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Fill and Sign the Notice to Department of Corrections of Actual Filing Fees and Costs Wisconsin Form

Fill and Sign the Notice to Department of Corrections of Actual Filing Fees and Costs Wisconsin Form

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STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use       -vs- Notice to Department of Corrections of Actual Filing Fees and Costs       Case No.       To: Custodian The court has granted a petition to proceed without prepayment of total filing fees and costs in this matter. The actual filing fees and costs are as follows: Filing Fee       Service of Process Fees Postage +       +       +       Total Filing Fees/Postage Fees and Service Fees: =       Amount prepaid by prisoner or from prisoner trust fund account: -       Amount Remaining to be Paid: =       Please:  Remit the remaining amount to be paid to this court to the address below.  Make reference to this case number on all checks. Court Address:       Distribution: 1. Clerk of Court (Original) 2. Prisoner 3. Department of Corrections 4. Department of Justice, Civil Litigation Unit, P.O. Box 7857, Madison, WI 53707-7857 BY THE COURT: Signature of Clerk of Circuit Court       Name Printed or Typed       Date CV-443 , 08/05 Notice to Department of Corrections of Actual Filing Fees and Costs §814.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.

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