Form 40-129 - Judicial Fund - County Clerk'S Monthly Report
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140-129
REPORT MUST BE FILED EVEN IF NO PAYMENT IS DUE
(Rev.8-97/6)
b.
JUDICIAL FUND -
COUNTY CLERK'S MONTHLY REPORT
38160
a. T Code
DO NOT WRITE IN SHADED AREAS
c. County identification number
County name and mailing address
d.
If any information
pre-
printed on this
form is
incorrect,
cross out the
incorrect information and
write in the correct infor-
mation.
e. Due date of report
g.
h.
f. Report for month ending
i.
This report is to be filed monthly, provided your county has adopted a resolution authorizing the
collection of this fee and court cost.
CIVIL FILING FEE
A $40.00 filing fee should be collected on each civil suit filed in statutory county court.
1. Number of civil suits filed
1.
2. Total fees due for these civil suits
2.
$
COURT COST
A $15.00 court cost should be collected on each conviction of any criminal
offense in statutory county court.
3. Number of convictions
3.
4. Total court cost due for these convictions
4.
$
$
5. Total amount due
(Item 2 plus Item 4)
5.
* * * DO NOT DETACH * * *
$
6. TOTAL AMOUNT OF PAYMENT
(Same as Item 5)
6.
j.
k.
County name
For assistance call 1-800-531-5441, ext. 3-4276, toll free nationwide. The Austin number is 512/463-4276.
T Code
County identification no.
Period
(From a Telecommunication Device for the Deaf (TDD), call 1-800-248-4099, toll free.
The Austin TDD number is 512/463-4621.)
38060
I,
(type or print name)
_______________________________________________________, certify
that the information above is true as shown in the records of the county clerk of the county named.
Authorized agent
Complete this report and make the amount in Item 6 payable to:
STATE COMPTROLLER
Title
Date
COMPTROLLER OF PUBLIC ACCOUNTS
Mail to:
Daytime phone number
(Area code and number)
111 E. 17th Street
Austin, Texas 78774-0100
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