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Request to Defer Traffic Infraction
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Driver's License No.
I understand that I may only have ONE (1) Deferral for a moving violation and ONE (1) for a non-moving violation within a SEVEN (7) year period.
I HEREBY CERTIFY AND AGREE AS FOLLOWS:
1. I am the person named above. I agree that I have committed the infraction(s) listed on the citation number shown above. I ask the Court to defer entry of a finding that I committed the infraction(s).
2. I have not had another traffic infraction deferred by any court within seven (7) years of this date. If my infraction is for the charge of Operating a Motor Vehicle Without Liability Insurance or Expired Vehicle Tabs, I have shown the Court proof that I am now insured and that I have a current registration.
3. I do not possess a CDL (Commercial Driver’s License) endorsement.
I AGREE TO THE FOLLOWING CONDITIONS OF MY DEFERRAL:
1. I agree to pay the required Court Administrative Fee of $175 within 30 days. I may contact the court for a payment plan.
2. The Court will dismiss my infraction(s) six months from the date shown below if I pay the Administrative Fee and if I do not commit a new traffic infraction in any location during this six-month period.
I hereby certify under penalty of perjury of the Laws of the State of Washington that my foregoing statements are true and correct.
3. If I fail to pay the Administrative Fee or if I commit a new traffic infraction, the Court will, without further notice to me or hearing, enter a finding that I have committed the infraction(s) listed on the citation number shown above and will report the finding to the Washington State Department of Licensing (DOL). I will then be required to pay the full original amount of the citation in addition to the Administrative Fee immediately.
After completing the above, please READ and ELECTRONICALLY SIGN, below.
I certify under penalty of perjury under the laws of Washington State that I have read the foregoing statements in the application, know the contents thereof, and believe them to be true and correct. (Perjury is a criminal offense-see Chapter 9A.72 RCW).
Electronic Signature Agreement:
I agree. Electronic Signature
By checking the "I agree" box above, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Defendant's Electronic Signature
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