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Get Petition To Vacate Civil Assessment Form Santa Clara

SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA FOR COURT USE ONLY STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME PLAINTIFF PEOPLE OF THE STATE OF CALIFORNIA DEFENDANT CASE NUMBER CIVIL ASSESSMENT PETITION AND ORDER Defendant s Request and Declaration to Vacate Civil Assessment IMPORTANT Written proof of any of the following must be attached and cover the time period in question. HOSPITALIZED OVERSEAS MILITARY DUTY INCARCERATED OTHER The following is an explanation of my failure to pay. Please print in English only. I declare under penalty of perjury that the foregoing statement is true and correct to the best of my knowledge and that written proof is attached to this form. Executed at on City and State Date RESERVED FOR CLERK S FILE STAMP Address Telephone Number Signature ORDER RE CIVIL ASSESSMENT COURT USE ONLY The Court having read and considered the Petition regarding vacating the Civil Assessment pursuant to PC 1214. SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA FOR COURT USE ONLY STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME PLAINTIFF PEOPLE OF THE STATE OF CALIFORNIA DEFENDANT CASE NUMBER CIVIL ASSESSMENT PETITION AND ORDER Defendant s Request and Declaration to Vacate Civil Assessment IMPORTANT Written proof of any of the following must be attached and cover the time period in question* HOSPITALIZED OVERSEAS MILITARY DUTY INCARCERATED OTHER The following is an explanation of my failure to pay. Please print in English only. I declare under penalty of perjury that the foregoing statement is true and correct to the best of my knowledge and that written proof is attached to this form* Executed at on City and State Date RESERVED FOR CLERK S FILE STAMP Address Telephone Number Signature ORDER RE CIVIL ASSESSMENT COURT USE ONLY The Court having read and considered the Petition regarding vacating the Civil Assessment pursuant to PC 1214. 1 B hereby makes the following order Petition to vacate is Denied Granted Judicial Officer If your petition is granted the Department of Revenue will be notified for refund of the Civil Assessment fee. You may contact them at P. O. Box 1897 San Jos CA 95109-1897 CR-6058 REV 8/12 OFFICE ADDRESS 1555 Berger Drive Bldg. Please print in English only. I declare under penalty of perjury that the foregoing statement is true and correct to the best of my knowledge and that written proof is attached to this form* Executed at on City and State Date RESERVED FOR CLERK S FILE STAMP Address Telephone Number Signature ORDER RE CIVIL ASSESSMENT COURT USE ONLY The Court having read and considered the Petition regarding vacating the Civil Assessment pursuant to PC 1214. 1 B hereby makes the following order Petition to vacate is Denied Granted Judicial Officer If your petition is granted the Department of Revenue will be notified for refund of the Civil Assessment fee. 1 B hereby makes the following order Petition to vacate is Denied Granted Judicial Officer If your petition is granted the Department of Revenue will be notified for refund of the Civil Assessment fee. You may contact them at P. O. Box 1897 San Jos CA 95109-1897 CR-6058 REV 8/12 OFFICE ADDRESS 1555 Berger Drive Bldg.

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