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Application for Extension of Time to Pay

Section 66.0.1 of the Provincial Offences Act allows a defendant to make an application for an extension or a further extension of time for payment of a fine by completing an "Application for Extension of Time to Pay Fine" (Form 125) and filing it at the office of the court for consideration by the Clerk of the Court.

The Clerk of the Court may grant an application for extension if good faith payment efforts have been made and the application of extension is not being used to evade payment. The Region of Durham, Provincial Offences Court has outlined good faith payment criteria in the chart below in which the Clerk of the Court will consider in granting an application for extension. A good faith payment should be made prior to applying for an extension.

Upon review of an application for extension, if the Clerk of the Court is satisfied, an "Order Extending Time for Payment" (Form 126) is granted by "Order of the Clerk" with the expectation that the applicant will pay the fine in full by the due date shown on the order (including costs and victim fine surcharge). If the fine cannot be paid in full by the due date, the applicant can apply for a subsequent extension with the expectation that the minimum good faith amount has been paid as shown in the green "Further Extension to Pay Fine Application" chart below.

APPLICATION FOR EXTENSION OF TIME TO PAY FINE

^{ONTARIO COURT OF JUSTICE}

^{PROVINCE OF ONTARIO}

Under Section 66.0.1 of the Provincial Offences Act

^{Form 125}

^{Courts of Justice Act}

^{R.R.O. 1990}

^{Reg. 200}

I, (name of defendant)

of (current address including apartment number)

Municipality (town/city)

Province

Postal Code

Phone Number:

Email:

make this application in good faith and not to evade payment of the fine. In support of this application, I confirm and assert as follows:

1. I was convicted of the following offence and given the following sentence:

Offence Number

Offence Description

Conviction Date

Time given to pay

Court ordered fine amount: $

Amount paid to date: $

Amount outstanding: $

2. My employment status is:

Employed

Unemployed

Corporate Defendant*

^{*Applies only where corporate entity has been convicted.}

I am unable to pay the outstanding amount because: (Kindly set out the circumstances, such as financial, medical, employment, or other, have contributed to the fine not being paid within the time given)

(Check if applicable)

Additional information/supporting documentation attached below.

Please upload any additional or supporting documentation here.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

4. I hereby apply for an extension of time for payment until:

5. This is my first application for an extension of time to pay:

Yes

extension(s).

The last extension of time for payment expired/will expire upon:

Date:

Signature of Defendant

Clear

^{POA 0809 (May 10, 2021) CSD}

Personal information provided to the Regional Municipality of Durham is only used for the purposes of processing your application. The information collected is subject to and handled in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and the Provincial Offences Act. Questions about this collection may be directed to the Access and Privacy Office by email at foi@durham.ca; by mail at 605 Rossland Road East, Whitby, ON, L1N 6A3; or by telephone at 905-668-7711, extension 2204 (for FOI information only - not for court related inquires). If you require assistance with this form, please contact the court office at 905-668-3130 or toll-free at 1-866-779-8839.