Request To Defer Traffic Infraction - Thurston County District Court
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1THURSTON COUNTY DISTRICT COURT
“Serving Justice through Serving People”
Judge Kalo Wilcox Judge Samuel G. Meyer Judge M. Brett Buckley
Paul Wohl
Department 1
Department 2
Department 3
Court Commissioner
REQUEST TO DEFER TRAFFIC INFRACTION
Driver’s License Number
State
Citation Number
Name
Last
First
Middle
Mailing Address
City
State
Zip Code
I hereby certify and agree as follows: I am the person named above. I agree that I have committed the
infraction(s) listed on citation number shown above. I ask the Court to defer entry of a finding that I
committed the infraction(s). I have not had another traffic infraction deferred by any court within the past
seven (7) years. If my infraction is for the charge of Operating a Motor Vehicle without Liability Insurance,
I have shown the Court proof that I am now insured. I agree to the following conditions of my deferral:
(1) I agree to pay the required Court Administrative Fee; (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 at any location during this six month period; (3) If I fail to pay the Administrative Fee within
90 days of the Court’s granting my deferral, 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), and if I have failed to pay the required Court Administrative Fee within 90 days, the
Court will assess a $52.00 penalty and notify DOL to begin processing my driver’s license for
suspension.
I hereby certify under penalty of perjury under the Laws of the State of Washington that my foregoing
statements are true and correct.
Signed at ___________(City), _______________(State) on ________________________, 20______.
__________________________________________
Defendant’s Signature
2000 Lakeridge Drive SW, Olympia, Washington 98502-6045 Court: (360) 786-5450,
Probation: (360) 786-5452 TDD: (360) 754-2933, FAX (360) 754-3359
v. 08/21/2015
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