Affidavit of Cleamtee Garner in Support of Request to Proceed in Forma Pauperis

    Nos. 83-1035 
83-1070

IN THE
SUPREME COURT OF THE UNITED STATES 

October Term, 1983

THE STATE OF TENNESSEE,
Appellant, and

MEMPHIS POLICE DEPARTMENT; CITY OF MEMPHIS, TENNESSEE,
Petitioners,

' V .

CLEAMTEE GARNER, as father and next of kin of 
Edward Eugene Garner, a deceased minor,

Respondent-Appellee.

On Appeal from the United States Court of Appeals 
for the Sixth Circuit in No. 83-1035

On Petition for a Writ of Certiorari to the 
United States Court of Appeals 

for the Sixth Circuit in No. 83-1070

AFFIDAVIT IN SUPPORT OF REQUEST 
TO PROCEED IN FORMA PAUPERIS

STATE OF TENNESSEE )
ss :

COUNTY OF SHELBY )
I, Cleamtee Garner, being duly sworn, depose and say that I 

am the petitioner in the above entitled case; that in support of 
my motion to proceed without being required to prepay fees, 
costs or give security therefor, I state that because of my 
poverty I am unable to pay the costs of said proceeding or to 
give security therefor and that I believe I am entitled to relief 

I further swear that the responses which I have made to 
questions and instructions below are true.
1. Are you presently employed? Yes_ No

a. It the answer is "yes," state the amount of 
your salary or wages per month, ana give the 
name and address of your employer.



b. if the answer is "no," state the date of last 
employment and the amount of salary and wages 
per month which you received.

Have you received within the past twelve months any 
money from any of the following sources?

a .

b.
c .

d .
e .

interest or
Business, profession or form of self- 
employment?
Rent payments 
dividends?
Pensions, annuities or life 
insurance payments?
Gifts or inheritances?
Any other sources?

Yes___  No ^
Yes ̂  No___
Yes No____
Yes___  No___
Yes No

If the answer to any*of the above is "yes," describe 
each source of money and state the amount received 
from each during the past twelve months. Two shot

houses that Affiant is buying bring less rent than the monthly 
notes and consequently no profit, Affiant receives a net
income from Civil service in tne amount of. approximately $/j5.00 
and receives approximately $lk̂ .j.uu from social becunty.

Do you own cash, or do you have money in checking 
or savings acocunt?

Yes___  No
If the answe 
items owned.

nclude any funds in prison accounts.) 
s "yes," state the total value of the

Do you own any real estate, stocks, bonds, notes, 
automobiles, or other valuable property (excluding 
ordinary household furnishings and clothing)?

Yes No
If the answer is "yes," describe the property and 
state its approximate value. Affiant is purchasing four 
shot gun houses, two of which are explained aboV6 and two of
which are empty.
List the persons who are dependent upon you for 
support, state your relationship to those persons, 
and indicate how much you contribute toward their 
suDDort. Charles Garner - son - $129.67 per month
Larry Garner - son - per month, Linda uarner -
daugther - $i^9.b/ per month, Dianne Garner - daughter - 
$129.67 per month, Mrs. Garner - wife - $129.57 per month

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I understand that a false statement or answer to any questions in 
this affidavit will subject me to penalties for perjury.

Cleamtee Garner

Sworn to and subscribed before me this 
day of 1984

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