What can I request with this application?

You can request a later payment date, a time payment plan, community service to discharge the fine and costs, or a waiver. The application asks for financial information to document your circumstances.

What information does the application ask for?

It asks about your income, employment, household expenses, bank accounts, real estate, personal property, and creditors. It also asks you to initial statements and affirm that your information is true, correct, and complete.

Do I need a notary for this application?

No. The applicant signs without a notary and swears that the information is true before a judge, clerk, or deputy clerk.

George West, TX · Live Oak County

No notary required

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

This application lets a person with a municipal court judgment request more time to pay, a payment plan, community service, or a waiver.

What this form is

Use this application to ask the municipal court for a payment extension or plan, community service, or a waiver after being advised that you are responsible for a judgment and sentence. It requests information about income, employment, household expenses, property, bank accounts, and debts to document financial circumstances. The applicant must also initial statements and swear that the information is true, correct, and complete.

Who needs it

A person responsible for a municipal court judgment who seeks more time to pay, a payment plan, community service, or a waiver should 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; the applicant swears that the information is true and signs before a judge, clerk, or deputy clerk.

How to submit this form

1
Download The Application
Download the Application for Time Payment, Extension, Community Service, or Waiver PDF.
2
Complete The Application
Fill in the requested case, contact, income, household, property, expense, and creditor information, and initial the applicable statements.
3
Review And Sign
Confirm the information is true, correct, and complete, then sign and swear to it before a judge, clerk, or deputy clerk.
4
Submit The Application
Submit it 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?: You can request a later payment date, a time payment plan, community service to discharge the fine and costs, or a waiver. The application asks for financial information to document your circumstances.
What information does the application ask for?: It asks about your income, employment, household expenses, bank accounts, real estate, personal property, and creditors. It also asks you to initial statements and affirm that your information is true, correct, and complete.
Do I need a notary for this application?: No. The applicant signs without a notary and swears that the information is true before a judge, clerk, or deputy clerk.
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.