REQUEST FOR EXTENSION OF TIME TO PAY Sign below and email
to "court@leandertx.gov"
OR
Sign and Return by mail or fax to:
Leander Municipal Court, 201 N. Brushy St, Leander, TX 78641
Phone:(512) 259-1239 Fax: (512) 690-2214
CITATION NO:
OFFENSE:
FULL NAME: Driver’s License # and State:
I plead (no contest/guilty) and waive my right to a jury trial and request an extension of time to pay the
fine and court costs in the amount of $ . (Contact the Court for the amount). By paying the fine, you
are waiving your right to receive discovery information pertaining to your case. If you are requesting discovery information
in regards to your case, you must follow the rules of Texas Criminal Procedure.
I understand that if I do not pay this amount in full within thirty (30) days from the date of Judgment, a
pay agreement fee of $15 per offense will be added to the balance of fines and court costs due at that time and I will
be put on a payment plan and will make payments in 3 monthly increments (if balance is $200 or less) or 6 monthly
increments (if over $200) until paid in full. (If you need longer than 6 months to pay you MUST request that from the
Judge).
I UNDERSTAND THAT PAYMENTS ARE DUE ON THE SAME DATE OF EACH MONTH AS THE DATE
OF THIS AGREEMENT. IF DATE FALLS ON WEEKEND OR HOLIDAY, PAYMENT IS DUE THE FOLLOWING
BUSINESS DAY.
I understand that if payments are not made as agreed, a capias pro fine warrant will be issued and
additional fees may be assessed.
Date of Request (mm/dd/yyyy) Email
Mailing Address
Home Phone
City, State, Zip Code
Cell Phone
FINANCIAL INFORMATION *REQUIRED*:
Defendant’s Place of Employment :
Defendant’s Work Phone #:
Defendant’s Monthly Income $
Spouse’s (If applicable) Place of Employment:
Spouse’s Work Phone #:
Spouse’s Monthly Income: $
PAYMENT METHODS:
CASH OR MONEY ORDERS /NO CHECKS
PAY ONLINE: www.leandertx.gov under “PAY MY BILLS” (with a processing fee)
***
(Required) Defendant's signature _______________________________________________________
