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LOWER KITTITAS COUNTY DISTRICT COURT
COURT PAYMENT MANAGEMENT SERVICES, INC.
PAYMENT PLAN AGREEMENT
CPMS Account number
S
et-up Fee ----------------------------------------------------------------------------------------------
$15.00
Total Amount Owing -----------------------------------------------------------------------------
Monthly Payment -------------------------------------------------------------------------------------
TOTAL REQUIRED TO SET-UP PAYMENT PLAN AGREEMENT (1st pmt & set up fee)
1.
If all payments are made as agreed, the monthly payment plan cost shall be $4.75 for a single case or
$8.25 for multiple cases.
2.
The set-up fee and the first monthly pmnt must be paid before CPMS will set up the pmnt plan agreement.
3.
If payments are not made as agreed upon, the monthly payment plan cost shall increase to $7.75 for one
case an
d $11.25 for multiple cases for each month until the end of the payment plan.
All CPMS payments are due on the 10TH/25TH day of each month following payment plan set up. Please include
your CPMS account number when submitting payments.
You are welcomed and encouraged
to make payments larger than the monthly minimum on your accounts or even
pay the accounts in full early to avoid the monthly payment plan costs. LARGER PAYMENTS MADE ONE MONTH WILL
NOT CHANGE OR LOWER YOUR MINIMUM PAYMENT DUE THE FOLLOWING MONTH.
IF PAYMENTS ARE NOT MADE AS AGREED UPON OR IF YOU FAIL TO KEEP CPMS UPDATED ON YOUR CURRENT
ADDRESS AND PHONE NUMBER, YOU WILL BE REMOVED FROM THE PAYMENT PLAN AND THE FOLLOWING ACTIONS
WILL BE TAKEN:
All amounts will become due immediately. Lower Kittitas County District Court may re-impose suspended portions of
your fine/costs/penalties and will assess additional court costs pursuant to RCW 3.02.045. Your account will be
referred to Dynamic Collectors, Inc. for full collection procedures. If this is a criminal matter, the court has the
authority to issue a bench warrant for contempt of court and can assess fines or costs for contempt of court.
If this is a traffic citation, the court will assess a $52.00 penalty for failure to pay and notify the Department of
Licensing, and your driver’s license can be suspended until all amounts have been paid.
All payments are to be mailed to:
Court Payment Management Services, Inc.
750 S Market Blvd
Chehalis, WA 98532
******WE ACCEPT CASHIERS CHECKS OR MONEY ORDERS ONLY BY MAIL AS WELL AS CASH IN OUR OFFICE******
Signature
Address City, St, Zip
Phone
SSN
CPMS/Court Representative approval
This is an attempt to collect a debt. Any information obtained may be used for that purpose. This has been sent to you by a debt collection agency.
Fine/Costs/Penalties
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Name
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Case
Numbers
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Court Payment Management Services, Inc.
PAYMENT PLAN APPLICATION
750 S. Market Blvd, Chehalis, WA 98532 (360) 748-4784
DEFENDANT INFORMATION
Name
(last) (first) (MI)
Home address
Mailing address (if different)
City, State, Zip _ Home phone_
Cell phone_ Work phone_
Date of birth SSN
_ Drivers License #
Employer name
Employer address
Employer phone
ADDITIONAL CONTACT INFORMATION
Contact name Contact phone
Contact address
SPOUSE INFORMATION
Name
(last) (first) (MI)
Home address (if different)
City, State, Zip Home phone_
Cell phone_ _ Work phone_
Employer name
Employer address
THIS IS AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED MAY BE USED FOR THAT PURPOSE. THIS HAS BEEN SENT TO YOU BY A
DEBT COLLECTION AGENCY.