TR-215 NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: DECISION AND NOTICE OF DECISION (Trial by Written Declaration--Vehicle Code, § 40902) CITATION NUMBER: 1. The court's decision was entered on (date): 2. Bail amount: $ 3. THE COURT FINDS the defendant a. Violation #1 (describe): b. Violation #2 (describe): c. Violation #3 (describe): d. Violation #4 (describe): THE COURT ORDERS 4. Defendant shall pay the following amount: $ a. Total fines: $ b. Total fees: c. Total fines and fees (a plus b): $ d. Credit for bail ordered applied: $ e. TOTAL AMOUNT OWED (c minus d): $ CASE NUMBER: Not guilty Not guilty Not guilty Not guilty Guilty. Guilty. Guilty. Guilty. Fine: Fine: Fine: Fine: $ $ $ $ Dismiss. Dismiss. Dismiss. Dismiss. Fee: Fee: Fee: Fee: $ $ $ $ TO BE PAID BY (date): 5. Clerk shall refund to defendant the following amount: $ a. Bail amount: b. Subtraction of total fines (if any): $ c. Subtraction of total fees (if any): $ d. Total fines and fees to be subtracted (b plus c): $ e. TOTAL AMOUNT ORDERED REFUNDED (a minus d): $ (should be received by mail within 60 days) 6. Other orders (specify): Date: JUDICIAL OFFICER IF YOU WISH TO REQUEST A NEW TRIAL, YOU MUST SUBMIT A REQUEST FOR NEW TRIAL (TRIAL DE NOVO) (FORM TR-220) WITHIN 20 DAYS OF THE DATE STATED IN ITEM 2 OF THE CLERK'S CERTIFICATE OF MAILING (see reverse). FOR USE BY COURT CLERK: The evidence submitted by defendant is enclosed. (Certificate of mailing on reverse) Form Adopted by the Judicial Council of California TR-215 [New January 1, 1999] DECISION AND NOTICE OF DECISION (Trial by Written Declaration--Traffic) Vehicle Code, § 40902 2001 © American LegalNet, Inc. PEOPLE v. DEFENDANT (Name): CASE NUMBER: CLERK'S CERTIFICATE OF MAILING 1. I am not a party to this action. 2. I caused the Decision and Notice of Decision to be served by enclosing a copy in an envelope addressed as shown below and caused the envelope to be deposited with the United States Postal Service with first-class postage fully prepaid at (city): , California on (date): 3. I certify that the foregoing is true and correct. Date: Clerk, by , Deputy DEFENDANT (name and address): AGENCY (name and address): TR-215 [New January 1, 1999] DECISION AND NOTICE OF DECISION (Trial by Written Declaration--Traffic) Page two 2001 © American LegalNet, Inc.