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A party may file a motion to proceed on appeal in forma pauperis in the court of appeals within 30 days after service of the notice prescribed in Rule 24(a)(4). The motion must include a copy of the affidavit filed in the district court and the district court's statement of reasons for its action.Pursuant to F.R.A.P. 24(a), a party to a district court action who desires to appeal in forma pauperis must file a motion in the district court. ☐ Leave is denied to proceed in forma pauperis. Complete the case caption as you did on the motion for leave to proceed in forma pauperis. R. 40-2; and (b) the trial court's order denying or revoking my motion to proceed in forma pauperis. To do so, you must complete a Motion and Affidavit to Proceed In Forma Pauperis, and Order with the court. Please follow our helpful tips for opening and completing PDF forms. You must pay the costs of the appeal. If you are financially unable to do so, you may request that the court waive payment of those filing fees.