Date: ____________________

 

 

Superior Court of California

County of ______________

 

Court Address: _________________

 

_____________________________

______________________________

______________________________

 

Please accept this correspondence as my formal plea of NOT GUILTY and request for a Trial by Written Declaration for the traffic infraction citation referenced below with all relevant information:

 

My Name:_____________________________

Citation Number:________________________

Citation Date:___________________________

Driver License #:________________________

Telephone #:____________________________

Mailing address:_________________________

                    ____________________________

                    ____________________________

 

Attached please find a check in the amount of __________ for the bail amount due in full. Please forward all necessary forms for Trial by Written Declaration to the above address.

 

Sincerely,

 

__________________________

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