Lower Kittitascounty District Court, Washington Time-Payment Collection Application printable pdf download

LOWER KITTITAS COUNTY DISTRICT COURT, WASHINGTON

TIME-PAYMENT COLLECTION PROGRAM

Managed by Signal Credit Management Services (SCMC)

253-620-2239 or 800-874-1958

This box is filled out by the Court and/or SCMS: Court District/Division: Lower Kittitas County District Court

Case Number:_____________________

Name: ________________________________________

SCMS Acct No.:

Account Set-Up Deadline Date:

Total Amount Owed (including Fine/Penalty/Probation/Costs/Fees/Assessments):

Account Set-up Fee (if no current SCMS time-payment account in this Court):

15.00

Minimum Monthly Payment Amount (if total amount owed is under $1,000, the greater of 10%

of the account balance or $25; if total amount is $1,000 or more, 5% of account balance):

FIRST PAYMENT (REQUIRED FOR ACCOUNT SET-UP):

MONTHLY PAYMENT THEREAFTER:

Your time-payment program is subject to approval and/or modification by the Court.

For assistance in

determining your first payment or monthly payments, call Signal Credit Management Services (SCMS) at 800-874-1958.

The account set-up fee of $15.00 (if applicable) and the first month’s payment must be paid before the account will be

set up by SCMS. Court costs and interest will be assessed each month to the total amount owing, as follows:

If your account is in “current status” (all payments made as required) the monthly court cost shall be

$4.75 for one case or $8.25 for two or more cases.

If your account falls into “past due status” (any payment not made as required) the monthly court cost

shall increase to $7.75 for one case or $11.25 for two or more cases, for every month thereafter.

Interest may accrue on all outstanding amounts.

It is in your best interest to make payments larger than the minimum each month and/or pay the account in full early.

HOWEVER, an additional or larger payment made in one month will not change the “Minimum” payment due the next

month. If a payment check is dishonored, a handling fee will be assessed and other statutory fees may be assessed.

Electronic payments (e.g., credit/debit card) will be assessed a transaction fee, currently $3.00.

PLEASE CIRCLE A PAYMENT DUE DATE. IF THE COURT ACCEPTS YOUR PLAN, YOUR PAYMENT WILL BE DUE

ON THIS DAY EACH MONTH. YOU MUST INCLUDE YOUR ACCOUNT NUMBER WITH ALL PAYMENTS.

5th

10th

15th

20th

25th

ALL PAYMENTS ARE TO BE SENT TO:

SIGNAL CREDIT MANAGEMENT SERVICES

P.O. BOX 1849

GIG HARBOR, WA 98335

YOU MUST MAKE PAYMENTS AS REQUIRED AND KEEP YOUR PERSONAL INFORMATION (SUCH AS

ADDRESS, PHONE NUMBERS, EMPLOYMENT) CURRENT WITH SCMS, OR THE FOLLOW ING WILL OCCUR

All

amounts will become immediately due. The court may re-impose suspended portions of the fine/penalty/costs, assess

additional court costs, and refer the account to a collection agency for full collection efforts. For a traffic infraction, the

court may also assess a failure to pay penalty, a hold may be placed on your license until all amounts are paid, and the

Department of Licensing may contact you concerning the status of your license. For a criminal matter, the court may

issue a bench warrant and impose a fine or cost for contempt of court.

By my signature, I promise to meet the above payment requirements and other conditions; and I consent to the Court,

SCMS and their agents (including collection agents) contacting me by any commercially-available means including but

not limited to via email, telephone, cellular phone, text message, or other wireless device, and including via

automatically-dialed calls and messages, and with pre-recorded or artificial voice messages.

SIGNATURE:

DATE: ___________________________

Lower Kittitascounty District Court, Washington Time-Payment Collection Application

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