Financial Disclosure Report for Payment Plans

Instructions for the Financial Disclosure Report for Payment Plans

  1. Print out and complete the form (PDF).
  2. Remember to send a copy of your driver's license.
  3. Mail to:
    • Bedford Town Court
      321 Bedford Road
      Bedford Hills, NY 10507

Financial Disclosure Form Page 1

Financial Disclosure Form Page 1

Financial Disclosure Form Page 2

Financial Disclosure Form Page 2