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Exempt From VRA Certif. IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA ) ) ) Plaintiff, ) ) vs. ) ) ) CASE NO. CR ) Defendant. ) REQUEST FOR PAYMENT SCHEDULE ) OR REDUCTION IN AMOUNT OWED A Judgment for Cost of Appointed Counsel was entered against me in the amount of $ . I still owe $ . Payment of this amount would impose hardship on me or my immediate family because Therefore, I request that the court: allow me to make payments on the j udgment on the following payment schedule: Payment Amount: $ Due: Monthly Weekly Other: Date of First Payment: defer payment of the judgment until: reduce the amount of the judgment to $ . (You must attach supporting documents to justify reducing the judgment amount.) Date Defendant’s Signature Mailing Address City State ZIP I certify that on a copy of this request was sent to the plaintiff’s collections office. Clerk: PROSCECUTING AUTHORITY’S STATEMENT OF AMOUNT DUE (The prosecuting authority should submit a balance due on the judgment within 10 days after distribution of the above Request. The attorney for the prosec uting authority may file a separate response.) Balance due on judgment as of $ (Date) Date Signature Print Name and Title CR-545 (6/92) Crim. Rule 39(c)(2)(C) REQUEST FOR PAYMENT SCHEDULE OR REDUCTION