Free Remark - District Court of Delaware - Delaware

Case 1:07—cv—00750-Gl\/IS Document 2 Filed 11/21 /2007 Page 1 of 2
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I I I in UNITE A ES I I lj MA ISTFIATE `€ DISTFIICT [3 APPEALS count or lil OTHER PANEL (Specify below)
IN THE CASE OF LOCATION NUMBER
AWALA VS ALITO JR. U.S. District Court > y
li__....I_..... .....................
AT
DISTRICT OF DELAWARE
l__....».,;,_...-#—............
PERSON FIEPFIESENTED (Show yourfutl name} 1 U Defendant Adult M I?iC:(ET NUMBERS
" Bgl5 TB B
2 I] Defendant—JuveniIe ~
r __ 3 I1 Appellant A osolrlot Court
4 [I Probation Violator } ~ ~
[T v' l I
CHAFIGE/OFFENSE (describe lr oppressors s sheet tm 4) E ;;§j·‘_;>;_1Ean0r _ , 2 U EBZJSHEI coun or Appeals
7 lj 2255 Petitioner
, ` - _ S I] Material Witness _ _
· A 9 § Other (Specify)
·* eg ; 5* ltgl w f ‘It*E?§ F_ ¤ it *- ‘ F‘ - :—ti i `··~ t *°; ` _`2- ‘ . , ‘T*

I Are you now employed? I] Yes lj] No Ei Am Self Employed _
Name and address of emptoyer:
IF YES, how much do you IF NO, give month and year of last employment
Emptgy. earn per month? $.._1‘;;‘Z;...... How much did you earn per month $J.,BD.t`)__.._..
MENT lf married is your Spouse employed? [I Yes I] No
IF YES, how much does your lf a minor under age 21, what is your Parents or
Spouse earn per month $............... Guardians approximate monthly income $_...........
Have you received within the past 12 months any income from a business, profession or other [gist self-employment, or in the
form of rent payments, interest, dividends, retirement or annuity payments, or other sources? es I] No
OTHER RECEIVED 6Mth S B 3 l _ SOURCES y
ASSETS INEUME IF YES, GIVE THE AMOUNT l.._.q_4 i,._%
FIECEIVED & IDENTIFY $ l...3.'I....O.D.l `
THE SOURCES I........l ____.___._
DASH Have you any cash on hand or money in savings or checking account If] Yes IX No IF YES, stale total amount $-....
Do you own any real estate, stocks, bonds, notes, automobiles,_or other valuable property (excluding ordinary household
furnishings and clothing)? El Yes }IZXI~lo
PROP · VALUE DESCRIPTION
EH-W IF YES, GIVE VALUE AND $ l.......J .“I_,.._._r.,.
DESCFIIBE IT l___....l
- MAFIITAL STATUS Total List persons you actually support and your relationship to thorn
No. of
I--I SINGLE Dependents
DEPENDENT3 l...J It/IAFIFIIED
l.....l WIDOWED I————————I N/A
SEPARATED on
OBLIGI-ITIDIIIS I-——J olvosceo ..............—..”@
MONTHLY on I-loiv1E; $ $
BILLS . " None L
lust ALL onsolrons, $———————-— $-—.~.—.--
- INCLUDING BANKS, -
LOAN COMPANIES. s __..____,__; si;
onsess Accoonrs.
Emi — ji s.*_...... s
lcertlfy th e to e we ct.
SIGNATURE OF DEFENDANT A! _ 2} _
(OR PERSON REPHESENTED) - ~ -=»· U F . i n
=g·»¥"`@'i·Tj?.?5v`s€*,?¥?·'Fit,:='t=e:¥&.»i!,..?e'i’=.$:T¤2j§5:·_¤.*ra&;is§%gs= is.r¤.r§;s= $;t·i=i§*1*ts-L:“ .at-_La¤;o*,;,=»;a_·-o&·;g·&e,;»;r;¤»



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Case 1:07-cv-00750-GMS

Document 2

Filed 11/21/2007

Page 1 of 2

Case 1:07-cv-00750-GMS

Document 2

Filed 11/21/2007

Page 2 of 2