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Request for One Time 30 Day Extension to Pay Fine
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Instructions: You have 20 business days after receiving your citation to handle your citation.
If your request pertains to more than one offense, a separate form is needed for each offense.
Date of Birth:
I am requesting a 30 day extension to pay my fine in full. (PERSONAL AND BUSINESS CHECKS ARE NOT ACCEPTED)
Please be advised that if your payment is not made in full in 30 days the following with apply:
o If any portion of the fines, fees and costs exceeds 30 days from the date of judgment, a $25.00 “Time Payment” fee will be added as required by law.
o DPS notification for ineligibility for renewal on your driver’s license with an additional fee of $30.00 added to the offense (citation).
o A warrant of arrest will be issued with a warrant fee of $50.00.
PRIOR TO ENTERING YOUR PLEA OF GUILTY OR NOLO CONTENDERE, YOU HAVE THE OPTION TO VIEW ALL DOCUMENTS AND EVIDENCE IN YOUR CASE, EXCLUDING THOSE DOCUMENTS ORDERED WITHHELD BY A COURT OF PROPER JURISDICTION. BY SUBMITTING THE EXTENSION TO PAY REQUEST YOU WAIVE YOUR OPTION TO REVIEW THE DOCUMENTS AND EVIDENCE IN YOUR CASE.
I am entering a plea of:
-- Select One --
for the offense above. I do hereby waive my right to a jury trial and request to pay my fine in full.
You will recieve notice of our extension by mail.
Defendant Signature (Type name if you agree to the terms of this form.):
It is your responsibility to follow up with the court at 512-327-1862 to verify receipt of your request.
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