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Notice Of Intent To Pursue Collection By Victim JDF 229 - Colorado
| Notice Of Intent To Pursue Collection By Victim Form. This is a Colorado form and can be used in General Statewide . |
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County Court District Court Denver Juvenile Court _____________________________County, Colorado Court Address: State of Colorado v Defendant: _____________________________ Attorney or Party Without Attorney (Name and Address): Phone Number: FAX Number: COURT USE ONLY Case Number E-mail: Atty. Reg. #: Division NOTICE OF INTENT TO PURSUE COLLECTION BY VICTIM Courtroom Pursuant to Article 16, Title 18.5, Section 107 of the Colorado Revised Statutes, as amended, the below named person(s) (or entity) hereby puts on notice the Court, the Collections Investigator, and the Department of Corrections, if defendant was sentenced thereto, of his or her intent to pursue collection of restitution in his or her own name. It is further stated and understood that: 1. The below named person is a victim in whose name a restitution order has been entered by this court. 2. That such order was entered on _______________________ (date of order). 3. That the amount of outstanding restitution still owed to this victim as shown by the court's record is $____________. 4. That the below named person wishes to exercise his or her right to pursue collection of restitution in his or her own name pursuant to ยง16-18.5-107 C.R.S. 5. That the Court, the Collections Investigator, and/or the Department of Corrections shall cease all attempts to collect the restitution due to the person named in this notice, except that the Collection Investigator may still assist the victim in his or her efforts. 6. That this Notice of Intent to Pursue Collection by Victim was delivered to the Clerk of the Court or, if the Defendant was sentenced to the Department of Corrections, to the Executive Director of the Department of Corrections on ________________________ (date delivered). Dated: ____________ (today's date) __________________________________ Signature of Victim __________________________________ Typed/Printed Name of Victim _______________________________ Notary Public/Deputy Clerk My Commission Expires: ____________ Address: ___________________________ Telephone: _________________________ JDF 229 6/05 NOTICE OF INTENT TO PURSUE COLLECTION BY VICTIM American LegalNet, Inc. www.USCourtForms.com
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