Fountain Hills, AZ · Maricopa County

No notary required

Defendant’s Payment Plan Request

Defendants who cannot pay in full use this application to request a payment plan or Compliance Assistance Program from Fountain Hills Municipal Court.

What this form is

Defendants who are unable to pay in full use this application to request a payment plan or Compliance Assistance Program. The Court requires every section to be completed and reviews the income and expenses provided to determine payments; eligible applicants receive a payment agreement. The form asks for personal, employment, household, reference, asset, income, and expense information, along with a proposed monthly payment and date.

Who needs it

A defendant unable to pay in full who wants the Court to review a request for a payment plan or Compliance Assistance Program.

How to submit it

Submit the completed form by email as a Word or PDF attachment to [email protected], by fax to 480-837-8256, by mail to Fountain Hills Municipal Court, 16705 E. Avenue of the Fountains, Fountain Hills, AZ 85268, or in person at the Court.

About notarization

This request is signed without a notary; the signer must affirm under penalty of perjury that the information is true and correct.

How to submit this form

  1. 1

    Download The Application

    Download the Defendant’s Payment Plan Request form.

  2. 2

    Complete Every Section

    Answer every section; write “0” or “N/A” where information does not apply.

  3. 3

    Review And Sign

    Provide the requested financial information and proposed payment details, then sign and date the form.

  4. 4

    Submit To The Court

    Email the form as a Word or PDF attachment, fax it, mail it, or deliver it in person to Fountain Hills Municipal Court.

Frequently asked questions

Do I need a notary for the Defendant’s Payment Plan Request?
No. The request has no notary block; the signer instead affirms under penalty of perjury that the information is true and correct.
How do I submit the payment plan request?
Email it as a Word or PDF attachment, fax it, mail it to the Court, or deliver it in person. The form lists the email, fax number, and mailing address.
What information does the application ask for?
It asks for personal and employment details, household and reference information, assets, monthly income and expenses, and a proposed monthly payment amount and date.
What happens after I file the request?
The Court says to allow 2–3 working days to process the request. If eligible, a payment agreement will be created; the form says additional fees may apply.

Need something notarized?

This Defendant’s Payment Plan Request doesn’t need a notary — but if you have another Fountain Hills form that does, a commissioned online notary can help.