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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.
  2. IF YOU REQUEST A PAYMENT PLAN, you will be subject to a one-time $15 additional fee for EACH violation, required by the State. After submitting this form, you will be redirected to make a $100 down payment that is required to start a payment plan. We will determine a monthly minimum payment based off of your remaining balance and will email you a schedule upon your down payment.
  3. 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.
  4. IF YOU ARE UNABLE TO PAY, DO NOT USE THIS FORM. Please go back and use the form titled “Request for Indigency (Inability to Pay)”.
  5. Your submission date will reflect the date the plea and request is filed with the court. Please allow up to 3-5 days for court staff to process your request.
  6. IF YOU REQUEST A PAYMENT PLAN, you will be subject to a one-time $15 additional fee for EACH violation, required by the State. After submitting this form, you will be redirected to make a $100 down payment that is required to start a payment plan. We will determine a monthly minimum payment based off of your remaining balance and will email you a schedule upon your down payment.

    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.  

  7. 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.
  8. Plea*
  9. Do you have another violation to add?*
  10. Plea
  11. Do you have another violation to add?
  12. Plea
  13. Do you have another violation to add?
  14. Plea
  15. Do you have another violation to add?
  16. Plea
  17. Do you have another violation to add?
  18. Plea
  19. Do you have another violation to add?
  20. I swear or affirm that the following statements are true:*
  21. Upon submission of this form, you will be directed to a page with further instructions for your request. There will be separate instructions depending on whether you request a Payment Plan or an Extension. Please be sure to read the following page after you click Submit.
  22. Leave This Blank: