SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, and Address): FOR COURT USE ONLY TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLACER DATE: TIME: DEPARTMENT: ADDRESS: 10820 Justice Center Drive 2775 Richardson Drive Roseville, CA 95661 Auburn, CA 95603 101 Maple Street 2501 N. Lake Blvd. Auburn, CA 95603 Tahoe City, CA 96145 PLAINTIFF: PEOPLE OF THE STATE OF CALIFORNIA DEFENDENT: DEFENDANT'S MOTION CASE NUMBER: To: The People of the State of California At the date, time, and place above, defendant will ask the Court to make the orders set forth on page two of this motion. Respectfully submitted, _________________________________ Defendant _________________________ Date Form Adopted for Optional Use Superior Court of California, County of Placer Form No. PL-CR003 Effective 03-17-2014 www.placer.courts.ca.gov Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER REQUEST AND DECLARATION I ask the Court to make the following orders: Change my turn-in date from_______________ to _______________. Order community service instead of a fine. Alternative sentencing Jail credits review Re-referral to program Surrender on warrant and put case on calendar. Modify Probation Other:___________________________________________________ I am asking the Court to make these orders because: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. _________________________________ Defendant _________________________ Date Form Adopted for Optional Use Superior Court of California, County of Placer Form No. PL-CR003 Effective 03-17-2014 www.placer.courts.ca.gov Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com