Santa Cruz — SUPCR-1141

Source: https://www.santacruz.courts.ca.gov/system/files/forms-and-filings/supcr-1141-fines-and-fees-information.pdf

SUPCR 1141 SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ FOR COURT USE ONLY 701 OCEAN STREET, ROOM 120 SANTA CRUZ, CA 95060

PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT:

FINES & FEES INFORMATON CASE NUMBER: SEE BELOW

Name: DOB: AKA:

1. Case Number: Amount owed: • Case is Active Dismissed in Collections • Amount: is Suspended in full/deemed satisfied Reduced to: Payment Plan: Amount per month: Due date:

2. Case Number: Amount owed: • Case is Active Dismissed in Collections • Amount: is Suspended in full/deemed satisfied Reduced to: Payment Plan: Amount per month: Due date:

3. Case Number: Amount owed: • Case is Active Dismissed in Collections • Amount: is Suspended in full/deemed satisfied Reduced to: Payment Plan: Amount per month: Due date:

4. Case Number: Amount owed: • Case is Active Dismissed in Collections • Amount: is Suspended in full/deemed satisfied Reduced to: Payment Plan: Amount per month: Due date:

5. Case Number: Amount owed: • Case is Active Dismissed in Collections • Amount: is Suspended in full/deemed satisfied Reduced to: Payment Plan: Amount per month: Due date:

6. Case Number: Amount owed: • Case is Active Dismissed in Collections • Amount: is Suspended in full/deemed satisfied Reduced to: Payment Plan: Amount per month: Due date:

Form Adopted for OPTIONAL USE FINES & FEES INFORMATION Page 1 of 1 Superior Court of Santa Cruz County SUPCR 1141 01/01/24