Form AOC-465.1 "Cost/Fees & Fines List With Order to Show Cause for Non-payment" - Kentucky

What Is Form AOC-465.1?

This is a legal form that was released by the Kentucky Court of Justice - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2020;
  • The latest edition provided by the Kentucky Court of Justice;
  • Easy to use and ready to print;
  • Available in Arabic;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-465.1 by clicking the link below or browse more documents and templates provided by the Kentucky Court of Justice.

ADVERTISEMENT
ADVERTISEMENT

Download Form AOC-465.1 "Cost/Fees & Fines List With Order to Show Cause for Non-payment" - Kentucky

Download PDF

Fill PDF online

Rate (4.4 / 5) 14 votes
AOC-465.1
Doc. Code: OSC
Case No. ____________________
Rev. 5-20
Page 1 of 1
l e x
Court
____________________
e t
j u s t i t i a
Commonwealth of Kentucky
County
____________________
COST/FEES & FINES LIST
Court of Justice
www.kycourts.gov
WITH ORDER TO SHOW CAUSE
Division
____________________
FOR NON-PAYMENT
COMMONWEALTH OF KENTUCKY
PLAINTIFF
VS.
________________________________________________
DEFENDANT
NOTICE TO DEFENDANT: If the Court has ORDERED you to pay today, take this form with payment immediately to
the Circuit Court Clerk’s Offi ce. Failure to pay as ordered by the Court may result in your arrest.
COURT COSTS/FEES & FINES:
COURT COSTS: ___________
(Add Fine, Court Facility Fee and Library Fee if applicable)
RESTITUTION/FEES/FINES:
Restitution
$ __________
Criminal & Traffi c Fines
$ ___________
Restitution Fee
$ __________
Fish & Game Fines
$ ___________
Charges for Services
$ __________
HWZ Safety Fines
$ ___________
Bond Filing Fees
$ __________
Alcohol Intoxication Fines
$ ___________
Bond 10% Fee
$ __________
Energy Recovery Road Fines $ ___________
DUI Service Fee
$ __________
Handicap Fines
$ ___________
(prior to 4/15/20)
DUI Fee GF
$ __________
Alimony/Support
$ ___________
DUI Fee IIF
$ __________
MCFO (specify)
DUI Fee
$ __________
_____________________
$ ___________
Court Facilities Fee
$ __________
_____________________
$ ___________
PA Partial Fee
$ __________
Total Due: $
___________
Law Library Fee
$ __________
0.00
COMMENTS: __________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
I acknowledge these restitution/costs/fi nes are owed by me.
_____________________________________
DEFENDANT
ORDER TO SHOW CAUSE FOR NON-PAYMENT OF COSTS and FINES
Defendant is granted until __________________________, 2______, at the hour of _________  a.m. OR  p.m. to pay
the Court Costs and Fines identifi ed above. If Defendant fails to pay the Court Costs and Fines by said date, Defendant is
ORDERED to appear before the _____________________  DISTRICT  CIRCUIT COURT on the date and hour
specifi ed above to show cause why he/she should not be held in contempt of court for failing to comply with the
Court’s Order.
Date: _______________________, 2______
___________________________________________ Judge
I certify a true and correct copy of the foregoing ORDER was  hand-delivered OR  mailed to the DEFENDANT and
to his/her ATTORNEY, if any.
__________________________________________ Clerk
Date: ____________________________, 2______
By: _______________________________________ D.C.
Copies to:
Court File
Defendant
Attorney
Print
Reset Form
AOC-465.1
Doc. Code: OSC
Case No. ____________________
Rev. 5-20
Page 1 of 1
l e x
Court
____________________
e t
j u s t i t i a
Commonwealth of Kentucky
County
____________________
COST/FEES & FINES LIST
Court of Justice
www.kycourts.gov
WITH ORDER TO SHOW CAUSE
Division
____________________
FOR NON-PAYMENT
COMMONWEALTH OF KENTUCKY
PLAINTIFF
VS.
________________________________________________
DEFENDANT
NOTICE TO DEFENDANT: If the Court has ORDERED you to pay today, take this form with payment immediately to
the Circuit Court Clerk’s Offi ce. Failure to pay as ordered by the Court may result in your arrest.
COURT COSTS/FEES & FINES:
COURT COSTS: ___________
(Add Fine, Court Facility Fee and Library Fee if applicable)
RESTITUTION/FEES/FINES:
Restitution
$ __________
Criminal & Traffi c Fines
$ ___________
Restitution Fee
$ __________
Fish & Game Fines
$ ___________
Charges for Services
$ __________
HWZ Safety Fines
$ ___________
Bond Filing Fees
$ __________
Alcohol Intoxication Fines
$ ___________
Bond 10% Fee
$ __________
Energy Recovery Road Fines $ ___________
DUI Service Fee
$ __________
Handicap Fines
$ ___________
(prior to 4/15/20)
DUI Fee GF
$ __________
Alimony/Support
$ ___________
DUI Fee IIF
$ __________
MCFO (specify)
DUI Fee
$ __________
_____________________
$ ___________
Court Facilities Fee
$ __________
_____________________
$ ___________
PA Partial Fee
$ __________
Total Due: $
___________
Law Library Fee
$ __________
0.00
COMMENTS: __________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
I acknowledge these restitution/costs/fi nes are owed by me.
_____________________________________
DEFENDANT
ORDER TO SHOW CAUSE FOR NON-PAYMENT OF COSTS and FINES
Defendant is granted until __________________________, 2______, at the hour of _________  a.m. OR  p.m. to pay
the Court Costs and Fines identifi ed above. If Defendant fails to pay the Court Costs and Fines by said date, Defendant is
ORDERED to appear before the _____________________  DISTRICT  CIRCUIT COURT on the date and hour
specifi ed above to show cause why he/she should not be held in contempt of court for failing to comply with the
Court’s Order.
Date: _______________________, 2______
___________________________________________ Judge
I certify a true and correct copy of the foregoing ORDER was  hand-delivered OR  mailed to the DEFENDANT and
to his/her ATTORNEY, if any.
__________________________________________ Clerk
Date: ____________________________, 2______
By: _______________________________________ D.C.
Copies to:
Court File
Defendant
Attorney
Print
Reset Form