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Request for Payment Arrangement, Resulting in a Conviction

  1. This form allows you to make your plea of guilty or no contest and request an extension or payment plan to pay the judgment that will be entered, resulting in a CONVICTION.

    IF YOU REQUEST AN EXTENSION, you will have 30 days to pay the fine in full. On day 31, a $15 additional fee will be added.

    IF YOU REQUEST A PAYMENT PLAN, we will determine a monthly amount based off of your remaining balance. You will be subject to a $15 additional fee for EACH violation if you have not already previously been charged that fee.

    IF YOU ARE UNABLE TO PAY DO NOT USE THIS FORM. Please see our page titled "Inability to Pay" for more suitable options.

    Your submission date will reflect the date the plea and request is filed with the court. Please allow up to 10 days for court staff to process your request.

  2. If you have multiple citations you would like to include in your extension or payment plan, you must list all of the citations below and provide a plea for each.

  3. Plea*

  4. Plea

  5. Plea

  6. Plea

  7. Plea

  8. Plea

  9. I swear or affirm that the following statements are true:*

  10. Upon submission of this form, your request will be reviewed by the court staff and you will be contacted by email once a determination has been reached. If you are not eligible you will receive an email to that fact.

  11. Leave This Blank:

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