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H. inspection certificate other specify Declaration continued on reverse Form Adopted by the Judicial Council of California TR-205 New January 1 1999 Trial by Written Declaration Traffic PEOPLE v. DEFENDANT Name 6. TR-205 NAME OF COURT FOR COURT USE ONLY STREET ADDRESS To keep other people from seeing what you entered on your form please press the Clear This Form button at the end of the form when finished. MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT REQUEST FOR TRIAL BY WRITTEN DECLARATION Vehicle Code 40902 CITATION NUMBER TO BE FILLED OUT BY COURT CLERK CASE NUMBER A. TR-205 NAME OF COURT FOR COURT USE ONLY STREET ADDRESS To keep other people from seeing what you entered on your form please press the Clear This Form button at the end of the form when finished* MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT REQUEST FOR TRIAL BY WRITTEN DECLARATION Vehicle Code 40902 CITATION NUMBER TO BE FILLED OUT BY COURT CLERK CASE NUMBER A. DUE DATE for receipt of this form and any unpaid bail specify B. Bail amount required C. Bail amount already deposited by defendant D. Date mailed or delivered by clerk E* Mail or deliver completed form evidence and mail to the Clerk of the specify Court at mailing address 1. I have reviewed the Instructions to Defendant Trial by Written Declaration form TR-200. 2. I request to have a trial by written declaration* 3. The facts contained in the Declaration of Facts on the reverse are personally known to me and are true and correct. 4. I know that I have the right not to be compelled to be a witness against myself* I understand and agree that by making any statement I am giving up and waiving that right and privilege. 5. EVIDENCE The following evidence supports my case and includes everything I want the court to consider in deciding my case a* e. photographs specify total number diagram b. f* medical record car repair receipt c* g. registration documents insurance documents d. DECLARATION OF FACTS Type or print only. State what happened and explain all the items of evidence you checked in item 5 on the reverse and tell how they support your case. You may add additional pages. Name Current mailing address STATEMENT OF FACTS begin here 7. Number of pages attached I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date. TYPE OR PRINT NAME SIGNATURE For your protection and privacy please press the Clear This Form button after you have printed the form* Save This Form Print This Form Page two. DEFENDANT REQUEST FOR TRIAL BY WRITTEN DECLARATION Vehicle Code 40902 CITATION NUMBER TO BE FILLED OUT BY COURT CLERK CASE NUMBER A. DUE DATE for receipt of this form and any unpaid bail specify B. Bail amount required C. Bail amount already deposited by defendant D. DUE DATE for receipt of this form and any unpaid bail specify B. Bail amount required C. Bail amount already deposited by defendant D. Date mailed or delivered by clerk E* Mail or deliver completed form evidence and mail to the Clerk of the specify Court at mailing address 1.

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