Fill and Sign the Gf 161a Income Assignment Order for Unpaid Fines and Form

GF-1 7 1, 0 4/0 7 J u dgm ent f o r U np aid F in es, F orfe it u re s a n d O th er F in ancia l O blig atio ns § §4 8.2 35 (8 ), 5 4.4 6(3 ), 5 5.0 75 (4 ), 5 5.1 8(3 ), 3 45 .4 7, 3 45 .4 9 , 7 67.0 4 5(6 ), 7 7 8.3 0, 7 85.0 4 , 8 15(8 ), 9 38.2 3 5(8 ) a nd 9 73.0 5(4 ), W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. S TA TE O F W IS C O NSIN , C IR CUIT C O URT, C O UNTY C ase C aptio n: J u dgm en t f o r U npaid F in es, F orfe it u re s a n d O th er F in an cia l O blig atio ns C ase N o. For O ff ic ia l U se T H E C O URT F IN DS: 1 . The n am e a nd a d dre ss o f th e d ebto r: N am e: D O B: A ddre ss: C it y /S ta te /Z ip C od e: 2 . The n am e a nd a d dre ss o f th e c re dit o r: N am e: A ddre ss: C it y /S ta te /Z ip C od e: 3 . The d ebto r w as o rd ere d to p a y a f in e , f o rfe it u re , c o urt c o sts , a sse ssm ents , g uard ia n a d lit e m f e es, c o urt a ppo in te d a tto rn ey f e es, s u rc h arg es o r D NR r e stit u tio n ( if a pplic a b le ). T he to ta l o b lig atio n w as n ot p a id a nd th e a m ount o w ed is : $ . T H E C O URT O RDER S: 1 . Ju dgm ent is g ra nte d in f a vo r o f th e c re d it o r a nd a ga in st th e d efe nda nt/d ebto r f o r th e a m ount o w ed . T w elv e p erc e nt ( 1 2% ) in te re st w il l b e a dde d f r o m th e d ate o f e ntr y o f ju dgm ent. 2 . This ju dgm ent s h all b e e nte re d in th e ju dgm ent a n d lie n d ock e t. 3 . No d ock e tin g f e e s h all b e c h arg e d. BY T H E C O URT: Court O ffic ia l Nam e P rin te d o r T yp ed D is tr ib utio n: 1 . Court – O rig in al 2 . Defe ndant/D ebto r Date P le ase n ote : E ve n w hen y o u p ay th is d e bt in f u ll, th e ju dgm ent e nte re d in th e ju dgm ent a n d lie n d ock e t m ay r e m ain u nsa tis fie d u ntil y o u p a y th e $ 5 f e e to h ave it s a tis fie d . A n u nsa tis fie d d ebt c o uld a dve rs e ly a ffe ct y o ur c re dit r a tin g a n d, c o nse que ntly , y o ur a bilit y to o bta in a lo a n.