Superior Court of the St ate of California COUNTY OF TULARE Collections Division Stephanie Cameron 221 S. Mooney Blvd., Room G - 28 Nocona Soboleski Court Executive Officer Visalia, California 93291 Assistant Court Executive Officer Jury Commissioner Telephone: (559) 730 - 5 000 Correspondence to Commissioner Name: Date of Birth: Address: Phone Number: ()- Case Number: Request to the Commissioner: I am requesting Traffic School I would like to submit Proof of correction I am no longer the registered owner of the vehicle. release of liability Other: (Please be specific) Date: Signature FOR COURT USE ONLY: Request Granted Request Denied Other : Dated: Commissioner of the Superior Court COL - 00 6 - 2017 - O Optional Form Revised - February 2018 American LegalNet, Inc. www.FormsWorkFlow.com