Petition Declaration And Order For Court Approved Time Payment | Pdf Fpdf Doc Docx | Washington

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Petition Declaration And Order For Court Approved Time Payment | Pdf Fpdf Doc Docx | Washington

Petition Declaration And Order For Court Approved Time Payment

This is a Washington form that can be used for Small Claims within Local County, Spokane, District Court.

Alternate TextLast updated: 2/4/2012

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IN THE DISTRICT COUR OF SPOKANE COUNTY WASHINGTON ______________________________________ Plaintiff(s) vs. ______________________________________ Defendant(s) NO. PETITION, DECLARATION AND ORDER FOR COURT APPROVED TIME PAYMENT I _________________________________, request permission to make $_________________________ payments commencing on __________________________________ and payable on the _____________ day of each month thereafter until the judgment is fully satisfied. The petition is based upon financial information appended. Dated: ______________________ Signature: ____________________________________ Hearing set for ______________________, 20_____ at _______________ am/pm at Broadway Center Building, 721 N. Jefferson, Spokane, WA 99210, Court Room 202 PETITION FOR COURT APPROVED TIME PAYMENT PLAN Rev. 08/10 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com DECLARATION INCOME AND ASSETS (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) Personal Gross monthly income Spouse's Gross monthly income Other income Cash on hand Home (cash value less amt. owing) Auto (cash value less amt. owing) Furniture (approx. value) Notes, mortgages trusts, deeds Stocks, bonds (approx. value) Other assets & property Persons whom you financially support: Spouse Children Other [] [ ] ages ___________________ [] EXPENSES AND DEBT (a) Monthly living expenses (itemize) Rent or mortgage Food Utilities Transportation Installment payments Medical & Dental Insurance Other (b) Debts Name of creditor: Amount owed: Total __________________________ Total _______________ I declare under penalty of perjury under the laws of the State of Washington the foregoing is true and correct. _______________________________ Signature _______________________________ Place of Signature _________________ Date of Signature ORDER Based upon the foregoing, the Petitioners time payment plan is APPROVED / DISAPPROVED. Dated this _______ day of ____________________, 20_____. _____________________________________________ JUDGE/COMMISSIONER PETITION FOR COURT APPROVED TIME PAYMENT PLAN Rev. 08/10 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com

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