Judge PIMA COUNTY CONSOLIDATED JUSTICE COURT 240 NORTH STONE AVENUE, TUCSON, AZ 85701-1130 (520)724-3171 STATE OF ARIZONA Estado de Arizona Plaintiff/Demandante CIVIL TRAFFIC MOTION Pedimento De Trafico Civil Case Number Defendant Name/Nombre del Acusado Address/Direccion Numero de Caso OR/O City Ciudad State Estado Zip Code Codigo Postal Citation Number Numero de infraaccion MOTION TO/peticion para: Lift Suspension Extension Levantar Suspension Prorroga Phone Number/Numero de telefono Other Otro For the following reason(s)/ El/los siguientes(s) motive(s): VERIFICATION/Confirmación I swear that I am the defendant in this action, that I have read this motion, and that the statements are true to the best of my knowledge. Juro que soy el acusado en esta acción, que he leído esta petición, y que las declaraciones son fieles a lo mi mejor de mi conocimiento. Date/Fecha Clerk Initials/Iniciales del actuario: Signature/firma CLERK USE ONLY Interpreter Needed Charge 1. ___________ Charge 2. ___________ Charge 3. ___________ Charge 4. ___________ Charge 5. ___________ Adjudicated on: ____/____/____ Adjudicated on: ____/____/____ Adjudicated on: ____/____/____ Adjudicated on: ____/____/____ Adjudicated on: ____/____/____ Fine/Fees owed on charge 1. $__________ Fine/Fees owed on charge 2. $__________ Fine/Fees owed on charge 3. $__________ Fine/Fees owed on charge 4. $__________ Fine/Fees owed on charge 5. $__________ Default Suspension Default Suspension Default Suspension Default Suspension Default Suspension Account in Valley Collections Account in FARE Collections TTEAP M.I. Waived Defendant has failed to complete the following: Community Service ____hrs to be completed Provide proof of Ins/Reg/MVR Provide Proof of Equip/Child Restraint Complete DDS Provide Proof of Repair Provide Payment Timely Provide Payment Timely Appear at Arraignment/Extension Appear at Traffic Trial/Hearing Complete Conditions set by Judge/Hrg Offcr Other JP151A Rev 09/19/16 mt/lv/fb/ls www.jp.pima.gov American LegalNet, Inc. www.FormsWorkFlow.com Original-Court Canary-Defendant