PROBATIONER222S REQUEST FOR PROBATION MODIFICATION Form Adopted for Mandatory Use - Local Rules of the Superior Court of California Page 1 of 1 TUO-CR-400 (Revised ) TUO-CR-400 I, the undersigned defendant, was convicted of a misdemeanor violation in this court, and was placed on a grant of ( ) Summary (court) Probation ( ) Formal Probation. I find that I am unable to comply with all the terms and conditions of my probation order because (state reason why): . I request that the court modify my probation as indicated below: (State what term(s) of your probation you request to be modified): . I understand that if I do not appear at the date and time given to me, all the original terms and conditions of my probation remain in effect and the court may order me to show cause why my probation should not be revoked if I do not fully comply. I declare under penalty of perjury that the foregoing is true and correct, and that this request was executed on . Signature: Type or Print Your Name Here My mailing address is: Address City State Zip On, I, , clerk, returned the above form to the defendant, ( ) at the address listed above ( ) at the counter, with the court date as indicated below: Your court date is set for at 8:15 a.m. in Dept. 4. ( ) DA ( ) Defendant ( ) Probation ( ) ORR SUPERIOR COURT OF CALIFORNIA COUNTY OF TUOLUMNE 60 N. Washington Street Sonora, CA 95370 Phone: (209) 533-5563 The People of the State of California, Plaintiff, vs. Defendant. Case Number: PROBATIONER222S REQUEST FOR PROBATION MODIFICATION Space below for use of Court Clerk only American LegalNet, Inc. www.FormsWorkFlow.com