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STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) _________________________________ Plaintiff(s) Vs. _________________________________, _________________________________ Defendant(s) IN THE SUPERIOR COURT NO. 6 OF HAMILTON COUNTY CAUSE NO. 29D06-____________________________________ 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 ________________________, 20____. by making payments of $__________ every ____________ beginning on _______________, 20___. by ______________________________________________________________________________. by making checks payable to the Hamilton County Clerk and directing all payments to the offices of Hamilton County Clerk, One Hamilton County Square, Suite 106, Noblesville, IN 46060. by making payable to _________________________ and directing all payments to the offices of ____________________________. Furthermore, Defendant agrees to a compliance hearing for this case on ___________________, 20___, at ___________.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: __________________, 20____ ________________________ Signature of Plaintiff/Attorney Deft. Address: _______________________________ _______________________________ Deft. Home phone: ____________________________ Deft. Date of Birth: ____________________________ DATE ORDERED: _______________________, 20___ Distribution: ____ ____ Plaintiff(s) Defendant(s) _________________________ Signature of Defendant Deft. SSB (last four digits): _________________ (must be on green confidential form for entire SSN) Deft. Employer: __________________________ Deft. Work phone: ________________________ _______________________________________ Gail Bardach, Judge Hamilton Superior Court No. 6 Rev. 1/07 Post-Judgment Payment Agreement American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com