DEFERRED DISPOSITION REQUEST
You may submit this form by signing and emailing to "court@leandertx.gov"
or Return by mail or fax to:
Leander Municipal Court, 201 N. Brushy
St, Leander, TX 78641
Phone:(512) 259-1239 Fax: (512) 690-2214
CITATION NO:
OFFENSE:
FULL NAME: Driver’s License # and State
I am entering a plea of GUILTY/NOLO CONTENDERE to this traffic violation and waive
my right to a jury trial.
I have had citations within the last year immediately preceding the date of the
alleged offense in this case.
I affirm that I am not currently on a deferred disposition for any other charge in any
other court.
Date of Request (mm/dd/yyyy) Email
Mailing Address
City, State, Zip Code
Home Phone
Cell Phone
I affirm that I do not have a CDL. (As proof, a copy of your driver's license or ID and insurance must be
provided to Court. It is a violation of the law to drive in Texas without insurance coverage.)
Sign this form and return to court by email to "court@leandertx.gov"
OR -
Print out the form and mail or fax to the numbers shown above.
***(Required) Defendant's signature ______________________________________________________________
