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PLC:

a003f2

Agency:

greenwich village court

For:

village court payments

Phone:

518-531-4097

Address:

6 academy street
greenwich, new york 12834

*Required Field

Payment Information

This PLC is for Greenwich Village Court ONLY. Pleas confirm below that you are paying to the correct location.

*Are you making a payment to Greenwich Village Court?:

I confirm I am making a payment to Greenwich Village Court

*Defendant Name:

Middle:

*Last:

Middle name is optional. If you want to enter the information you may enter the Initial or the entire Middle Name. If your name includes Sr., Jr., or III, please include that after your Last Name in the Last Name field.

*Ticket/Case # 1:

*Ticket/Case # 1 Amount:

Ticket/Case # 2:

Ticket/Case # 2 Amount:

Ticket/Case # 3:

Ticket/Case # 3 Amount:

Ticket/Case # 4:

Ticket/Case # 4 Amount:

If you are Paying multiple tickets or cases please explain in notes.

Notes:

Payment Amount

*Payment Type:

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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