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General Information

I do hereby plead guilty/nolo contendere to said offense as charged, waive my right to a jury trial or hearing by the Court, waive my right to further discovery, 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 select one of the following
1. Guilty
2. Nolo Contendere (No Contest)
3. I have previously pled
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I am requesting....*
1. community service in lieu of the court cost and fine.
2. an extension to complete community service.
Reason for extension request: *
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Disclaimer
Submitting this form does not guarantee an extension. The Judge will review your request and make a determination. The defendant will be notified of the decision.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) the information you supplied is true and correct, 2) your request will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.
1. I agree
Electronic Signature*
Date of Signing*
Date of Signing

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