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2. Read Carefully and Completely

   Defendants or Attorneys may use this form to return a signed Prosecutor's Offer accepting the plea offer from the City Prosecutor. Your communication will be with the City Prosecutor, not a Judge. 

   Parties to the case agree that submissions will be filed with the Court for approval and everyone will be bound by an Order reflective of the agreement.

4. Upload Signed State's Offer Here *

   You must sign the State Offer form before uploading.

5. Additional Requirement
   You may upload any additional requirement here if specified in the agreement with the City Prosecutor. (Example: Proof of Insurance)
6. Additional Requirement
   You may upload any additional requirement here if specified in the agreement with the City Prosecutor. (Example: Proof of Insurance)
10. Contact Information
12. First Name*
13. Last Name*
15. Street*
17. Apt. or Suite No.
19. City*
20. State*
21. Zip*
23. Phone Number*
24. Email Address*
26. I am the*

    1. Defendant
    2. Attorney on Record

    and would like to file with the Prosecutor's Office the signed acceptance of the state offer.
28. Plea Entered*
    -- Select One --NO CONTESTGUILTY

    Make sure that you have uploaded a signed copy of the State Offer form.

30. Defendant First Name*
31. Defendant Last Name*
33. Cause or Case Number*
34. Offense Date*
35. Violation*
37. Cause or Case Number
38. Issue Date
39. Violation
41. I swear or affirm that the following statements are true:
    1. I am the Attorney-on-Record representing or I am the Individual charged with this violation(s) and making this request voluntarily.
    2. I understand that I am waiving my right to a jury trial and waive the objection to any defect in the charging instrument, the filing and notice of a sworn complaint.
    3. I agree to the City Prosecutor filing the attached Offer with the Court.
    4. I promise to satisfy the judgment and represent to the Court that I have the ability to do so.
    5. I agree to accept notices and communications from the Court via email, fax or mail at the Court's discretion.
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field