APPLICATION & DECLARATION FOR COMMUNITY SERVICE OR REQUEST FOR HEARING ON ABILITY TO PAY TRAFFIC FINE FOR COURT USE ONLY SUPERIOR COURT OF CALIF ORNIA, COUNTY OF SUTTER APPLICATION & DECLARATION FOR COMMUNITY SERVICE OR REQUEST FOR HEARING ON ABILITY TO PAY TRAFFIC FINE Below is the reason why payment of the total fine would pose a financial hardship on me and my family: Check here and attach a sh eet of paper if you need more space My Declaration of Financial Circumstances for Community Service or Ability to Pay Traffic Fine is attached (the Court will not consider your request without a completed Financial Declaration). FOR COURT222S USE ONLY (see 223a224 below) (see 223b224 below) Failure to complete community service or pay remaining balance of fine by the due date will result in additional penalties being added to your case. 1175 Civic Center Blvd , Yuba City, CA 9599 3 TBD American LegalNet, Inc. www.FormsWorkFlow.com