Inmate Payment Plan Order {FL-E-LP-659}

FL/E-LP-659 NAME, ADDRESS, AND CORRECTIONAL INSTITUTION For Court Use Only X-REF NO. SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: Same CITY AND ZIP CODE: Sacramento, CA 95826 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: INMATE PAYMENT PLAN ORDER CASE NUMBER: After review, the court grants your request for a payment plan as follows: You shall make monthly payments until the fee of $____________ is paid in full. Payments made shall be applied as follows: 1. [ ] Filing (name) _________________________________, Filing Date __________________ 2. [ ] Other (describe): ____________________________________________________________________________ ____________________________________________________________________________ Notice: Payments made by the correctional facility or county jail must include the inmate's name, X-ref and case number. Mail payments to the above address, attention: Accounts Receivable. IT IS SO ORDERED: Date: ___________________________ __________________________________________ Signature of [ ] Judicial Officer [ ] Clerk, Deputy Clerk's Certificate of Service I certify that I am not involved in this case and this order was mailed first class, postage paid, to the party and the correctional facility or county jail, at the addresses listed below, from Sacramento, California, on the date below. Date: ______________________________ Clerk, by ______________________________________ FL/E-LP-659 Adopted 6/20/14 Mandatory INMATE PAYMENT PLAN ORDER Gov Code 68635 Page 1 of 1 www.saccourt.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com