MUNICIPAL COURT CITY OF DENTON, TEXAS WAIVER AND PLEA FORM TICKET NO. MARK ONE OF THE FOLLOWING PLEAS. FILL OUT THE REMAINDER OF THE FORM AND SIGN IT. IF YOU PLEA EITHER GUILTY OR NO CONTEST, FIND YOUR FINE AMOUNT IN THE FINE SCHEDULE, AND SUBMIT YOUR PAYMENT BY PERSONAL CHECK, CASHIER'S CHECK OR MONEY ORDER, ALONG WITH THE SIGNED PLEA FORM AND MAIL TO 601 E. HICKORY, SUITE D, DENTON, TEXAS 76205 I hereby enter a plea of NO CONTEST and waive appearance for a jury trial. I hereby enter a plea of GUILTY and waive appearance for a jury trial. I hereby enter a plea of NOT GUILTY and request a trial by judge, and this is my Promise to Appear on the said date furnished me by the Court. I hereby enter a plea of NOT GUILTY and request a trial by jury, and this is my Promise to Appear on the said date furnished me by the Court. I, have entered my plea, on this the 20 , to the charge of , Defendant in the above numbered cause, day of , . Signature of Defendant PLEASE PRINT CLEARLY Printed Name of Defendant: Address: City, State and Zip: Telephone Number: American LegalNet, Inc. www.FormsWorkflow.com