IN THE MUNICIPAL COURT OF THE CITY OF EL PASO THE STATE OF TEXAS CITY OF EL PASO vs. DEFERMENT OF PROCEEDINGS 226 PLEA DECLARATION I, the undersigned, do hereby enter my appearance on the complaint of the offense charged in El Paso Municipal Court Citation No. . I have been informed of my right to trial and that my signature to this plea of (please check one): GUILTY NOLO CONTENDERE will have the same force and effect as a guilty judgment of the court. I do hereby plead (please check one): GUILTY / NOLO CONTENDERE (meaning 223No Contest224) to said offense as charged; waive my right to a hearing by the court, and hereby request that the court allow me to take a driving safety course in lieu of my fine, to wit: Violation to be dismissed: Indicate the moving violation that you want dismissed by taking DSC. Print your Name: (As it appears on your driver222s license) Defendant Signature Address City State Zip S T A T E M E N T I affirm that I am not in the process of taking, nor have I completed a court approved driving safety course not yet reflected in my driving record with the Texas Department of Public Safety within the one year period which immediately precedes my alleged offense in this case. I further affirm that I am the holder of Texas License No. which expires on and that this is NOT a CDL license. I have proof of financial responsibility, listing me as a covered driver. I solemnly swear that the information contained in this statement is true and correct. Affiant Subscribed and sworn to before me on this the day of , 20. Notary Public of the State of Texas Deputy 226Clerk of the Municipal Court in and for the City of El Paso, Texas American LegalNet, Inc. www.FormsWorkFlow.com