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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

 

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:

2. My employment status is:
 

**Applies only where corporate entity has been convicted.

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

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