Lancaster, TX · Dallas County

No notary required

Payment Extension Request

This form lets a person named in a citation ask the Lancaster Municipal Court for 30 days from the request date to pay a fine.

What this form is

A person completing the form enters a No Contest or Guilty plea, waives the right to a jury trial, and requests 30 days from the request date to pay a fine. It also provides options to request or waive discovery and asks for citation, violation, contact, and signature information. The form explains the payment timing and consequences described by the court.

Who needs it

A person named in a citation who wants to request 30 days from the date of the request to pay a fine may complete this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the request.

How to submit this form

  1. 1

    Download The Form

    Download the Payment Extension Request PDF.

  2. 2

    Complete The Request

    Enter the citation, violations, address, contact information, plea choice, and discovery choice requested on the form.

  3. 3

    Sign And Date

    Sign and date the request. The form does not include a notary block.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Payment Extension Request?
No. The form has a defendant's signature and date line, but no notary block; the signer just signs and dates the request.
How do I submit the Payment Extension Request?
The form does not state where to submit the request. Submit it to the city department named on the form; check the city website for current contact details.
What does the request ask the court to do?
It asks the Lancaster Municipal Court to grant 30 days from the request date to pay a fine. The signer enters a No Contest or Guilty plea and waives the right to a jury trial.

Need something notarized?

This Payment Extension Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.