ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱSTATEȱOFȱRHODEȱISLANDȱȱȱ ȱ ȱȱȱȱȱȱANDȱPROVIDENCEȱPLANTATIONSȱ RhodeȱIslandȱ TrafficȱTribunalȱ ȱ 670ȱNewȱLondonȱAvenueȱ Cranston,ȱRhodeȱIslandȱ02920Ȭ3081ȱ (401)ȱ275Ȭ2700ȱ DATE________________ MOTION TO VACATE JUDGMENT (All Motions are done in the Cranston Location) MOTORIST’S NAME: _______________________________________________________________________________ LAST FIRST MI ADDRESS: _______________________________________________________________________________ (Street) (City) (Zip) PHONE ( ) _______________________________ SUMMONS NUMBER: ___________________________________ LICENSE NO._______________________________ HEARING DATE: _________________________________________________ 2:00 p.m. COURTROOM _______ (NOT LESS THAN FIVE (5) DAYS FROM FILING DATE) I. (CRANSTON) REASON FOR MOTION: ________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ II. I HEREBY CERTIFY THAT I HAVE A VALID DEFENSE TO THE CHARGE(S), WHICH DEFENSE IS AS FOLLOWS: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________ SIGNATURE OF ATTORNEY ________________________________________ SIGNATURE OF MOTORIST CERTIFICATION (Please Print or Type) I,____________________________, do hereby certify that I have caused to be forwarded a copy of the above Motion by ordinary mail, postage prepaid to the ____________________________________Police Department/and or the Attorney General for Breathalyzer cases only on the ___________day of _________________, 20__________. (Month) (Year) ___________________________________ SIGNATURE OF CERTIFICATION If further information is to be submitted, please attach an additional sheet. ȱ American LegalNet, Inc. www.FormsWorkflow.com