By requesting an extension for any violation(s): I understand that I have a right to a jury trial and that my signature on this plea of nolo contendere (meaning "no contest") will have the same force and effect as a plea of guilty on the judgment of the Court. I do hereby plead nolo contendere to said offense as charged, waive my right to a jury trial or hearing by the Court, and agree to pay the fine and costs the judge assesses. I understand that my plea may result in a conviction appearing on either a criminal record or a driver's license record. Please note that a $15 Time Payment Fee will be assessed on the 31st day of your extension agreement(s) and failure to comply with this agreement(s) will result in a Capias Pro Fine warrant being issued.
Enter additional violations/ citations below.
Please enter the type of citation that was issued. Ex: ran stop sign
By checking the "I ACCEPT" box above, I am acknowledging that it is my responsibility to email the court a copy of my proof of driver’s license or identification to email@example.com which I will do so immediately upon submitting this form.
Please select an option.
Thank you for your submission.
For additional information, questions or comments, please contact us by: Tel: 469-272-2930 ext. 1041 or Email: firstname.lastname@example.org
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