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Policy Statement Deferred Payment Plan Or Agreement Form. This is a Wisconsin form and can be use in Dane Local County.
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Tags: Policy Statement Deferred Payment Plan Or Agreement, Wisconsin Local County, Dane
DANE COUNTY CIRCUIT COURT
POLICY STATEMENT
DEFERRED PAYMENT PLAN/AGREEMENT
The Court views the obligation to pay fines, costs and fees seriously and expects payment
of the specified amount no later than the due date(s) – WITHOUT EXCEPTION.
1.
Pursuant to sec. 973.05, Wisconsin Statutes, fines/costs must be paid within 60 days of the
conviction date unless otherwise ordered by the court. The burden of how the court ordered
obligation is paid rests on the defendant and is not the responsibility of the Court.
2.
When genuine financial hardship exists and the total court ordered obligation is $200 or more,
arrangements for deferred payments may be granted based on adjusted net monthly income. This
requires that the defendant fill out a Financial Disclosure Statement, pay a $15 fee to establish and
monitor the Deferred Payment Plan/Agreement and then enter into the Agreement. Supporting
documentation of information given in the financial disclosure may be required and/or verified.
Second and subsequent modifications of the deferred payment agreement will require a $15 fee.
3.
A Deferred Payment Plan/Agreement cannot be offered to a defendant who has no employment
or no source of income.
4.
Failure to make payment on or before the due date may result in one or more of the following
actions:
•
•
•
•
•
Suspension of your driving privileges for up to two years [Suspension of your driving
privileges is not in lieu of payment.]
A civil judgment entered against you which accrues interest
Referral to a collection agency
Interception of your Wisconsin Income Tax Refund
Arrest and commitment to the county jail
5.
If you're financial status should change substantially while on a Deferred Payment
Plan/Agreement, contact the Court Collection Clerk to request a modification of the
plan/agreement. This would require an updated Financial Disclosure Statement to be completed,
along with supporting documentation of the change. Do not make requests for modified
plans/agreements through the judge’s office.
6.
You must notify the Dane County Clerk of Court’s Office if your address changes. Notification
must be made in writing within 10 days of the address change. Include your name, new address
and case number(s). Address changes should be mailed to the below address.
7.
Payments are to be made in person or by mail on or before the due date. Case number(s)
should be included with payments.
Address:
Dane County Clerk of Court’s Office
Dane County Courthouse
215 S. Hamilton St., Rm. 1000
Madison, WI 53703-3285
To pay by phone with Credit/Debit card, call Toll Free 888-604-7888; minimum service fee of
$5 or 4.75% whichever is greater. To pay online with Credit/Debut card, go to
www.governmentpayment.com; minimum service fee of $3.50 or 3.5% whichever is greater.
Pay Location Code is #5479.
H:Forms/DPA Policy Statement
2/08
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