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Monthly Remittance (Circuit Clerk Judicial Admin Fund) MC-21 - Alabama
| Monthly Remittance (Circuit Clerk Judicial Admin Fund) Form. This is a Alabama form and can be used in Municipal Statewide . |
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Form MC-21 Rev. 7/2/2012 Monthly Remittance Form for the CIRCUIT CLERKS' JUDICIAL ADMINISTRATION FUND ACT 2012-535 Monthly report of court costs collected pursuant to ACT 2012-535, effective June 21, 2012, for the month of: Month , Year , from the Municipal Court of Number Of Cases Disbursement On Each Case Sub-Total Partial Payments Total *Traffic Cases Non-Traffic Misdemeanors/ Municipal Ordinance Violations GRAND TOTAL $2.33 $5.00 $ $ $ *Does not apply to "parking", "seat belt" and "open container" violations. Date Court ORI No. Signature of Remitter and Title Print Name of Remitter Check No. Telephone Number The costs SHALL BE REMITTED by the 10th of each month. Make check payable to the CIRCUIT CLERKS' JUDICIAL ADMINISTRATION FUND. Keep a copy of this form for your records and mail the original form along with remittance check to: , Circuit Clerk County , AL Mailing Address City Zip code American LegalNet, Inc. www.FormsWorkFlow.com
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