(new form) 415 for with w. Text Box Flipbook PDF

(new form) 415 for with w. Text Box

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SAMPLE FORM TO ELIMINATE OR REDUCE TRAFFIC DEBT

Updated 3/22

Insert county of the unpaid traffic ticket

Insert case number of unpaid traffic ticket

Where to indicate if you have an attorney helping you obtain relief for unpaid traffic ticket. If you do not have an attorney, check the box Use this section to tell the court information about your financial situation including (1) how much money you make and (2) how much you spend on certain bills every month. If there are items in this section that do not apply to you, put $0 in the box. Use this section to tell the court if you receive government assistance.

Use this section to request the court to provide relief from the money owed on the unpaid traffic ticket (for example eliminating some or all of the debt).

This section form has to be completed by yourself and a notary (or another authorized person).

The District Attorney’s Office must get a copy of this form so they will be aware of your request. Use this section to tell the court how you delivered this form to the District Attorney’s office and who received the form, if you know.

This section will tell you whether the judge eliminated your debt (granted) or did not eliminate your debt (denied) and the details, if any, of the judge’s order.

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