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THE STATE OF TEXAS § IN THE MUNICIPAL COURT

VS § CITY OF BALCH SPRINGS

§ DALLAS COUNTY, TEXAS

Defendant's Name

If you were going 25 mph or more over the posted speed limit, you are NOT eligible for this option. You must have a valid driver's license that is not a commercial license. If you have had a ticket deferred in the last 12 months you are NOT eligible for this option. If you are under the age of 25 you MUST take a defensive driving course as a condition of the deferred disposition. To apply for deferred disposition you must have your request postmarked on or before the 20th day from the issuance date of your citation.

• This request form must be Signed by defendant.
• A copy of your valid Driver's License and auto Insurance. (Proof of insurance must show defendant as a covered driver on the policy and must stay valid for the duration of the probation period of 180 days.
• A self addressed, stamped envelope.
• A cashier's check or money order (Payable to the City of Balch Springs) for the fine amount, (NO PERSONAL CHECKS OR CASH). Please contact the court at 972-557-6055 for fine amount if not listed on your citation.

Mail Correspondence to:

City of Balch Springs

3117 Hickory Tree

Balch Springs, Texas 75180

Once we receive your paperwork we will process it and will return an order pertaining to your deferred disposition. Failure to include all required items will result in a denial of your request.

Waiver of Trial and Motion for Deferred Disposition

I, the above styled defendant in this case, hereby make my motion for deferred disposition in the matter. In connection with this motion, I enter my plea of no contest. I hereby waive my right to trial by Judge or Jury.

I understand that if this motion is granted the Court will defer final disposition for a period of one hundred eighty (180) days subject to the conditions set forth in the order.

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Defendant's Signature

Date