Official Federal Forms
Circuit Court Of Appeals
3rd Circuit Court Of Appeals
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Last updated: 6/8/2018
Authorization For Withdrawal Of Funds (To Be Used By Prisoners)
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Description
AUTHORIZATION FOR WITHDRAWAL OF FUNDS. This form is used by a prisoner to authorize the withdrawal of funds from their institutional account to pay court fees and other payments owed to the court. The prisoner provides their consent for the agency holding them to share account information with the court and to make withdrawals as required. Part A of the form is returned to the Clerk of the Court, while Part B is given to the prison official managing the prisoner’s account. www.FormsWorkflow.com
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