Motion For Dismissal/affidavit Disabled Parking Violation - City Of Austin, Texas

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MOTION FOR DISMISSAL/AFFIDAVIT
DISABLED PARKING VIOLATION
CASE NUMBER __________________
THE STATE OF TEXAS
vs.
__________________________
I, (print name) __________________________file this motion for dismissal for the reason stated below. I request
the State and the Court to dismiss this case.
(Check One)
______ Vehicle was SOLD prior to violation. The new owner information is listed in responsible party
section below. Attach bill of sale (if available) or Texas DMV transfer notice.
______ Vehicle was leased or a rental. The lessee/renter information is listed in responsible party section
below. Attach rental or lease agreement.
______ I was not the driver of the vehicle with license plate number ___________on the date of ____________
when the vehicle was cited for a disabled parking violation. I am aware I may be required to appear in Court
as a witness if a trial before judge or jury is held. (Please complete the name and address information for
responsible party below).
______ I was responsible for the vehicle with license plate number_______________ at the time of the
violation on the date of_______________ (complete the responsible party information below).
______ I possessed a valid disabled parking placard at the time of the offense.
Responsible Party’s Full Name (please print): __________________________________________
Address: _____________________________________ City/State/Zip Code: _____________________________
I understand that providing false information is a violation of the law and could lead to criminal prosecution and
additional charges against me. I understand that it is my responsibility to notify the Texas Department of Motor
Vehicles if I am no longer the owner of the vehicle. By my signature below, I affirm the information provided in
this affidavit is true and correct.
Signature: __________________________________________
Please Print Name: ___________________________ Address: __________________________________________
Email address: _______________________________________ Telephone Number: _________________________
SWORN AND SUBSCRIBED before me on this ______ day of___________, 20_________
__________________________________________
__________________________________________
Deputy Clerk
Notary in and for the State of Texas
Municipal Court
My Commission Expires:__________________
City of Austin, Texas
Note: If mailed, this affidavit must be notarized.
You are responsible for confirming whether this motion was granted or denied. I can obtain this
information by calling (512) 974-4800 or by visiting the Court’s website at:
The City of Austin is committed to compliance with the American with Disabilities Act.
Reasonable modifications and equal access to communications will be provided upon request
.

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