Lake County Clerk of the Circuit Court
Neil Kelly, Clerk

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Court Payment Plan Forms

Application for Criminal Indigent Status (25 KB)

This form is used to determine if persons qualify for the services of the Public Defender in criminal cases. There is a $50.00 application fee for each form completed and reviewed.

Application for Determination of Civil Indigent Status (24 KB)

This form is used to determine if persons qualify to have the filing fee waived on a civil case or to enter into a payment contract for costs incurred on a civil case.

Payment Contract (81 KB)

This form is used to set up a payment plan for fines/costs in felony, misdemeanor, criminal traffic, and civil traffic cases. There is a $25.00 administrative fee for each contract signed. All late fees and clearance fees must be paid before a payment agreement can be signed on a civil traffic citation.

Payment Contract for Restitution (17 KB)

This form is used to set up a payment plan for court-ordered restitution in felony, misdemeanor, and criminal traffic cases. There is a $3.50 administrative fee for each restitution payment made.

Civil Payment Contract (17 KB)

This form is used to set up a payment plan for any costs or service charges incurred on a civil case. There is a $25.00 administrative fee for each contract signed.

Blank Partial Payment Coupon (17 KB)

These coupons can be used to mail in payments or to make payments in person for anyone enrolled in the Clerk's Office payment plan.

 

NOTICE: Under Florida law, email addresses are public records. If you do not want your email address released in response to public records requests, do not send electronic mail to the Clerk’s Office. Instead, contact this office by phone or in writing.