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2. 
3. Instructions:

   You must complete this request and submit all documentation required.  It is your responsibility to follow up with the court at 817-985-2140 to verify receipt of your request. False statements to the Court will be considered perjury and referred to the Tarrant County District Attorney's office for prosecution.

   **Be aware that this request will result in a conviction appearing on either a criminal record or a driver’s license record.  Please contact the court to see if you are eligible for other options.

5. MOTION FOR CREDIT FOR TIME SERVED
7. Citation Number: *
8. Violation:*
10. Citation Number:
11. Violation:
13. Citation Number:
14. Violation:
16. First Name*
17. Last Name*
19. Date of Birth:*

    MM-DD-YYYY

21. Address*
23. City*
24. State*
25. Zip*
27. Cell/Primary Phone*
28. Alternate Phone
30. Email*
32. Requirements*

    I, the Defendant in the above-entitled cause, do hereby enter my plea of No Contest or Guilty, waive my right to a jury trial and request credit time served. 

    I swear that the following statements are true: 

    • I acknowledge and waive discovery pursuant to Article 39.14, C.C.P., waive my right to a trial by jury, and enter a plea of NO CONTEST or GUILTY.
    • I am providing the Court with a photocopy of my driver's license/permit or Picture ID.
    • I do hereby enter my appearance in the above‐referenced cause(s), wherein I am charged with a Misdemeanor(s) in the Municipal Court of Kennedale, Texas.
    • I understand that I have the right to plead not guilty and require the State to prove my guilt beyond a reasonable doubt before a Judge or Jury, the right to hire an attorney, and the right to subpoena witnesses.
    • I am not charged with any offense involving alcohol or family violence.
    • I acknowledge A JUDGMENT and CONVICTION will be entered against me in this case, and the OFFENSE WILL BE REPORTED TO THE STATE OF TEXAS AS REQUIRED BY LAW.
    • I understand I must provide proof of incarceration from a jail or prison that includes the dates I was incarcerated.

    1. I swear and affirm I have read and understood the statement above.
34. Plea*

    By entering a plea I, the Defendant, do hereby waive discovery pursuant to Article 39.14, C.C.P., waive my right to trial and enter my plea of (please check a box below):

    1. GUILTY
    2. NO CONTEST
35. 
39. Proof of Driver's License/ Identification card *

    Upload proof of picture ID

40. Proof Of Incarceration*

    Proof of incarceration from a jail or prison that includes the dates you were incarcerated

42. SIGNATURE*

    By signing this form in the space provided above, I hereby swear and affirm that the information provided above is correct.

Leave This Blank:


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

    This field is not part of the form submission.

46. Submit

* indicates a required field