What can I request with this application?

The application allows requests for an extension, a time payment plan, community service, or a waiver related to fines and costs.

What information does the application ask for?

It asks for case numbers, income, employment, dependents, expenses, property, bank accounts, and creditors, along with the defendant’s signature.

Do I need a notary for this application?

No. The document does not require notarization, though it includes a sworn statement with space for a judge, clerk, or notary.

Lexington, TX · Lee County

No notary required

Application for Time Payment, Extension, Community Service, or Waiver

This application lets a municipal court defendant request more time to pay, a payment plan, community service, or a waiver based on financial circumstances.

What this form is

The application is for a defendant seeking time to pay a fine and costs, an extension, community service, or a waiver. It asks for case numbers, income, employment, household expenses, property, debts, and information about dependents. The signer also initials statements about court obligations and swears that the application information is true, correct, and complete.

Who needs it

A defendant who wants the court to consider a payment extension, time payment plan, community service, or waiver may complete this application.

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 without a notary requirement; it includes a sworn statement, with space for a judge, clerk, or notary to witness it.

How to submit this form

1
Download The Application
Download the Application for Time Payment, Extension, Community Service, or Waiver.
2
Complete The Application
Provide case details and the requested information about your income, household, expenses, property, and debts.
3
Review And Sign
Initial the applicable statements, review the sworn statement, and sign and date the application.
4
Submit To The City
Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What can I request with this application?: The application allows requests for an extension, a time payment plan, community service, or a waiver related to fines and costs.
What information does the application ask for?: It asks for case numbers, income, employment, dependents, expenses, property, bank accounts, and creditors, along with the defendant’s signature.
Do I need a notary for this application?: No. The document does not require notarization, though it includes a sworn statement with space for a judge, clerk, or notary.
How do I submit this application?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Time Payment, Extension, Community Service, or Waiver doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.