Free Request for More TIme to Pay - Wisconsin


File Size: 4.3 kB
Pages: 2
Date: May 20, 2003
File Format: PDF
State: Wisconsin
Category: Court Forms - Local
Word Count: 71 Words, 1,188 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.kenosha.org/departments/court/extension.pdf

Download Request for More TIme to Pay ( 4.3 kB)


Preview Request for More TIme to Pay
Date: ________________________

REQUEST FOR MORE TIME TO PAY Defendant, ______________________________, requests additional time to pay the forfeiture(s) on the following citation(s): 1. ______________________________________________________________ 2. ______________________________________________________________ 3. ______________________________________________________________ 4. ______________________________________________________________ I am unable to pay at this time because: ________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ I am requesting that the Judge grant me the following: 1. More time to pay until: _____________________________________ 2. Set me up on a payment plan of $________________ per week/biweekly/month. ________________________________________ Defendant ________________________________________ Social Security No. ________________________________________ Address ________________________________________ City/State/Zip Code

________________________________________ Daytime Phone