Get Deferred Payment Application - Eugene-or

This guide provides clear, step-by-step instructions on how to complete the Deferred Payment Application for the Eugene Municipal Court. By following these instructions, users can ensure they fill out the form correctly to request a deferred payment plan effectively.

Follow the steps to complete the Deferred Payment Application accurately.

1. Press the ‘Get Form’ button to obtain the Deferred Payment Application and open it in your editor.
2. Begin by signing the application at the top where indicated. This acknowledges your understanding that fines or fees are due immediately unless a payment plan is approved.
3. In the personal information section, fill in your name, home phone number, mailing address (including street, city, state, and zip code), social security number, marital status, date of birth, and the number of dependents.
4. Next, provide the names and contact information for two personal references who do not live with you, including their relationship to you.
5. In the employment information section, include your employer's name, mailing address, your position, gross monthly salary, pay dates, and the date of your last paycheck received.
6. Enter your total monthly income in the income section of the form.
7. State your total monthly expenses in the expenses section.
8. If your income is $0, explain your means of support or survival in the designated area provided.
9. In the acknowledgment and declaration section, certify the accuracy of your statements by signing and dating the form.

Complete the Deferred Payment Application online and submit it to the Eugene Municipal Court to manage your payment plan efficiently.