Payment Agreement Policy Sample Contracts

Payment Agreement Policy
Payment Agreement Policy • September 24th, 2024

• Fines and costs are due the day of court. If you cannot pay the day of court, and need more than 90 days to pay, you will need to request a deferred payment plan with the Clerk’s office. This plan will state that payment in full is due by “X” date.

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HENRY COUNTY JUVENILE AND DOMESTIC RELATIONS DISTRICT COURT PAYMENT AGREEMENT POLICY
Payment Agreement Policy • March 21st, 2022

The following Payment Agreement Policy has been adopted effective July 1, 2017 in accordance with Section 19.2-354 and 19.1-354.1 of the Code of Virginia, rule 1:24 of the Rules of the Supreme Court of Virginia.

HENRY COUNTY JUVENILE AND DOMESTIC RELATIONS DISTRICT COURT PAYMENT AGREEMENT POLICY
Payment Agreement Policy • July 11th, 2018

The following Payment Agreement Policy has been adopted effective July 1, 2017 in accordance with Section 19.2-354 and 19.1-354.1 of the Code of Virginia, rule 1:24 of the Rules of the Supreme Court of Virginia.

WARREN COUNTY CIRCUIT COURT PAYMENT AGREEMENT POLICY
Payment Agreement Policy • September 30th, 2024
PAYMENT AGREEMENT POLICY
Payment Agreement Policy • July 20th, 2017

• Fines and costs are due the day of court. If you cannot pay the day of court you may sign a DC-210 (Acknowledgement of Suspension or Revocation of Driver’s License) which will give you 30 days to pay. You will be required to give your correct mailing and street address, phone number and social security number to the court.

Payment Agreement Policy
Payment Agreement Policy • June 27th, 2023

The purpose of this policy is to address any issues that arise during a request for a payment plan or extension of utility payments.

THD’s Payment Agreement Policy
Payment Agreement Policy • June 6th, 2018

Per the Credit Card Authorization, you fully understand by submitting information via our portal, you are responsible for any amount that is assessed to THD for your hotel or temporary housing stay. This would include damages to the rental furnishings and/or excessive wear and tear of rental furnishings. Excessive wear and tear is determined by our home furnishing vendors. This card may also be used to cover property damages or deductions reported to THD. You understand that if you are sent payment for our services by your Insurance provider, you agree to forward this payment in full immediately to Temporary Housing Directory, Inc. In addition, it is fully understood that any expenses not covered by my insurance company are the responsibility of the insured. Please Note: Damage/ incidental charges are not covered and will be your responsibility. You will need to place a valid credit card on file with THD for any unapproved stay, and/or deposits required by hotel. Please note that all c

PAYMENT AGREEMENT POLICY
Payment Agreement Policy • August 27th, 2009

After payment agreement is made, mail payment agreement form to patient for signature. If agreement is not received back from patient in two weeks, do follow-up call.

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