TACBT Payment Plan Request Form

  • Payment Plan Request

    Personal Information
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  • Date of Birth of Applicant*
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  • Additional Questions

  • Are there any unsatisfied judgements against you?*
  • Have you declared bankruptcy in the last ten (10) years?*
  • Have you had property foreclosed upon or given title or deed in lieu thereof in the last seven (7) years?*
  • Are you a party to a lawsuit?*
  • Do you have any past due obligations owed to or insured by any agency of the federal government?*

  • Program Selection

    These options can be changed later.
  • Which Board & Train Program are you interested in?*
  • What is your requested drop-off date? *
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  • Certification

  • Should be Empty: