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Judgment For Unpaid Fines Forfeitures And Other Financial Obligations Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Judgment For Unpaid Fines Forfeitures And Other Financial Obligations, GF-171, Wisconsin Statewide, Circuit Court
FORM SUMMARY
Name of Form:
Judgment for Unpaid Fines, Forfeitures and Other Financial
Obligations
Form Number:
GF-171
Statutory Reference:
§§48.235(8), 54.46(3), 55.075(4), 55.15(3), 345.47, 345.49,
767.045(6), 778.30, 785.04, 815.05(8), 938.235(8) and 973.05(4),
Wisconsin Statutes
Benchbook Reference:
Purpose of Form:
Formal document granting judgment in favor of the creditor and
against the debtor for unpaid fines, forfeitures, court costs,
assessments, guardian ad litem fees, attorney fees, surcharges or
DNR restitution.
Who Completes It:
Court Official
Distribution of Form:
Original to court file, copy to debtor.
Accompanying Forms:
Generally none.
New Form/Modification:
Modification, last update 08/05.
Modifications:
Updated statutory references.
Comments:
This form replaces CR-225. This form can be used for any judgment
when the state, county, or municipality is the creditor. The CCAP
form is part of a collections component that includes the option of
having the system automatically calculate interest on the debt at the
rate of 12% annually.
About this form:
This form is the product of the Wisconsin Records Management
Committee, a committee of the Director of State Court's Office and
a mandate of the Wisconsin Judicial Conference.
If you have additional information that does not change the
meaning of the form, attach it on a separate page. The form
itself shall not be altered.
Date: 04/19/2007
Page 1
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For Official Use
COUNTY
STATE OF WISCONSIN, CIRCUIT COURT,
Case Caption:
Judgment for Unpaid
Fines, Forfeitures and
Other Financial
Obligations
Case No.
THE COURT FINDS:
1. The name and address of the debtor:
Name:
Address:
City/State/Zip Code:
DOB:
2. The name and address of the creditor:
Name:
Address:
City/State/Zip Code:
3. The debtor was ordered to pay a fine, forfeiture, court costs, assessments, guardian ad litem fees, court
appointed attorney fees, surcharges or DNR restitution (if applicable). The total obligation was not paid and the
.
amount owed is: $
THE COURT ORDERS:
1. Judgment is granted in favor of the creditor and against the defendant/debtor for the amount owed.
Twelve percent (12%) interest will be added from the date of entry of judgment.
2. This judgment shall be entered in the judgment and lien docket.
3. No docketing fee shall be charged.
BY THE COURT:
Court Official
Distribution:
1. Court – Original
2. Defendant/Debtor
Name Printed or Typed
Date
Please note:
Even when you pay this debt in full, the judgment entered in the judgment and lien docket may remain
unsatisfied until you pay the $5 fee to have it satisfied. An unsatisfied debt could adversely affect your
credit rating and, consequently, your ability to obtain a loan.
GF-171, 04/07 Judgment for Unpaid Fines, Forfeitures and Other Financial Obligations
§§48.235(8), 54.46(3), 55.075(4), 55.18(3), 345.47, 345.49, 767.045(6), 778.30, 785.04, 815(8), 938.235(8) and 973.05(4), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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