CONSENT JUDGMENT

(COURT’S JURISDICTIONAL NAME AND ADDRESS HERE)


                                                      Case Number:                      
Name of Petitioner/Plaintiff.
CONSENT JUDGMENT
FOR COURT FEES AND COSTS
                                                         
Name of Respondent/Defendant.

An application for deferral of court fees and costs has been granted in this case.  Pursuant  to A.R.S. § 12-302(F), the applicant signed a consent to entry of judgment for court fees and costs not taxed to another party that remain unpaid for thirty calendar days following entry of final judgment.  MORE THAN thirty (30) days have elapsed since the entry of final judgment and  unpaid fees and costs exists which the applicant is responsible to pay.

[  ] The applicant has not filed a supplemental application for waiver or further deferral; OR,
[  ] The applicant has filed a supplemental application for waiver or further deferral which has been denied by the court, AND EITHER:

[  ] More than twenty (20) days have elapsed since the denial and the applicant has neither requested a hearing nor paid the unpaid fees and costs;
OR,
[  ] Within twenty (20) days the applicant has requested a hearing and, after hearing, the court has affirmed the denial and the applicant has failed to pay the fees and costs within the time prescribed by the court;
OR,
[  ] The applicant has filed a supplemental application.  Further deferral has been granted and the applicant failed to pay the amount due as ordered.

 JUDGMENT IS GRANTED in favor of this court and against (print applicant’s name here)                                                                    in the amount of $                          , representing the total amount of deferred court fees and costs remaining unpaid that the applicant is responsible to pay.



Dated:                                                                                                                   Judicial Officer