Guilty Waiver

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IN THE CLEVELAND MUNICIPAL COURT

State of Ohio/City of Cleveland

Vs

Defendant

Original Court Date

Case Number / Citation Number

PLEA OF GUILTY WITHOUT PERSONAL APPEARANCE

Pursuant to Traffic Rule 13, I hereby waive my right to trial and enter a plea of GUILTY to the AMENDED charge of Unsafe Vehicle in violation of Cleveland Codified Ordinance Section 437.01 which is a zero point violation. I understand that my total fines and costs will be $196 and that I will have ninety (90) days to pay said fine and costs. PLEASE NOTE: do not pay this $196 until you receive notification by mail from the Court that your motion has been granted.

If you did not provide proof of insurance at the time of the citation, please provide the following:

Insurance Company

Policy Number

Defendant's Name

Home and Work Phone Number

Email Address

Signature of Defendant / print name /

SSN (last 4 digits)

Date of Birth

Address (Apt. Number) (NO P.O. BOXES ACCEPTED)

City, State & Zip Code

Please review the Rights Announcement for Criminal and Traffic Arraignments before the Cleveland Municipal Court.

I confirm that I have viewed the Rights Announcement for Criminal and Traffic Arraignments before the Cleveland Municipal Court.

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