))INFORMA PAUPERIS )AFFIDAVIT AND ORDER vs ) , )Case No. , ) Defendant(s)) * * * * * * * , being first duly sworn, on oath deposes and says: That in the above entitled action, , has a good cause of action: that he / she is without funds and is unable to pay the costs of filing and service of this action or to procure security to secure the same and makes this Affidavit so that he / she may be permitted to action without prepaying the filing fees pursuant to the provisions of 25-31-113 MCA. Date AffiantSubscribed and sworn to before me this day of , 20 . Notary Public for the State of MontanaResiding at , MontanaMy commission expires Let the applicant proceed without prepayment of costs. Date Judge