Free CR-545 - Alaska

Exempt From VRA Certif.

IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA Plaintiff, vs. ) ) ) ) ) ) ) ) ) ) )

CASE NO.

CR

Defendant.

REQUEST FOR PAYMENT SCHEDULE OR REDUCTION IN AMOUNT OWED

A Judgment for Cost of Appointed Counsel was entered against me in the amount of $ . I still owe $ . Payment of this amount would impose hardship on me or my immediate family because

Therefore, I request that the court: allow me to make payments on the judgment on the following payment schedule: Payment Amount: $ Due: Monthly Weekly Other: Date of First Payment: defer payment of the judgment until: reduce the amount of the judgment to $ . (You must attach supporting documents to justify reducing the judgment amount.)

Date
I certify that on a copy of this request was sent to the plaintiff's collections office. Clerk:

Defendant's Signature Mailing Address City State ZIP

PROSCECUTING AUTHORITY'S STATEMENT OF AMOUNT DUE
(The prosecuting authority should submit a balance due on the judgment within 10 days after distribution of the above Request. The attorney for the prosecuting authority may file a separate response.)

Balance due on judgment as of (Date)

$

Date

Signature

Print Name and Title

CR-545 (6/92) REQUEST FOR PAYMENT SCHEDULE OR REDUCTION

Crim. Rule 39(c)(2)(C)