CLERK OF THE CIRCUIT COURT
DUVAL COUNTY
501 WEST ADAMS STREET
JACKSONVILLE, FLORIDA 32202
Misdemeanor Payment Plan Agreement
Name:
Case Number:
You have elected the option to enter into a Payment Plan Agreement with the Clerk’s Office. This will enable you to pay your court
costs and fees in monthly installments.
Terms and Conditions
1. This Payment Plan Agreement may only be established by the named person on this case.
2. Payment Plan Agreements sent by U.S. mail MUST be notarized and received in the Clerk’s Office on or before the
payment due date. Postmarked date is NOT considered.
3. A one-time $25 processing fee is required at the time the Agreement is initiated and must be paid with your first monthly
installment of .
4. After the first payment is made, your next due date will be the same day every month unless the due date falls on a
weekend or holiday. Please see your payment receipt for the exact due date.
5. Payments submitted by U.S. mail must be received by the Clerk’s Office on or before the due date. Postmarked date is
NOT considered.
6. Payments must be made at one of the Clerk’s Office locations or by mailing a cashier’s check or money order (made
payable to the Duval County Clerk of Courts) to Misdemeanor Department, PO Box 660, Jacksonville, FL 32201.
7. No personal checks accepted in office or by mail.
Late Payment Policy
1. If you miss and/or are late making payments a total of three (3) times during the duration of the Payment Plan, the balance
of your case will be referred to a collection agency. The collection agency will add an additional collection fee of up to
40% to the balance owed and the suspension of your driver’s license will not be cleared until payment has been made in
full to the collection agency. No Exceptions.
I hereby state that I have read and agree to the Terms and Conditions and understand the Late Payment Policy listed above. I agree to pay
all installments on or before the established due date.
Prin
t Name: ________________________ Driver’s License Number: _________________________
Home Address: _____________________________________________________________________
Home Phone Number: ________________
_______
___________________________
Signature
Cell Phone Number: ______________________________
_
_____________________
Date
Per
sonally known by me or produced ______________as identification subscribed to before me, this ___day of ___A.D. ____.
JODY PHILLIPS
Clerk
of the Court
_____________________________________
Deputy Clerk / Notary Public
