SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT STATE OF WASHINGTON v. NO: Respondent(s). MOTION AND DECLARATION FOR DECLINATION HEARING (MTAF) D.O.B.: I. MOTION The undersigned requests the court to schedule a hearing to determine whether the court should decline to exercise Juvenile Court jurisdiction over the above-named respondent and instead transfer the case to the Superior Court for respondent’s handling as an adult. Dated: ___________________________ _____________________________________________ Signature _____________________________________________ Type or Print Name/Title/Agency/Bar Number II. DECLARATION I, _____________________________________________, hereby declare as follows: 2.1 I am ________________________________________________________. I make this declaration of personal knowledge and could and would competently testify to its contents. 2.2 The respondent’s date of birth is: ______________________________ . 2.3 ‰ An information was filed charging the respondent with the offense(s) of: ______________________________________________________________________ ______________________________________________________________________ MTN/DECL FOR DECLINATION HEARING (MTAF) - Page 1 of 2 WPF JU 08.0100 (6/2005) - RCW 13.04.030(1)(e)(v), 13.40.110 American LegalNet, Inc. www.USCourtForms.com committed on _________________________________ (date). ‰ The respondent was 16 or 17 years old when respondent allegedly committed an offense listed in RCW 13.04.030(1)(e)(v) and the respondent was automatically transferred to adult criminal court for prosecution and: ‰ The respondent was found not guilty of the offense(s) for which he or she was transferred to adult criminal court and this court has jurisdiction over the disposition of the remaining offense(s): _____________________________ ______________________________________________________________ ______________________________________________________________. ‰ The respondent was convicted in the adult criminal court of a lesser included offense that is not also an offense listed in RCW 13.04.030(1)(e)(v): _______________________________________________________________ _______________________________________________________________. 2.4 A declination hearing: is required by statute. ‰ should be held to determine whether transfer for adult criminal prosecution and/or ‰ disposition would be in the best interests of the respondent or the public. I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at _______________________________________ on __________________________________. (Place) (Date) ____________________________________________________ Signature ____________________________________________________ Type or Print Name/Title/Agency/WSBA No. MTN/DECL FOR DECLINATION HEARING (MTAF) - Page 2 of 2 WPF JU 08.0100 (6/2005) - RCW 13.04.030(1)(e)(v), 13.40.110 American LegalNet, Inc. www.USCourtForms.com