Fill and Sign the Order Requiring Defendant to Pay Certain Amounts of Form

State of Alabam a Unified Judicial System Form C-7 9 Rev .6/96 ORDER REQUIRING DEFENDANT TO PAY CERTAIN AMOUNT(S) OF MONEY TO THE CLERK OF COURT Case Number IN T HE________________________________________COURT OF ____________________________________,A LABAMA (Circuit or District) (Name of County) … ST ATE OF ALABAMA v. _______________________________________________________________________\ ______ Defendant T his cause coming to be heard on the ______________ day of _____________________, __________, in the presence of the District Attor ney , the def endant, and __________________________________________________________________, as defense attorney , the court finds as follow s: 1. The defendant ow es the follow ing: Court Costs . . .. . . . . . . . . . . . . . . . . . . . . . . .. . $ _________________ Demand Reduction A ssessment (if asses sed by the court . . . $ ___________ Fines . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . $ _________________ (See Section 13A -12-281 , Ala. Code 1975) Resti tution (plus a $1.00 A dministrative Fee w ith each periodic payment to the clerk) . . . . . . . $ _________________ Other (specify ) . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . $ ___________ A ppoi nted Counsel Fees and Expenses . . . . . $ _________________ . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . $ ___________ Victim Compensation A ssessment . . . . . . . . . $ _________________ . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . $ ___________ (See Section 15-23-17(b), A la. Code 1975) TOTA L A MOUNT OWNED BY DEFENDA NT . . . . . . . . . . . . . . . . $ ___________ 2. The victim’s name is indica ted in the cour t record s ________________________________________________________. 3. The defendant’s social se curity number is ______________________________. 4. The defendant is current ly employ ed by ________________________________________________________________. Address: _______________________________________________________________\ __________________________ 5. The defendant is obligated to pay ch ild support in the amount of $________________per_________________________. 6. The defendant’s employ ment income (l ess child support obli gation) is $______________per_______________________. This amount is subject to restitution w ithholding. 7. The Defendant is current ly being garnished in the am ount of $__________________per __________________t o satisfy a judgment in the am ount of $______________pay able to__________________________________________________. 8. T he co-defendant is__________________________________________, Ca se Number __________________________. ________________________________________________________________________\ ________________________. T his court having the authority to impose or order the above-named defendant to pay ce rtain amounts of money to the clerk and this court having considered a ll the factors required by law to be considered, IT IS HEREBY ORDERED AS FOLLOW S: 1. The defendant shall pay the amounts indicated in paragraph 1 above, plus a $1.00 administrat ive fee w ith each periodic pay ment of restituti on to the clerk. 2. … The total amount shall be pai d in F ULL by (date) _______________________________. … The total amount shall be paid in INST ALLMENT S comm encing on (date)___________________________________ in amount of $_____________ per __________________________ until paid in full. … Reference is hereby made to a separate income w ithholding order for fines, cost s, restitution, and other court-ordered monies. 3. Monies shall be paid to t he CLERK________________________________________________________________\ ____ Address: _______________________________________________________________\ _________________________ 4. Pay ment of the amount(s) indicated above shall be a condition of probation, parole, w ork re lease, SIR, or any other release program. 5. The Alabama Department of Correcti ons, the Alabama Board of Pardons and Paroles and/or any other agency having law ful custody of the above-nam e defendant shall collect or w ithhold from any sources of m oney received by the prisoner at the rate of ______% and forw ard monies collected or w ithheld to the clerk of th is court in pay ment of fines, costs, restitution, and other court-or dered monies as ordered above. 6. This court retains jurisdiction of this defendant and this matter until all monies ordered paid herein are paid in full. ________________________________________________________________________\ _______________________. Ordered this (date) _____________________________ ______________________________________________ Judge A COPY OF THI S ORDER SHOULD BE FURNI SHED TO: District Attorne y, Victim, Defense Attorne y, Defenda nt, Proba tion O fficer/Parole Officer, Departme nt of Corrections, Board of Pardons and Parole s, Crime Victim Compensation Commission, Employ er.