On October 23, 2021 a
Stipulation,Agreement
was filed
involving a dispute between
and
Da Silva, Cristiano Moreira,
in the District Court of Indian River County.
Preview
COMP)
rie
oes » “B3\ Jeffrey
Clerk ofR.theSmith
Circuit— Court & Comptroller Ch
4nate?
fly fy’ = Indian River County .
= - Payment Plan Application
oF a. Fae, i ~ Y COMPLETEDIBYCLERK'SOFFICE S|
PER Ss
BON Ee Bal
SeconBIST RW 8ela gee Seperate a tee SI IS ca Re Oc
Be SR i642 NEES alata gee a
Reasonableness disclosure: The clerk shall establish all terms of a payment plan, and the court may review the
reasonableness of the payment plan amount. A monthly payment amount, calculated based upon all fees and all anticipated
fees, service charges, court costs, and fines, is presumed to correspond to the person's ability to pay if the amount does not
exceed 2 percent of the person's annual net income, as defined in s. 27.52(1), F.S, divided by twelve.
Case(s) # Payment Plan #:
2021 CT 009412 A
Payment Calculation i
Beginning Balance -22 8 ech
of Fines, Filing Fees, Service Charges, and Court Costs Due $ 958.00 Sie. a ont i
re od yee .
Partial Payment Setup Fee $ 25.00 ae 1 2E
pitti eed OVE:
Total Amount Due | $983.00 =P ge TAB
ae Ce
. Payment Schedule Aah WO os 3
rs og"
Amount Paid Today $ 81.92 ce ie io ,
Balance for Payment Plan $ 901.08
$81.92 a Month
On the 7THi] day of each id Month,
i beginning (Month
ionihly payment tiIs considered
idered reasonable bieitit
if i
MARCHuntil balance paid in full does not exceed two percent of annual net income
divided by 12)
. The total amount due is to be paid within 12 months.
Payments can be made as follows:
© Online: www.|ndianRiverCoTix.com
e By phone: 1-877-794-0052
e By money order or cashier's check. Please include your payment plan number/name and mail
to: Clerk of the Circuit Court Attn: Collection Department, P.O. Box 1028, Vero Beach, FL
32961
In person: Clerk’s Office — 18t Floor, 2000 16th Avenue, Vero Beach, FL 32960
Cc ~
Applicantws \_)
% COMP
YS
aarp. O Jeffrey R. Smith
Ef SA\ Clerk of the Circuit Court & Comptroller
i ALP Indian River County
<< Payment Plan Application
: “Section 1. |’ACKNOWLEDGEMENT
OF TERMS AND FAILURE TO.COMPLYCONSEQUENCES
See S28 246 SY Ce ea oe
Initial | attest/confirm/swear that the information-provided on this application is true and
accurate to the best of my knowledge. | will abide by the terms of the payment plan and
understand failure to do so may result in the suspension of my driver's license for failure
to pay a financial obligation and potentially my case(s) being referred to a collection
agency and additional collection fees assessed.
A\ and pursuantto F.S. 938.30, | am required to payforal fines, fees,and costs incurred
| understand that court-imposed financial obligations are penalties from my sentence
from my case proceeding(s).
| wish to enroll in a payment plan per s. 28.246(4)(B), F.S.
UGae
OGreane
ee
~ SE
Wee
Sectfon 2:OEffOLR
RD TR Re ee Rg
ga gateseSe
eet GENERAL INFORMATION.
ee
det
fe UReelak
O2 Os
a |
OAS V9Vy
7 eh ME RE Ag, LO SEE ia, ao
(628.246) RSYE
Full Name (Ge = 2
CRISTIANO MOREIRA DA SILVA . oo 8 Ly 7
Street Address 2k a =
1845 ROBALO DRIVE D 101 Ban = SE
City State Zip Codew: 7-2 wy ES -;
VERO BEACH FL 32960 eet Se
| Date of Birth
02/17/1977
Driver License or State ID Number
D241-113-77-057-0 >
=ost = aig
wR 2 ip
ae
| COIS
S os PAYMENT NOTEICANONS 5 SOREL aoa yee
| oe | Datasand-message rates'mayapplys 3). Sitesi
Mo Toe! a)
| I consent to payment notifications by email Email Address A
| RYes O1No BTLMRLE Y@ Co HAL Co
| consent to automated notifications by phone | | consent to payment notifications by text
message
NIA NIA
Phone Number Cell Phone
QS4e BBW MYR Ssh. Qao~ VM}
‘ |
|
a) ||
Applicant Initi
5
SS ,
OF -® Jeffrey R. Smith
Gi%Rea
.
ee “Ba\é Clerk
Indian ofthe
“|
Circuit Court & Comptroller
River County
oe 7
<=> Payment Plan Application
| How much can you afford to pay per month? $ V~
How much can you afford to pay as a down payment? $ Bua
My net annual income pay is $. (select only one) CO weekly 0 monthly 0 annually
Total net annual income pay consists of total salary and wages, minus deductions required by law, including
court-ordered support payments. — s. 27.52(1), F.S.
income sources are:
1. Sotial Security benefits $ O weekly C bi-weekly 0 semi-monthly 0 monthly C yearly
2. Unemployment compensation $ O weekly C1 bi-weekly O semi-monthly G1 monthly OD yearly
: 3. Reemployment Assistance $ paid Oweekly Obi-weekly Osemi-monthly Omonthly Dyearly
4. Union funds $ O weekly 0 bi-weekly 0 semi-monthly 0 monthly 0 yearly
5. Retirement/pensions $ O weekly O bi-weekly 0 semi-monthly 0 monthly 0 yearly
6. Trusts or gifts $ O weekly 0 bi-weekly 0 semi-monthly 0 monthly O yearly
7. Veterans’ benefit $ O weekly 0 bi-weekly 0 semi-monthly 0 monthly 0 yearly
8. Worker's compensation $ O weekly CF bi-weekly 0 semi-monthly GEmonthiga
Em,
yearly
RS lan
9. Rental income $ 0 weekly O bi-weekly 0 semi-monthly 0 monthly yearge inal[a
Ber
Pee
A Ms
tee
10. Dividends or interest $ DO weekly 0 bi-weekly 0 semi-monthly 0 monthly Qtyearly =
fog we
ores io ie
11. Support from family members $ weekly C1 bi-weekly 0 semi-monthly-D
bd =~
aionthlyFy yearly
ah es
QE 78 .
12. Other income not on the list $ O weekly 0 bi-weekly 0 semi-monthi\ge
(AS monthly:
SScbyearly
A
| have the following assets:
1. Cash $
2. Homestead real estate $ Loan balance
3. Non-homestead real estate $ Loan balance $.
4. Car/Motor Vehicle $ Loan balance $
5. Boats/other tangible property $ Loan balance $
6. Money market accounts $
7. Bank/Savings account(s) $ .
8. Stocks/bonds/Certificates of Deposit $
9. |DOO/DO NOTDO (select only one) expect to receive more assets soon. The asset(s) and value(s) are
My total liabilities/debt is: $
Applicant nie hr 2
% COMP
heer Jeffrey R. Smith
foKAU
d 4 E “W\F Clerk
Indian ofthe Circuit Court & Comptroller
River County ;
OD Failing
paymentto plan
updatenotifications.
my contact information may prevent me from receiving
| will notify the Clerk’s office immediately with a request to modify my original
we payment plan if my financial situation changes.
pee a eT ae 7 cM Eee
eal AE ra ies Se Mp peewee
Initial Willfully failing to pay as agreed may result in the Florida Highway Safety and Motor
Vehicles (FLHSMV) issuing an order suspending my driver license and my privilege
to drive 20 days after the date the order of suspension is mailed (ss. 318.15 or
322.245, F.S.).
e FLHSMV will send notification of suspension to the address they have on file.
If | fail to establish a new payment plan, my license will remain suspended. If my
case(s) remains unpaid after 90 days, my case(s) will be referred to a collection
(
4 ’ agency
* The (s. 28.246(6),agency
collection F.S.).may add a 30% percent fee to my outstanding balance,
and | may need to pay the new balance through the collection agency.
A failure to pay timely, which results in any criminal fine assessed by the court not
WU being paid bythe date established bythe court, may result in the arrest ofthe
defendant for failure to pay the fine.
P| Criminal cases may be subject to a non-refundable lien fee of $32.00
Applicant naa OX 3
Document Filed Date
March 07, 2022
Case Filing Date
October 23, 2021
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COMP) rie oes » “B3\ Jeffrey Clerk ofR.theSmith Circuit— Court & Comptroller Ch 4nate? fly fy’ = Indian River County . = - Payment Plan Application oF a. Fae, i ~ Y COMPLETEDIBYCLERK'SOFFICE S| PER Ss BON Ee Bal SeconBIST RW 8ela gee Seperate a tee SI IS ca Re Oc Be SR i642 NEES alata gee a Reasonableness disclosure: The clerk shall establish all terms of a payment plan, and the court may review the reasonableness of the payment plan amount. A monthly payment amount, calculated based upon all fees and all anticipated fees, service charges, court costs, and fines, is presumed to correspond to the person's ability to pay if the amount does not exceed 2 percent of the person's annual net income, as defined in s. 27.52(1), F.S, divided by twelve. Case(s) # Payment Plan #: 2021 CT 009412 A Payment Calculation i Beginning Balance -22 8 ech of Fines, Filing Fees, Service Charges, and Court Costs Due $ 958.00 Sie. a ont i re od yee . Partial Payment Setup Fee $ 25.00 ae 1 2E pitti eed OVE: Total Amount Due | $983.00 =P ge TAB ae Ce . Payment Schedule Aah WO os 3 rs og" Amount Paid Today $ 81.92 ce ie io , Balance for Payment Plan $ 901.08 $81.92 a Month On the 7THi] day of each id Month, i beginning (Month ionihly payment tiIs considered idered reasonable bieitit if i MARCHuntil balance paid in full does not exceed two percent of annual net income divided by 12) . The total amount due is to be paid within 12 months. Payments can be made as follows: © Online: www.|ndianRiverCoTix.com e By phone: 1-877-794-0052 e By money order or cashier's check. Please include your payment plan number/name and mail to: Clerk of the Circuit Court Attn: Collection Department, P.O. Box 1028, Vero Beach, FL 32961 In person: Clerk’s Office — 18t Floor, 2000 16th Avenue, Vero Beach, FL 32960 Cc ~ Applicantws \_) % COMP YS aarp. O Jeffrey R. Smith Ef SA\ Clerk of the Circuit Court & Comptroller i ALP Indian River County << Payment Plan Application : “Section 1. |’ACKNOWLEDGEMENT OF TERMS AND FAILURE TO.COMPLYCONSEQUENCES See S28 246 SY Ce ea oe Initial | attest/confirm/swear that the information-provided on this application is true and accurate to the best of my knowledge. | will abide by the terms of the payment plan and understand failure to do so may result in the suspension of my driver's license for failure to pay a financial obligation and potentially my case(s) being referred to a collection agency and additional collection fees assessed. A\ and pursuantto F.S. 938.30, | am required to payforal fines, fees,and costs incurred | understand that court-imposed financial obligations are penalties from my sentence from my case proceeding(s). | wish to enroll in a payment plan per s. 28.246(4)(B), F.S. UGae OGreane ee ~ SE Wee Sectfon 2:OEffOLR RD TR Re ee Rg ga gateseSe eet GENERAL INFORMATION. ee det fe UReelak O2 Os a | OAS V9Vy 7 eh ME RE Ag, LO SEE ia, ao (628.246) RSYE Full Name (Ge = 2 CRISTIANO MOREIRA DA SILVA . oo 8 Ly 7 Street Address 2k a = 1845 ROBALO DRIVE D 101 Ban = SE City State Zip Codew: 7-2 wy ES -; VERO BEACH FL 32960 eet Se | Date of Birth 02/17/1977 Driver License or State ID Number D241-113-77-057-0 > =ost = aig wR 2 ip ae | COIS S os PAYMENT NOTEICANONS 5 SOREL aoa yee | oe | Datasand-message rates'mayapplys 3). Sitesi Mo Toe! a) | I consent to payment notifications by email Email Address A | RYes O1No BTLMRLE Y@ Co HAL Co | consent to automated notifications by phone | | consent to payment notifications by text message NIA NIA Phone Number Cell Phone QS4e BBW MYR Ssh. Qao~ VM} ‘ | | a) || Applicant Initi 5 SS , OF -® Jeffrey R. Smith Gi%Rea . ee “Ba\é Clerk Indian ofthe “| Circuit Court & Comptroller River County oe 7 <=> Payment Plan Application | How much can you afford to pay per month? $ V~ How much can you afford to pay as a down payment? $ Bua My net annual income pay is $. (select only one) CO weekly 0 monthly 0 annually Total net annual income pay consists of total salary and wages, minus deductions required by law, including court-ordered support payments. — s. 27.52(1), F.S. income sources are: 1. Sotial Security benefits $ O weekly C bi-weekly 0 semi-monthly 0 monthly C yearly 2. Unemployment compensation $ O weekly C1 bi-weekly O semi-monthly G1 monthly OD yearly : 3. Reemployment Assistance $ paid Oweekly Obi-weekly Osemi-monthly Omonthly Dyearly 4. Union funds $ O weekly 0 bi-weekly 0 semi-monthly 0 monthly 0 yearly 5. Retirement/pensions $ O weekly O bi-weekly 0 semi-monthly 0 monthly 0 yearly 6. Trusts or gifts $ O weekly 0 bi-weekly 0 semi-monthly 0 monthly O yearly 7. Veterans’ benefit $ O weekly 0 bi-weekly 0 semi-monthly 0 monthly 0 yearly 8. Worker's compensation $ O weekly CF bi-weekly 0 semi-monthly GEmonthiga Em, yearly RS lan 9. Rental income $ 0 weekly O bi-weekly 0 semi-monthly 0 monthly yearge inal[a Ber Pee A Ms tee 10. Dividends or interest $ DO weekly 0 bi-weekly 0 semi-monthly 0 monthly Qtyearly = fog we ores io ie 11. Support from family members $ weekly C1 bi-weekly 0 semi-monthly-D bd =~ aionthlyFy yearly ah es QE 78 . 12. Other income not on the list $ O weekly 0 bi-weekly 0 semi-monthi\ge (AS monthly: SScbyearly A | have the following assets: 1. Cash $ 2. Homestead real estate $ Loan balance 3. Non-homestead real estate $ Loan balance $. 4. Car/Motor Vehicle $ Loan balance $ 5. Boats/other tangible property $ Loan balance $ 6. Money market accounts $ 7. Bank/Savings account(s) $ . 8. Stocks/bonds/Certificates of Deposit $ 9. |DOO/DO NOTDO (select only one) expect to receive more assets soon. The asset(s) and value(s) are My total liabilities/debt is: $ Applicant nie hr 2 % COMP heer Jeffrey R. Smith foKAU d 4 E “W\F Clerk Indian ofthe Circuit Court & Comptroller River County ; OD Failing paymentto plan updatenotifications. my contact information may prevent me from receiving | will notify the Clerk’s office immediately with a request to modify my original we payment plan if my financial situation changes. pee a eT ae 7 cM Eee eal AE ra ies Se Mp peewee Initial Willfully failing to pay as agreed may result in the Florida Highway Safety and Motor Vehicles (FLHSMV) issuing an order suspending my driver license and my privilege to drive 20 days after the date the order of suspension is mailed (ss. 318.15 or 322.245, F.S.). e FLHSMV will send notification of suspension to the address they have on file. If | fail to establish a new payment plan, my license will remain suspended. If my case(s) remains unpaid after 90 days, my case(s) will be referred to a collection ( 4 ’ agency * The (s. 28.246(6),agency collection F.S.).may add a 30% percent fee to my outstanding balance, and | may need to pay the new balance through the collection agency. A failure to pay timely, which results in any criminal fine assessed by the court not WU being paid bythe date established bythe court, may result in the arrest ofthe defendant for failure to pay the fine. P| Criminal cases may be subject to a non-refundable lien fee of $32.00 Applicant naa OX 3