STATE OF INDIANA COUNTY OF HAMILTON ) ) SS: ) HAMILTON SUPERIOR COURT NO. 4 CAUSE NO. 29D04-________-SC-_________ __________________________________, Plaintiff(s) vs. __________________________________, __________________________________, Defendant(s) POST-JUDGMENT PAYMENT AGREEMENT The Plaintiff appears by ___________________________ and the Defendant ____________________________ appears and agrees to pay on the judgment balance of $_____________ (including costs) by making payments as follows: by paying balance in full within __________ days or by __________________________, 201__. by making payments of $__________ every ___________________________________________ beginning on ____________________________, 201__. by _____________________________________________________________________________. by making checks payable to the Hamilton County Clerk and directing all payments to the offices of Hamilton County Clerk, Hamilton County Square, Suite 106, Noblesville, Indiana 46060. by making payable to _________________________________ and directing all payments to the offices of ___________________________________________________________________. Furthermore, Defendant agrees to a compliance hearing for this case on ________________________, 201__ at 8:30 a.m., and is aware that in the event Defendant is not in compliance with this agreement and fails to appear for the compliance hearing, the Court may issue a body attachment (warrant) for the Defendant's arrest. Dated: __________________, 201__. ________________________ _____________________________ Signature of Plaintiff/Attorney Signature of Defendant Deft. Soc. Sec. No.: (last four digits) ____________ (must submit green confidential form for entire SSN) Deft. Employer: ____________________________ Deft. Work phone: ________________________ __________________________________ Judge, Hamilton Superior Court No. 4 Deft. Address: _____________________________ _____________________________ Deft. Home phone: _____________________ Deft. Date of Birth: _________________________ DATE ORDERED:________________, 201__ Distribution: ____ Plaintiff(s) ____ Defendant(s) sc4form.072.wpd (revised March 1, 2010) American LegalNet, Inc. www.FormsWorkFlow.com