OFFICIAL USE ONLY
** COURT DATE______________ AT ___________ A.M. P.M.**
RESPONSE FROM THE COURT
Your motion/request is GRANTED DENIED
______ Case(s) shall be removed from collections upon proof of clearance of all outside Department of Licensing holds. Outside holds must be cleared within _____________ days.
______ FTA fees shall be waived/reduced to _____________________.
______ No time payment plan is authorized. You must contact Puget Sound Collections at 253-566-1800 to set up payment arrangements.
______ Case(s) shall be removed from collections status and FTA's cancelled upon receipt of initial first payment of $________________ by ___________________.
______ Time payment plan is approved. Monthly payments of $_______________ is due ________________ and continues each month until paid in full. Any missed payment will result in re-referral to collection status and re-issuance of the FTA.
Date ______________ ___________________________________________
Judge / Pro tem