State of Alabama Unified Judicial System Page 1 of 2 Form MC-13 Rev 9/2010 Report No.___________ Yr._______ Mo._______ MONTHLY REPORT TO STATE TREASURER BY MUNICIPALITY Date____________ MUNICIPALITY OF______________________________________ COUNTY OF________________________________________ A. FAIR TRIAL TAX FUND (Sections 12-19-250, 12-19-251.1 and §12-19-172, as amended by Act 99-427) 1. Balance retained from previous month’s report (item 5 of Section A) ..... $__________ 2. Funds collected this month: 2a. _____ Number of cases x $7.00 = ___________ + partial payments $ __________ 2b. 2b._____ Number of cases x $16.00 = __________ + partial payments $ __________ 2c. _____ Total collected (item 2a plus item 2b) ..................................... $___________ 3. Funds expended this month for Indigent Defense ........................................................... $__________ 4. End of month balance (item 1 plus item 2c minus item 3) ............................................... $__________ 5. Amount retained by municipality....................................................................................... $__________ 6. Amount remitted to State Treasurer (item 4 minus item 5) ........................................................ (0346-053-0012) $__________ B. STATE GENERAL FUND (Section 12-14-14, and Act 99-427) _____ Number of cases collected x $5.00 = $__________ + partial payments $__________ ........ (0100-910-0013) $__________ _____ Number of cases collected x $21.00 = $_________ + partial payments $__________ ........ C. STATE GENERAL FUND - DUI FINES (Section 32-5A-191) 1. _____ Number of cases collected on Act 95-784 = $________ + partial payments $_________ = $_________ 2. _____ Number of cases collected on Act 96-341 = $________ + partial payments $_________ = $_________ [ _____ cases x $150.00 + _____ cases x $400.00 + _____ cases x $900.00 ] 3. _____ Number of cases collected on Act 99-432 = $________ + partial payments $_________ = $_________ [ _____ cases x $300.00 + _____ cases x $800.00 + _____ cases x $1800.00 ] Total collected (item 1 + item 2 + item 3) ........................................................................................ (0100-910-0540) $__________ D. DRIVER EDUCATION TRAINING FUND (Section 32-5-313 [Act 87-638, effective Aug. 7, 1987 - July 28, 1991]) _____ Number of traffic penalties collected x $2.00 = $________ + partial payments $________ (0309-008-0011) $__________ E. DRIVERS EDUCATION PENALTY (Section 32-5-313 [Act 91-433, effective July 29, 1991 - Oct. 3, 1991]) BS _____ Number of traffic penalties collected x $7.00 = $_________ + partial payments $________ (0689-057-7015)$__________ F. STATE DRIVERS FUND (Section 12-14-14 [Act 91-824, effective Oct. 4, 1991]) BS _____ Number of traffic penalties collected x $8.50 = $________ + partial payments $________ (0689-057-7016) $__________ G. CRIMINAL HISTORY PROCESSING FEE - Assessed only on Non-traffic & DUI cases (Section 12-19-180) [Act 92-677, effective: Dec. 1, 1992 - Nov. 30, 1997; Act 97-945, effective: Dec. 1, 1997] 1. _____ Number of cases collected Act 92-677 x $10.00 = $__________ 2. Plus partial payments __________ 3. Total collected (item 1 + item 2) $__________ Public Safety Automated Fingerprint Fund ($7) ...................................... item 3 x 70% (0721-017-0491) $__________ Court Automated Trust Fund ($3) ........................................................... item 3 x 30% (0722-006-0491) $__________ 4. _____ Number of cases collected Act 97-945 x $30.00 = $__________ 5. Plus partial payments __________ 6. Total collected (item 4 + item 5) $__________ Public Safety Automated Fingerprint Fund ($10) ............................. item 6 x 33.333% (0721-017-0491) $__________ Court Automation Trust Fund ($5) ................................................... item 6 x 16.667% (0722-006-0491) $__________ Criminal Justice Information System Automation Fund ($10) .......... item 6 x 33.333% (0941-025-0491) $__________ Forensic Sciences Forensic Services Fund ($5) ...............................item 6 x 16.667% (0796-048-0491) $__________ American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Form MC-13 Rev 9/2010 MONTHLY REPORT TO STATE TREASURER BY MUNICIPALITY H. IMPAIRED DRIVER’S TRUST FUND (§32-5A-191.1, effective 10/01/93 - 09/30/97 and §32-5A-191, effective 10/01/97) _____ Number of DUI cases collected x $95.00 = $________ + partial payments $________ _____ Number of DUI cases collected on Act 99-432 x $195 = ________ + partial payments $________ Total collected (item 1 & item 2) ...................................................................................................... (0744-087-0540) $__________ I. ALABAMA DNA DATABASE FUND (Section 36-18-32) _____ Number of cases collected x $2.00 = $_________ + partial payments $__________ (Act 1994-804 effective May 6, 1994) _____ Number of cases collected x $7.00 = $_________ + partial payments $__________ (Act 2009-768 effective August 1, 2009) _____ Number of cases collected x $8.00 = $_________ + partial payments $__________ (Act 2009-768 effective October 1, 2010) Total collected (item 1+ item 2 and item 3) (0772-048-0525) $__________ J. ALABAMA CHEMICAL TESTING TRAINING & EQUIPMENT TRUST FUND (Section 32-5A-191) [As amended by Act 95-784, effective: Oct. 1, 1995 - May 31, 1996; and further amended by Act 96-431, effective: June 1, 1996) 1. _____ Number of DUI cases collected on Act 95-784 x $97.00 = $_________ + partial payments $_________ = $__________ 2. _____ Number of DUI cases collected on Act 96-341 x $100.00 = $________ + partial payments $_________ = $__________ 3. _____ Number of DUI cases collected on Act 99-432 x $200.00 = $________ + partial payments $_________ = $__________ Total collected (item 1 + item 2 and item 3) .................................................................................... (0797-048-0540) $__________ K. ALABAMA FORENSIC SERVICES TRUST FUND (Section 36-18-7, effective Oct. 1, 1995, assessed only on drug-related cases) _____ Number of cases collected x $99.00 = $_________ + partial payments $_________ ........ (0796-048-0540) $__________ L. DRIVER LICENSE VIOLATION PENALTY (Section 32-6-18(e); [Act 98-671, effective May 6, 1998]) 1. _____ Number of cases collected x $50.00 = $__________ 2. Plus partial payments __________ 3. Total collected (item 1 + item 2) .....................$__________ Traffic Safety Trust Fund ($25) ............................................................... item 3 x 50% (0940-066-0540) $__________ Peace Officers Standards and Training Commission Fund ($25) ........... item 3 x 50% (0373-335-0540) $__________ M. ADVANCED TECHNOLOGY AND DATA EXCHANGE FUND (Act 99-427, effective June 10, 1999) _____ Number of cases collected on Act 99-427 x $3.00 = $______ + partial payments $______ (0969-006-0525) $_________ N. UJS DRUG DOCKET FEES (Act 99-427, effective June 10, 1999, assessed only on drug-related cases) 1. _____ Number of cases collected Act 99-427 x $40.00 = $__________ 2. Plus partial payments __________ 3. Total collected (item 1 + item 2) $__________ Fair Trial Tax Fund ($15) ...................................................................... item 3 x 37.5% (0346-053-0525) $__________ Advanced Technology ($5) ................................................................... item 3 x 12.5% (0969-006-0525) $__________ State General Fund Pro Bono ($10) ..................................................... item 3 x 25.0% (0100-910-0525) $__________ State General Fund UJS ($10) ............................................................. item 3 x 25.0% (0100-910-0525) $__________ O. ALABAMA HEAD INJURY FOUNDATION (Section 32-5-222, effective July 1, 2006) _____ Number of cases collected x $15.00 = $_________ + partial payments $________ ........... (1165-057-0540) $__________ TOTAL REMITTANCE TO STATE COMPTROLLER (Total Sections A-O) ................................................................... $__________ Form prepared by:_______________________________ Check Number______________Date______________ I hereby certify that the above is true and correct according to my records. Telephone:_____________________________________ Mail to: Finance Department-Comptroller’s Office Receipts Section P. O. Box 302602 Montgomery, AL 36130-2602 Original: State Comptroller ____________________________________________ Municipal Court Clerk Copy 1: Municipal Court Clerk Copy 2: Municipal Clerk American LegalNet, Inc. www.FormsWorkFlow.com