Reminder Notice
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Reminder Notice Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Reminder Notice, GF-156, Wisconsin Statewide, Circuit Court
This form is only available from the
CCAP system used by the circuit courts.
American LegalNet, Inc.
www.USCourtForms.com
STATE OF WISCONSIN
CIRCUIT COURT
For Official Use Only
Reminder Notice
Case Caption
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Case No: 2003TR123456
Date of Birth: mm-dd-yyyy
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SAMPLE COUNTY
DEBTOR NAME
SECONDARY ADDRESS
PRIMARY ADDRESS
CITY . WI .. 54321
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You have been ordered to pay the following:
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Ct Descr.
Citn.
1
Citation No. mm-dd-yyyy mm-dd-yyyy Both fine and costs Schedule
Charge Description
Violation
Disposition Sched Type.
Sched Desc.
Amount
$ XXX.XX
Description
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.
.
.
Total Amount Assessed:
Payments And Adjustments:
Total Amount Due:
$ XXX.XX.
$ XX.XX.
$ XXX.XX.
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The Total Amount Due was due on December dd, yyyy. If payment is not made immediately, one or more of the
following enforcement actions will be taken:
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·
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arrest and commitment to the county jail.
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suspension of your driving privileges for up to two years.
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a civil judgment entered against you.
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referral to a collection agency.
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certification to the Department of Revenue for interception of your tax refund.
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Return this notice with payment to:
Cty. Courthouse
Secondary Address
Primary Address
City, WI..54321-1234
Sample County Circuit Court
-Date: mm-dd-yyyy
Page 1 of 1
GF-156(CCAP) 12/03 Reminder Notice
This form may not be modified. It may be supplemented with additional material.
American LegalNet, Inc.
www.USCourtForms.com
