JD-1760, 11/99 Petition for Judgment Against Juvenile/Parent for Unpaid Forfeiture 247895.035(2m)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Name Date of Birth Petition for Judgment Against Juvenile/Parent for Unpaid Forfeiture Case No. UNDER OATH , I STATE : 1. I am: District attorney (for 247247938.12, 938.125, 938.13, Wisconsin Statutes) Corporation counsel (for 247247938.125, 938.13, Wisconsin Statutes) City/Village/Town attorney (for 247247938.125, Wisconsin Statutes) Person designated by county board (for 247247938.125, Wisconsin Statutes) a representative of the agency supervising the juvenile. a representative of the law enforcement agency that issued the citation to the juvenile. 2a. The juvenile was ordered to pay a forfeiture in the total amount (including any costs, assessments, surcharges, etc.) of $ by: this court. the municipal court of . 2b. The custodial parent was ordered to pay a forfeiture in the total amount (including any costs, assessments, surcharges, etc.) of $ by: this court. the municipal court of . 3. The amount of forfeiture still owing is $ , and the juvenile has failed to pay the forfeiture. the custodial parent has failed to pay the forfeiture. OR it appears likely that the juvenile will not pay the forfeiture. it appears likely that the custodial parent will not pay the forfeiture. 4. The court order that created the obligation of the juvenile on [Date] , expired, or will expire on [Date] . 5. This Petition is brought not later than one year after the expiration of the order or sentence, or any extension of same. I am requesting that the court conduct a hearing and enter judgment for the amount of unpaid forfeiture in favor of the county or appropriate municipality and against: the juvenile. the custodial parent of the juvenile. State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expi res: Petitioner Name Printed or Typed Company/Agency DISTRIBUTION: 1. Court 2. Juvenile American LegalNet, Inc. www.FormsWorkFlow.com