CR-208A, 03/12 Petition and Stipulation to Waive Appearance and Hearing Chapter 806; 247973.09(3)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of Wisconsin, Plaintiff - vs - Address Date of Birth Petition and Stipulation to Waive Appearance and Hearing Case No. DOC No. I am the defendant in this case and inform and P etition the court. 1. I was convicted of the following offense(s) on the following date(s): Date Committing Offense Statute 2. I was placed on probation for years, months. This period of supervision is scheduled to discharge on [Mo/Day/Y r] . 3. I have failed to pay the following financial obligations of probation: Restitution [ Indicate below, name and addre ss of victim, and amount unpaid] See attached listing of victims. Name Complete Address Amount unpaid Court ordered financial obligations. Amount unpaid is $ . Department of Corrections financial screen information is attached. 4. I have not made a good faith effort to pay and I am asking the court to extend my probation for years, months. 5. The Department of Corrections agrees I have made a good faith effort to pay { Huggett v. State, 83 Wis. 2d 790 (1978)} and is informing the court of my scheduled discharge. I am asking the Court to enter a civil judgment against me for the unpaid restitution. enter a civil judgment aga inst me for unpaid court ordered financial obligations. 6. I have the right to a hearing, to be represented by an attorney, and to have an attorney appointed if I cannot afford one. 7. I am signing this Petition freely and voluntarily. I understand I give up the above rights and the court can enter an order extending my probation. If my probation is not extended, the court may enter a civil judgment. Defendant Date Agent Number of Agent American LegalNet, Inc. www.FormsWorkFlow.com