Screen For VRA
IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA ) ) ) ) ) ) ) ) ) ) )
Plaintiff, vs.
CASE NO. FINE EXTENSION
CR
Defendant. DOB:
REQUEST FOR FINE EXTENSION I, be extended because: , request that the time for payment of my fine
Original Fine Amount $
.
Defendant's Signature Mailing Address Work Phone ----------------------------------------------------------------APPROVAL The due date for payment of the fine in the above case is extended until ________________________. City State ZIP
Home Phone
Date
Judge/Deputy Clerk (under written authority granted by the court)
.
Copy Distributed To Defendant on , 20
Clerk:
CR-725 (1/06) (st.2) FINE EXTENSION