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PAYMENT PLAN REQUEST

  1. Court*
  2. Text Reminders *

    Data rates may apply.

    (Please note - court unable to send text reminders for parking or photo infraction cases)

  3. STATEMENT OF DEFENDANT:

    I am the defendant in the above case(s) requesting a time pay agreement.  I understand that:

    • If my case is a traffic infraction then an additional fee of $10 will be added to the current balance to each traffic infraction case.
    • Payments will be scheduled at $50 month until the case(s) are paid in full.
    • My first payment will be schedule 30 days from the time the agreement is drafted.

    FAILURE TO PAY may result in my account being referred to a collection agency and I will be liable for any and all collection costs.  If my case involves a traffic matter, additional penalties may be added and the Department of Licensing will be notified.

    Some charges may be eligible for a reduction, you may view these here, if you believe you qualify then you may submit supporting documentation with this request.  

  4. Case in Collections

    DO NOT use this form if your case is in collections, you MUST submit a SHOW CAUSE form for judicial consideration.

  5. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  6. COURT RESPONSE

    An email response will be sent with terms of your time pay agreement, please contact the court at (253) 841-5450 if you do not receive an email response within a week.

  7. Leave This Blank:

  8. This field is not part of the form submission.