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IN THE MAGISTRATE COURT OF WALTON COUNTY, STATE OF GEORGIA Civil VS PLAINTIFF Name DEFENDANT Name Address Mailing Address City, State, Zip Code City, State, Zip Code (Area Code) Phone number (Area Code) Phone number CONSENT JUDGMENT The Plaintiff(s) and Defendant(s) agree that a Judgment shall be entered in the above styled matter, as evidenced by the signatures below, it is HEREBY ORDERED AND ADJUDGED that Judgment(s) be rendered in favor of the Plaintiff(s) and against the Defendant(s) for the following sum of: (Principal amount) (Court costs) Parties further agree that Defendant(s) shall be allowed to make payments on this indebtedness to the Plaintiff(s) at the rate as follows: per (Weekly) (BiWeekly) Parties further agree that said first (1st) payment by Defendant(s) to Plaintiff(s) on the above debt be due and payable on the below named date: The day of 20 Each subsequent payment thereafter shall be due and payable: (Weekly) (BiWeekly) NO FIFA or GARNISHMENT will issue or other action will be taken on said Judgment as long as payments are timely started and timely paid, as agreed to in this Consent Judgment. Should the Defendant(s) fail to make a payment or should a payment be made more than three days beyond the agreed upon due date of payment, the Clerk of the Magistrate Court shall issue a FIFA upon written request from the Plaintiff(s) that payments have not been made as agreed to in this Consent Judgment. All Payments are to be made to the below named person and address below: Plaintiff Name Address City, State, Zip Code (Area Code) Phone number Other additional stipulations (write none if not CONSENTED TO BY: SO ORDERED this day of 20 Plaintiff Defendant Judge, Magistrate Court, Walton County Mail consent form to: Walton County Magistrate Court 303 South Hammond Drive, Suite 116 Monroe, Georgia 30655