Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

PAYMENT PLAN REQUEST - Financial Inquiry & Plea

  1. Name the program or put NA if not applicable.

  2. Type yes or no

  3. Type yes or no

  4. By typing my initials in the space above, I plea no contest, this plea will have the same force and effect as a plea of guilty on the judgment of the Court. I waive my right to a jury trial or hearing by the Court, and I agree to pay the fine and costs the judge assesses or other alternative means of payment the judge requires. I understand that my plea may result in a conviction appearing on either a criminal record or a driver's license record.

  5. By me typing my initials above, I plea guilty, I waive my right to a jury trial or hearing by the Court, and I agree to pay the fine and costs the judge assesses or other alternative means of payment the judge requires. I understand that my plea may result in a conviction appearing on either a criminal record or a driver's license record.

  6. Please type the citation number or docket number.

  7. Please Confirm the following:

    I understand that until my fines and court costs are paid in full, I have a continuing obligation to notify the Court of any changes in my financial status that may hinder my ability to satisfy the judgment or help me satisfy the judgment. I promise that until my fines have been paid in full, I will notify this Court of any changes of my address or telephone number within (5) days of the change. I understand that if I pay any part of the fine, costs, or restitution on or after the 31st day after judgment was entered that I am responsible for paying a $15 time payment fee (Section 133.103, Local Government Code). I understand that submitting false financial information to the Court constitutes the crime of tampering with a government record, punishable by incarceration and/or the imposition of a fine (Section 37.10, Penal Code). I swear that all the information in this application is true, correct, and complete to the best of my knowledge and belief.

  8. I read and confirm the above statement.*

  9. Leave This Blank:

  10. This field is not part of the form submission.