______________________________________
______________________________
______________________________________
6. I am entering a Conditional Plea of No Contest to the citation(s) I have listed in Paragraph
3, above. I am entering this plea on the understanding that, if accepted, the Court will withhold the
adjudication of guilt on the above listed citation(s) so that I will have no “points” on my record
from this citation(s). By entering this plea, I understand that I am not admitting or denying that
the infraction was committed, but do not contest the charges. I also understand that if the Court
accepts my plea, I am waiving my personal appearance in this matter and I will be obligated to
comply with the resolution the Court has imposed (which will require payment of the civil penalty
and may require attendance at traffic school) within the time frame provided by the Court or my
driver’s license may be suspended. I understand that by making this request, I am waiving my
right to a speedy trial and further understand that if the Court declines to accept my Conditional
Plea of No Contest, this matter may be set on a regularly scheduled civil traffic infraction docket.
7. If the Court rejects my Conditional Plea of No Contest, I wish to (check one):
___Pay the civil penalty within 30 days from the date of the Court’s ruling;
___Pay the school civil penalty within 30 days of the Court’s ruling and complete
defensive driving school within 60 days of the Court’s ruling. I certify that I am
eligible to elect to attend the defensive driving school; or
___Request a court date.
Signature of Defendant: ______________________________________________
Sworn to (or affirmed) and subscribed before me, the undersigned authority, on
_________________ day of _______________, 20_____.
Personally known ____________ Produced identification ________
Type of ID produced ____________________
Notary Public, Deputy Clerk, or other authority
NAME: _______________________________
Commission No. ________________________
My Commission Expires: _________________
If Affiant/Defendant is under the age of 18, a parent or guardian must sign this plea:
Signature Parent or Legal Guardian
Sworn to (or affirmed) and subscribed before me, the undersigned authority, on
_________________ day of _______________, 20_____.
Personally known ____________ Produced identification ________
Type of ID produced ____________________
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