Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Requiring Defendant To Pay Certain Amount(s) Of Money To The Clerk Of Court Form. This is a Alabama form and can be use in C-Series (Civil) Statewide.
Loading PDF...
Tags: Order Requiring Defendant To Pay Certain Amount(s) Of Money To The Clerk Of Court, C-79, Alabama Statewide, C-Series (Civil)
State of Alabama
Unified Judicial System
Form C-79
ORDER
Rev.6/96
Case Number
REQUIRING DEFENDANT TO PAY CERTAIN
AMOUNT(S) OF MONEY TO THE CLERK OF COURT
IN THE________________________________________COURT OF____________________________________,ALABAMA
(Circuit or District)
(Name of County)
STATE OF ALABAMA v. _____________________________________________________________________________
Defendant
This cause coming to be heard on the ______________ day of _____________________, __________, in the presence
of the District Attorney, the defendant, and __________________________________________________________________,
as defense attorney, the court finds as follows:
1.
The defendant owes the following:
Court Costs . . .. . . . . . . . . . . . . . . . . . . . . . . .. . $ _________________ Demand Reduction Assessment (if assessed by the court . . .
Fines . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . $ _________________
(See Section 13A-12-281, Ala. Code 1975)
Restitution (plus a $1.00 Administrative Fee with
each periodic payment to the clerk) . . . . . . . $ _________________ Other (specify) . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . .
Appointed Counsel Fees and Expenses . . . . . $ _________________ . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .
Victim Compensation Assessment . . . . . . . . . $ _________________ . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .
(See Section 15-23-17(b), Ala. Code 1975)
TOTAL AMOUNT OWNED BY DEFENDANT . . . . . . . . . . . . . . . .
2.
3.
4.
5.
6.
7.
8.
$ ___________
$ ___________
$ ___________
$ ___________
$ ___________
The victim’s name is indicated in the court records ________________________________________________________.
The defendant’s social security number is ______________________________.
The defendant is currently employed by ________________________________________________________________.
Address: _________________________________________________________________________________________
The defendant is obligated to pay child support in the amount of $________________per_________________________.
The defendant’s employment income (less child support obligation) is $______________per_______________________.
This amount is subject to restitution withholding.
The Defendant is currently being garnished in the amount of $__________________per __________________to satisfy
a judgment in the amount of $______________payable to__________________________________________________.
The co-defendant is__________________________________________, Case Number __________________________.
________________________________________________________________________________________________.
This court having the authority to impose or order the above-named defendant to pay certain amounts of money to the
clerk and this court having considered all the factors required by law to be considered, IT IS HEREBY ORDERED AS
FOLLOWS:
1.
The defendant shall pay the amounts indicated in paragraph 1 above, plus a $1.00 administrative fee with each periodic
payment of restitution to the clerk.
2.
The total amount shall be paid in FULL by (date) _______________________________.
The total amount shall be paid in INSTALLMENTS commencing on (date)___________________________________
in amount of $_____________ per __________________________ until paid in full.
Reference is hereby made to a separate income withholding order for fines, costs, restitution, and other court-ordered
monies.
3.
Monies shall be paid to the CLERK____________________________________________________________________
Address: ________________________________________________________________________________________
4.
Payment of the amount(s) indicated above shall be a condition of probation, parole, work release, SIR, or any other
release program.
5.
The Alabama Department of Corrections, the Alabama Board of Pardons and Paroles and/or any other agency having
lawful custody of the above-name defendant shall collect or withhold from any sources of money received by the prisoner
at the rate of ______% and forward monies collected or withheld to the clerk of this court in payment of fines, costs,
restitution, and other court-ordered monies as ordered above.
6.
This court retains jurisdiction of this defendant and this matter until all monies ordered paid herein are paid in full.
_______________________________________________________________________________________________.
Ordered this (date) _____________________________
A COPY OF THIS ORDER SHOULD BE FURNISHED TO:
______________________________________________
Judge
District Attorney, Victim, Defense Attorney, Defendant, Probation Officer/Parole Officer, Department of
Corrections, Board of Pardons and Paroles, Crime Victim Compensation Commission, Employer.
American LegalNet, Inc.
www.USCourtForms.com
