JDF 240 R8 17 Motion for Court Review of Notice of Direct Payment of Restitution County Court District Court County, Colorado Court Address: People of the State of Colorado v. Defendant: COURT USE ONLY Case Number: MOTION FOR COURT REVIEW OF DIRECT PAYMENT OF RESTITUTION FILED BY VICTIM DEFENDANT 1. I have received a notice from the court that the Victim Defendant has filed a Notice of Direct Payment of Restitution with the court. 2. I object to the Notice for the following reason (select one box below; a brief comment may be included): My records do not reflect the same payment dates. My records do not ref lect the same payment amounts. Other: 3. I am making t his request w ithin twenty - one (21) days from the date of the Notice of Direct Payment of Restitution. I have attached my payment record and proof of payment to support my dispute. Date: Signature Address City State Zip Code Home Phone # Cell # American LegalNet, Inc. www.FormsWorkFlow.com