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Request for Extended Payment Plan
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REQUEST FOR EXTENDED PAYMENT PLAN
CITY, STATE AND ZIP:
YOU WILL NOT BE ELIGIBLE TO SEND IN THIS REQUEST UNLESS YOU HAVE ALREADY COMPLETED AN INITIAL 30-DAY EXTENSION TO PAY. IF YOU NEED TO REQUEST THE INITIAL 30-DAY EXTENSION TO PAY, PLEASE SEND IN THE REQUEST FOR 30-DAY EXTENSION TO PAY FORM.
I understand that this form is just a request for an extended payment plan and that nothing has been granted by the judge at this time. I understand I must submit this application with a copy of my driver’s license or ID.
SUBMIT DRIVER'S LICENSE OR ID:
Please type full name and date in lieu of signature
I WISH TO RECEIVE MY PAPERWORK IN THE FOLLOWING MANNER:
By mail to the home address provided above
By email to the email address provided above
Please contact the court office at 281-338-6702 if you have any questions.
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