Please Note: By establishing this payment plan, you waive your right to attend Defensive Driving School. In The County Court Of The Fourteenth Judicial Circuit In And For Jackson County, FloridaCase Number:This is the Case Number Associated with your Traffic CitationCitation Number:*This is the Citation NumberDate Of Ticket* MM slash DD slash YYYY PAYMENT PLANS MUST BE SET UP WITHIN 30 DAYS OF THE DATE THE TICKET WAS ISSUED. ONCE YOU RECEIVE YOUR CONFIRMATION EMAIL, YOU MUST CONTACT OUR OFFICE WITHIN TWO BUSINESS DAYS TO PAY YOUR ONE-TIME PAYMENT PLAN FEE OF $25.00 PLUS THE FIRST MONTHLY INSTALLMENT. THE PAYMENT PLAN WILL NOT BE SET UP UNTIL PAYMENT PLAN FEE AND FIRST MONTHY INSTALLMENT ARE RECEIVED. STATE OF FLORIDA VS.* First Last Ticket Price:*Ticket Monthly Installment*CIVIL INFRACTION PARTIAL PAYMENT AGREEMENTYou, the Defendant, have elected to pay partial payments to the Jackson County Clerk of Courts. You represent that you are unable to pay the civil infraction due on this case without a payment plan. You will pay the amount owed plus an administrative fee of $25.00 (one-time fee) pursuant to this Partial Payment Agreement. Defendant Submits The Following Financial/Contact Information:Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Main Phone*Work PhoneOther PhoneEmail* Enter Email Confirm Email The Defendant Agrees As Follows:1. Acceptable forms of payment are cash, money order, cashier’s check, certified check; debit or credit card. 2. Defendant will pay the one-time fee of $25.00 + The first Monthly Installment with this agreement. 3. DEFENDANT AGREES TO PAY THE FIRST INSTALLMENT PLUS $25.00:*The first installment including the $25.00 Fee.MONTHLY PAYMENTS ARE REQUIRED. BALANCE MUST BE PAID IN FULL WITHIN FOUR MONTHS. FAILURE TO MAKE MONTHLY PAYMENTS WILL RESULT IN SUSPENSION OF THE DRIVER’S LICENSE.Remaining Balance:*Monthly Payments:*For next 3 months.4. Payments may be paid before the due date and/or for more than the agreed upon amount without penaltyOATH: It is hereby acknowledged by the undersigned that all funds due must be paid to the Jackson County Clerk of Court by cash, money order, cashier's check, certified check, debit or credit card in the amounts and on the dates specified by this payment agreement. Please include the case number when sending payments by mail. As part of the agreement, the above named individual hereby certifies that the personal information provided is true and correct and any changes will be immediately provided to the Clerk's Office. *Please Note: By establishing this payment plan, you waive the right to attend Defensive Driving School.Check the box below to acknowledge you have read the oath and all of the personal information is true and correct:* I Agree NameThis field is for validation purposes and should be left unchanged.