Judge

PIMA COUNTY CONSOLIDATED JUSTICE COURT

240 NORTH STONE AVENUE, TUCSON, AZ 85701-1130 (520)724-3171

STATE OF ARIZONA

Estado de Arizona

Plaintiff / Demandante CIVIL TRAFFIC

MOTION Pedimento De Trafico Civil

Case Number

Numero de

Caso OR / O

Citation Number

Numero de infraaccion

Defendant Name / Nombre del Acusado

Address / Direccion

City State Zip Code

Ciudad Estado Codigo Postal

Phone Number / Numero de telefono

MOTION TO/peticion para: □ Lift Suspension □ Continue/Extension □ Other Leventar Suspension Postergar / Prorroga Otro

For the following reason(s)/ El/los siguientes(s) motive(s):

VERIFICATION / Confirmación

I swear that I that I have read this motion, and that the statements are true to the best of my knowledge. Juro que soy el acusado en esta

acción, que he leído esta petición, y que las declaraciones son fieles a lo mi mejor de mi conocimiento.

Clerk Initials/Iniciales del actuario:

CLERK USE ONLY

□ Interpreter Needed

Charge 1. ______________ Adjudicated on: ______/______/______

Charge 2. ______________ Adjudicated on: ______/______/______

Charge 3. ______________ Adjudicated on: ______/______/______

Charge 4. ______________ Adjudicated on: ______/______/______

Charge 5. ______________ Adjudicated on: ______/______/______

□Default □Suspension

□Default □Suspension

□Default □Suspension

□Default □Suspension

□Default □Suspension

□ TOTAL DUE: $_________________________

□ Provide Proof of Repair□ Complete DDS

□ Appear at Traffic Trial/Hearing Community Service

□Provide Payment Timely

□Complete Conditions set by Judge/Hearing Officer

JP151A (Rev 11/21/19) mt/jb www.jp.pima.gov Original-Court Copy-Defendant

□ Account in FARE Collections TTEAP Hold

Defendant has failed to complete the following:

□ Appear at Arraignment/Extension □Provide proof of Ins/Reg/MVR □Provide Proof of Equip/Child Restraint

Signature / firma

Check to verify submitting with electronic signature

□ Requests for reasonable accommodations for persons with disabilities must be made at least 3 working days in advance of scheduled court proceedings.Aquellos con discapacidades que requieran modificaciones razonables deberían solicitarlas al tribunal por lo menos 3 días hábiles antes de su audienciaprogramada

Email Address / Correo electrónico

_______________________

Defendant

Defendant Attorney

Date / Fecha Served in Armed Forces Yes NoPresto Servicio en las Fuerza Armadas

Financial Hardship / Dificultad Económica