Misdemeanor and Felony - Request for Payment Plan

Court Case Number

First Name

Middle name or initial

Last Name

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Email Address

Retype Email Address

Cell Phone Number (10-digits only, no punctuation)

I would like to set up a payment plan to pay my fine. I understand that the total amount of my fine must be paid before the end of my probation term, if the Court placed me on probation. If I was not placed on probation, I understand that the minimum monthly payment will be at least $50.00 per month and that the total fine must be paid in full within 12 months. I agree to make my payments each month according to the schedule I receive from the court (the schedule will be sent to me via email shortly). I also agree to opt in to receiving text reminders from the court about my upcoming payments. I understand that if I do not pay my fine in full, I will be referred to Court Collections.

By checking this box, I declare that I will comply with the above conditions.

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Judicial Branch of California

Self-Help Center Closed December 26 & 27

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Misdemeanor and Felony - Request for Payment Plan

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