Here is the text we could read:
State Of Alabama
Unified Judicial System
Form PS-22 Rev. 04/2018
Attachment A
NOTICE TO CREDIT CARD PAYORS
Case Number
______________________________COURT, _________________________ COUNTY
Paying any amount owed to the Alabama Courts for court costs, fines, etc. while using a credit
card, charge card or debit card will require an additional 4% credit card processing fee; also
called administrative or convenience fee. This 4% credit card processing fee will have a
minimum of $1 if 4% of the amount being paid to the courts calculates to less than $1.
Anything that calculates to an amount over the $1 minimum will be calculated at 4% exactly.
For example, if paying $20 to the Alabama Courts, the 4% convenience fee
calculates to $0.80 and will be rounded up to $1. The total collected would
be $20 + $1 = $21. Likewise, paying $26 to the Alabama Courts calculates
to a $1.04 convenience fee. The total collected would be $26 + $1.04 = $27.04.
The additional 4% is not an added portion to the judgment or the amount owed; rather it
covers the processing of the credit card payment pursuant to subpara. (d) (2) of Act 2014-166.
NOTICE: YOU ARE NOT OBLIGATED TO USE A CREDIT CARD, HOWEVER, SHOULD YOU
DECIDE TO USE A CREDIT, CHARGE OR DEBIT CARD, A 4% ADMINISTRATIVE FEE
(CONVENIENCE FEE) WILL BE ADDED TO THE AMOUNT OWED TO THE ALABAMA COURTS.
Also, although you have the right under federal law and the agreement with your Credit Card
Company or bank to contest a charge, by using a credit card, charge card, or debit card to pay
what you owe to the Alabama Courts for your judgment, restitution, child support, fines,
court costs, and/or other fees, you voluntarily waive that right.
WARNING: YOU COULD FACE FINES, IMPRISONMENT AND OTHER PENALTIES UNDER
FEDERAL AND STATE LAW SHOULD YOU STEAL, FRAUDULENTLY USE, OBTAIN, OR IN ANY
WAY MISUSE THE CREDIT CARD OF ANOTHER PERSON.
Name of Payor: __________________________________ Date: _______________
Dollar Amount: _____________
Notice to Credit Card Payors
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Alabama state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from eforms.alacourt.gov (2023-03)
- Page(s): 1
- Fields(s): 6
- Average fields per page: 6
- Reading Level: Grade 12
- LIST Grouping(s):
MO-00-00-00-00, MO-12-00-00-00.
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Identified Data Fields:
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When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
case_number was Case Number (0.65 conf)undefined was undefined (0.38 conf)court was COURT (0.45 conf)name_payor was Name of Payor (0.38 conf)signature_date was Date (1.00 conf)dollar_amount was Dollar Amount (0.43 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
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