P TR - 25 R 10 - 1 7 MANDATORY APPLICATION AND DECLARATION TO VACATE OR REDUCE CIVIL ASSESSMENT ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO. (Optional: FAX NO. (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Traffic Department, Central Division 2317 Tuolumne Street Fresno, California 93721 DEFENDANT: APPLICATION AND DECLARATION T O VACATE OR REDUCE CIVIL ASSESSMENT CASE NUMBER: Defendant requests that the civil assessment in this action be vacated or reduced . Defendant asserts that the reason(s) set out below constitute good cause and supports vacating or reducing the civil assessment: ( you must complete this section and you must attach written proof that the selected item existed on the due date above ) DATE OF FAILURE TO APPEAR: DATE OF FAILURE TO PAY: Hospitalization Incarceration Out of state military duty Financial Hardship (TR - 105RC ) must be completed and submitted with application Other I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on: at (Date) (City and State) (TYPE OR PRINT NAME) (SIGNATURE) (Address of Defendant) (City) (State) (Zip Code) ORDER The application to vacate or reduce the civil assessment is: Denied. Reason for Denial (Optional): If your case has been referred to a Collect ion Agency you must make arrangements wit h that agency to pay. Granted. Civil Assessment Vacated Civil Assessment Reduced to $ Date: Judge of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com P TR - 25 a R 10 - 1 7 MANDATORY APPLICATION AND DECLARATION TO VACATE OR REDUCE CIVIL ASSESSMENT - CHECKLIST APPLICATION TO SHOW GOOD CAUSE TO VACATE OR REDUCE CIVIL ASSESSMENT Checklist Traffic Division 2317 Tuolumne Street Fresno, CA 93724 If you FAILED TO APPEAR and are requesting the Civil Assessment be vacated or reduced you must: Complete Good Cause Application with supporting documentation. Fresno Central Division Fresno Main Courthouse 1100 Van Ness Avenue Fresno, CA 93724 For Financial Hardship (TR - 105RC must be completed and submit - ted with application. R egarding civil assessment only.) B.F. Sisk Courthouse Fresno, CA 93721 If you FAILED TO PAY and are requesting the Civil Assessment be vacated you must: Complete Good Cause Application with supporting documentation. For Financial Hardship (TR - 105RC must be completed and submit - ted with application (regarding the civil assessment only). Attach supporting documentation. Complete your TO - DO - of Superior Court of California, County of Fresno. American LegalNet, Inc. www.FormsWorkFlow.com