免交诉讼费申请书

 免交诉讼费申请书

申请人         性别    民族        出生年月日               
籍贯                 现住址                                 
联系电话                             

案由：                     
   
申请事项：
申请免交诉讼费。

事实与理由：
    你院与   年   月   日受理了我与   （对方当事人名称）   的民事诉讼案件，案号为（     ）深宝法民  初/重字第      号，现由于              
                                                                      
                                                                      
                                                                      
                                                                      
                                                                      
                                                                    ，向法院申请免交诉讼费。


    此致
深圳市宝安区人民法院

附：贫困证明原件一份
 

                      
                                        具状人              
                                             年   月   日