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Time Payment Collection Application Form. This is a Washington form and can be use in Whatcom Local County.
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Tags: Time Payment Collection Application, Washington Local County, Whatcom
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
Whatcom County Superior Court Clerk
-againstTIME PAYMENT COLLECTION :APPLICATION
Signal Credit Management Services
:
(253) 620-2239 OR (800) 874-1958
ACCOUNT INFORMATION
:
Defendant(s)
:
Name
. . . . . . . . . . . .(Last). . . . . . . . . . . . . . . . . . . . . . .(First). . . . . . . . . . . . .
...
...
(M.I.)
(Nickname)
Residence Address
THE PEOPLE OF THE STATE OF NEW YORK
City, State, Zip
TO
Mailing Address (if different)
Home Telephone # (
)
GREETINGS:
Date of Birth
Work Telephone # (
Sex M
F
Single
)
Married
Div
Widowed
WE COMMAND YOU, that all business and excuses SSN laid aside, you and each of you attend before
being
Drivers License #
,
the Honorable
at the
Court
County of or Name of Business located at
Employment
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Employer Address
Occupation
Take Home Pay
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Nearest Relative Name
Relationship
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Relative’s Address
Phone (
)
Witness,
Contact Person NameHonorable
Court in
County,
Contact’s Address
Phone (
, 20
day of
)
, one of the Justices of the
(Attorney
SPOUSE INFORMATION must sign above and type name below)
Name
(Last)
(First)
(M.I.)
Attorney(s) for
(Nickname)
Residence Address (if different from above)
City, State, Zip
Telephone (
Office and )P.O. Address
Employer or Name of Business
Employer Address and Phone
Occupation
Telephone No.:
Facsimile No.:
E-Mail
Take Home Pay Address:
Mobile Tel. No.:
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www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Whatcom County Superior Court Clerk
Plaintiff(s)
TIME PAYMENT COLLECTION AGREEMENT
-againstName:
Calendar No.
:
JUDICIAL SUBPOENA
Set Up Deadline:
:
(Date to be filled in by the Court)
:
Case Number *
:
Fine/Penalty/Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Account Set-up Fee . . . . . . . . . . . . . . . . . . . . . . Defendant(s). . . . . . .
..........
:
. . . . . . . . . . **.
Amount .Owing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Minimum Monthly Payment Amount $25.00 or. . . . . . . . . . . . . .
$
$
$
$
25.00
** Interest accrues on all outstanding amounts at 12% per annum. In addition, Court costs will be
THE PEOPLE OF THE STATE the total amount owing, as follows:
assessed each month to OF NEW YORK
A. The account set-up fee of $25.00 and the first payment must be paid before the account will
be set up by Signal.
B. If the account is in “current status” (all payments made as agreed) the
monthly court cost shall be $4.75 for one case or $8.25 for multiple cases.
GREETINGS: If the account falls into “past due status” (any payments not made as agreed) the
C.
monthly court cost shall increase to $7.75 for one case and $11.25 for multiple cases, for
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
every month thereafter.
,
the Honorable
at the
Court
located at
County of
It is in your best interest to make payments larger than the minimum due each month and/or to pay this account in
full early. HOWEVER, the additional of larger payment made in one o'clock will not change the “Minimum”
month in the
in room
, on an
day or
, 20
, at
noon, and at any recessed
payment due the nextto testify and give evidence as a witness in this action on the part of the
or adjourned date, month.
TO
ALL PAYMENTS ARE DUE ON THE 15th DAY OF EACH MONTH FOLLOWING ENROLLMENT. Please include
your case number with all payments.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was
ALL PAYMENTS ARE TO BE MAILED TO: issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
SIGNAL CREDIT MANAGEMENT SERVICES
P.O. BOX
Witness, Honorable 1849
, one of the Justices of the
GIG HARBOR, WA 98335
Court in
County,
day of
, 20
IF YOU FAIL TO MAKE PAYMENTS AS PROMISED AND/OR FAIL TO KEEP YOUR PERSONAL
INFORMATION (ADDRESS AND PHONE NUMBERS) CURRENT, THE FOLLOWING WILL OCCUR:
(Attorney must sign above and type name below)
All amounts will become immediately due.
The court may re-impose suspended portions of the
fine/penalty/costs, will assess additional court costs pursuant to RCW 36.18.190, and will refer the account to a
collection agency for full collection efforts. The court may issue a bench for
Attorney(s) warrant for contempt of court and
impose a fine or cost for contempt of court.
SIGNATURE
SSN
ADDRESS
PHONEand P.O. Address
)
Office (
CITY/STATE
ZIP
CLERK
Telephone No.:
DATE
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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www.USCourtForms.com