JD-1759, 11/99 Petition for Judgment Against Juvenile/Parent for Restitution 247895.035 (2m), 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 Restitution Case No. UNDER OATH, I STATE: 1. I am: the victim in this matter [Name of company] District attorney (for 247247938.12, 938.125, 938.13, Wisconsin Statutes) Corporation counsel (for 247247938.125, 938.13, Wisconsin S tatutes) City/Village/Town attorney (for 247938.125, Wisconsin Statutes) Person designated by county b oard (for 247938.125, Wisconsin Statutes) a representative of the agency supervising the juvenile. 2. The amount of restitution that was to be paid was $ , and the court order the juvenile agreed to pay restitution in a deferred prosecution agreement. 3. The amount of restitution still owing is $ , and the juvenile has failed to pay the restitution. the custodial parent has failed to pay the restitution. OR it appears likely that the juvenile will not pay restitut ion. it appears likely that the custodial parent will not pay the restitution. 4. The deferred prosecution agreement, consent decree, dispositional order or sentence that created the obligation of the juvenile dated on , expired or will expire on . 5. This petition is brought not later than one year after the expiration or any extension of the deferred prosecution agreement, consent decree, dispositional order or sente nce. I am requesting that the court conduct a hearing and enter judgment for the amount of unpaid restitution in favor 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 expires: Petitioner Name Printed or Typed Company/Agency DISTRIBUTION: 1. Court 2. Juvenile American LegalNet, Inc. www.FormsWorkFlow.com