JDF 229 R 3 /1 8 NOTICE OF INTENT TO PURSUE COLLECTION BY VICTIM County Court District Court Denver Juvenile Court County, Colorado Court Address: State of Colorado v Defendant: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number Division Courtroom NOTICE OF INTENT TO PURSUE COLLECTION BY VICTIM Pursuant to 24716 - 18.5 - 107, C.R.S., as amended, the below named person(s) or entity hereby notifies the Court, the Collections Investigator, and the Department of Corrections, if Defendant was sentenced ther eto, of his or her intent to pursue collection of restitution in his or her own name. It is further stated and understood that: 1. The below named person is a victim in whose name a restitution order has been entered by this Court. 2. S uch order was entered on (date of order). 3. T $. 4. T he below named person wishes to exercise his or her right to pursue collection of restitut ion in his or her own name pursuant to 24716 - 18.5 - 107, C.R.S., as amended. 5. T he Court, the Collections Investigator, and the Department of Corrections shall cease all attempts to collect the restitution due the person named in this notice, except that the Col lection Investigator may still assist the victim in his or her efforts. 6. T he below named person understands that, if there are multiple defendants responsible (Joint & Several) for this restitution obligation, this form must be filed in all cases related to this restitution order. 7. T he below named person understands that the court will no longer intercept any funds to offset this restitution obligation. 8. T he below named person understands that the court will no longer accept or distribute payments on their be half. All funds paid directly to the court will apply to any other assessments owed by the D efendant, including other cases and/or restitution due other victims. 9. T he below named person is aware that the restitution balance is subject to interest, purs uant to 24718 - 1.3 - 603(4)(b)(1),C.R.S. and understands that the court will no longer calculate or assess this interest. They also understand that this interest is simple interest (non - compounding) and that all payments received must apply to the principal re stitution balance until that amount is paid in full. American LegalNet, Inc. www.FormsWorkFlow.com JDF 229 R 3 /1 8 NOTICE OF INTENT TO PURSUE COLLECTION BY VICTIM 10. T he below named person understands that accurate records and proof of payment shall be required to settle payment disputes. The Notice of Direct Payments of Restitution (JDF 242 ) , along with proof of p ayments, may be filed with the court (by the below named person or by the defendant) for any official adjustments to 11. T he below named person understands that, upon filing of a Collection by Victim (JDF 230), a completed Notice of Direct Payments of Restitution (JDF 242 ), including dates, amounts, and forms of payment, along with proof of payments, must also be filed in order to e nable the court to assess interest for the duration of time between the filing of this notice and of their withdrawal . 12. T he below named person shall notify the collections investigator of this court of any notice that the D efendant has filed for bankruptc y within ten days of receipt of such notice. 13. T his Notice of Intent to Pursue Collection by Victim was delivered to the Clerk of the Court and, if the Defendant was sentenced to the Department of Corrections, to the Executive Director of the Department of Corrections on (date delivered). 14. T he below named person shall, within twenty - one days after the payment in full of all restitution owed, file the Notice of Direct Payments of Restitution (JDF 242 ). In addition, in the event that a transcript of the order for restitution has been recorded in the real estate records of any county in Colorado , the below named person shall obtain a Satisfaction of Judgment, issued by the Clerk of Court, and file it with each clerk and recorder where a transcript was recorded within the same twenty - one day period . The Satisfaction of Judgment shall be conclusive evidence that any lien was extinguished. By checking this box, I am acknowledging I am filling in the blanks and not changing anything el se on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. SIGNATURE (Printed name of Victim) Signature of Victim Date Address City State Zip Code (Area Code) Home Telephone Number Area Code) Work Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com