EXAMPLAR ENLARGED FOR CLARITY

Transcription

1 XAMPLAR NLARG FR LARITY URT I.. PRFIX TIKT NUMBR Municipal ourt of Anytown 123 Main Street Anytown, NJ YU AR HRBY SUMMN T APPAR BFR THIS URT T ANSWR THIS MPLAINT HARGING YU WITH TH FFNS LIST: river s Lic. No. xp. ate State ommercial License TH UNRSIGN RTIFIS THAT Name First Initial Last (Please Print) Address ity State Zip ode Telephone Box Birth ate yes Sex Weight Height Restrictions I UNLAWFULLY (PARK) (PRAT) A Make of Vehicle Year Body Type olor Lic. Plate No. State xp. ate ffense ate LATIN F FFNS ommercial Vehicle Hazardous Material ut of Service Month ay Year Time : AM Hour : PM escribe Location Municipality Any Town ounty Any ounty Mun. ode (ffense) AN I THN AN THR MMIT TH FLLWING FFNS (N HARG PR MPLAINT) TRAFFI FFNSS (heck ne) TITL Unregistered vehicle 4-85 Improper passing 3-29 Failure to exhibit documents 4-97 areless driving.l. or RG. or INS Failure to turn 3-33 Unclear plates Failure to stop or yield 3-66 Maintenance of lamps 8-1 Failure to inspect f Failure to wear seatbelt 8-4 Failure to make repairs 4-81 Failure to observe signal 4-98 Speeding MPH in a MPH Zone IN XSS F SP LIMIT BY: 1-9 MPH MPH MPH MPH MPH MPH 65 MPH Zone Safe orridor onstruction Zone PNALTY SHUL N RVRS PARKING FFNS vertime Meter No. Prohibited Area ouble THR TRAFFI/PARKING FFNS (escribe) ut of Service box NT T VNR: Please continue to print the corresponding circled violation number in each box Safe orridor box Statute No. rdinance/ode No. TH UNRSIGN FURTHR STATS THAT THR AR JUST AN RASNABL GRUNS T BLIV THAT YU MMITT TH ABV FFNS AN WILL FIL THIS MPLAINT IN THIS URT HARGING YU WITH THAT FFNS Signature of omplaining Witness Month ay Year fficer s I. No. NTI T APPAR URT APPARAN URT Month ay Year Time : AM AT RQUIR Hour : PM Truck Accident Personal Injury Property amage NITINS ARA Business School Residential Rural RA ry Wet Snow Ice TRAFFI Light Medium Heavy VISIBILITY lear Rain Snow Fog quipment Helicopter Pace VASAR Radar Breathalyzer quipment perator s Name perator I No. Unit ode UTT-1 ourt s riginal opy (White)

2 XAMPLAR NT ATUAL SIZ BNH WARRANT BAIL INFRMATIN Failed to Appear ate: / / Warrant ate: / / rdered by: (Signature and Title of person issuing warrant) Bail Amount: $ Set by: (Signature and title of person setting bail) Forfeited Return Reinstated / / (ate) (Signature of Judge) FIRST APPARAN, ARRAIGNMNT AN UNSL INFRMATIN First Appearance ate: / / Arraignment ate: / / Advised efendant of Rights: By: esires ounsel: Yes No ounsel assigned: Yes No (If yes, name of counsel) ounsel retained: Yes No (If yes, name of counsel) ounsel waived: Yes No (If yes, name of Judge accepting waiver) Name of Prosecuting Attorney: Affiliation: Municipal ounty State ther (list) MISLLANUS INFRMATIN Additional Information and Judge s Notes: Adjournment Requested by: Reason To / / / / See attached sheet for additional Judge s notes or other information omplaint Amended to: URT ATIN Plea: Guilty Not Guilty ate: / / Finding ate: / / Guilty Guilty but Merged Not Guilty ismissed Plea Agreement ismissed Pros. iscretion ismissed Lack of Prosecution ismissed Rule Fine $ osts $ ontempt $ VB $ WI $ SNSF $.A..F. $ ther $ Total $ Period of.l. Suspension: IR: Jail Term/Jail redit: omm. Serv.: redit For: ismissed False I ismissed ther ismissal odes Added Here Signature of Judge: ate: / / ourt s opy (Back - White)

3 XAMPLAR NLARG FR LARITY URT I.. PRFIX TIKT NUMBR Municipal ourt of Anytown 123 Main Street Anytown, NJ YU AR HRBY SUMMN T APPAR BFR THIS URT T ANSWR THIS MPLAINT HARGING YU WITH TH FFNS LIST: river s Lic. No. xp. ate State ommercial License TH UNRSIGN RTIFIS THAT Name First Initial Last (Please Print) Address ity State Zip ode Telephone Box Birth ate yes Sex Weight Height Restrictions I UNLAWFULLY (PARK) (PRAT) A Make of Vehicle Year Body Type olor Lic. Plate No. State xp. ate ffense ate LATIN F FFNS ommercial Vehicle Hazardous Material ut of Service Month ay Year Time : AM Hour : PM escribe Location Municipality Any Town ounty Any ounty Mun. ode (ffense) AN I THN AN THR MMIT TH FLLWING FFNS (N HARG PR MPLAINT) TRAFFI FFNSS (heck ne) TITL Unregistered vehicle 4-85 Improper passing 3-29 Failure to exhibit documents 4-97 areless driving.l. or RG. or INS Failure to turn 3-33 Unclear plates Failure to stop or yield 3-66 Maintenance of lamps 8-1 Failure to inspect f Failure to wear seatbelt 8-4 Failure to make repairs 4-81 Failure to observe signal 4-98 Speeding MPH in a MPH Zone IN XSS F SP LIMIT BY: 1-9 MPH MPH MPH MPH MPH MPH 65 MPH Zone Safe orridor onstruction Zone PNALTY SHUL N RVRS PARKING FFNS vertime Meter No. Prohibited Area ouble THR TRAFFI/PARKING FFNS (escribe) ut of Service box NT T VNR: Please continue to print the corresponding circled violation number in each box Safe orridor box Statute No. rdinance/ode No. TH UNRSIGN FURTHR STATS THAT THR AR JUST AN RASNABL GRUNS T BLIV THAT YU MMITT TH ABV FFNS AN WILL FIL THIS MPLAINT IN THIS URT HARGING YU WITH THAT FFNS Signature of omplaining Witness Month ay Year fficer s I. No. NTI T APPAR URT APPARAN URT Month ay Year Time : AM AT RQUIR Hour : PM Truck Accident Personal Injury Property amage NITINS ARA Business School Residential Rural RA ry Wet Snow Ice TRAFFI Light Medium Heavy VISIBILITY lear Rain Snow Fog quipment Helicopter Pace VASAR Radar Breathalyzer quipment perator s Name perator I No. Unit ode UTT-1 Police opy (Blue)

4 PLI PY BAK - BLU ISPSITIN F AS ATS F AJURNMNTS: FRM: / / T: / / RASN: FRM: / / FRM: / / RASN: ISPSITIN AT: BY: URT VILATINS BURAU PLA: BAIL INFRMATIN BAIL AMUNT $ ASH BN PST WITH: FIN $ STS $ BAIL FRFITUR: (NAM & TITL) AMUNT $ AT / / SNTN JAIL: AYS: R. LI. RVK: AYS RVATIN AT: / / FFIR S MMNTS (See Instructions on over) WITNSSS: (NAM & ARSS) SUBPNA ISSU 1. YS N 2. 3.

5 XAMPLAR NLARG FR LARITY URT I.. PRFIX TIKT NUMBR Municipal ourt of Anytown 123 Main Street Anytown, NJ YU AR HRBY SUMMN T APPAR BFR THIS URT T ANSWR THIS MPLAINT HARGING YU WITH TH FFNS LIST: river s Lic. No. xp. ate State ommercial License TH UNRSIGN RTIFIS THAT Name First Initial Last (Please Print) Address ity State Zip ode Telephone Box Birth ate yes Sex Weight Height Restrictions I UNLAWFULLY (PARK) (PRAT) A Make of Vehicle Year Body Type olor Lic. Plate No. State xp. ate ffense ate LATIN F FFNS ommercial Vehicle Hazardous Material ut of Service Month ay Year Time : AM Hour : PM escribe Location Municipality Any Town ounty Any ounty Mun. ode (ffense) AN I THN AN THR MMIT TH FLLWING FFNS (N HARG PR MPLAINT) TRAFFI FFNSS (heck ne) TITL Unregistered vehicle 4-85 Improper passing 3-29 Failure to exhibit documents 4-97 areless driving.l. or RG. or INS Failure to turn 3-33 Unclear plates Failure to stop or yield 3-66 Maintenance of lamps 8-1 Failure to inspect f Failure to wear seatbelt 8-4 Failure to make repairs 4-81 Failure to observe signal 4-98 Speeding MPH in a MPH Zone IN XSS F SP LIMIT BY: 1-9 MPH MPH MPH MPH MPH MPH 65 MPH Zone Safe orridor onstruction Zone PNALTY SHUL N RVRS PARKING FFNS vertime Meter No. Prohibited Area ouble THR TRAFFI/PARKING FFNS (escribe) ut of Service box NT T VNR: Please continue to print the corresponding circled violation number in each box Safe orridor box Statute No. rdinance/ode No. TH UNRSIGN FURTHR STATS THAT THR AR JUST AN RASNABL GRUNS T BLIV THAT YU MMITT TH ABV FFNS AN WILL FIL THIS MPLAINT IN THIS URT HARGING YU WITH THAT FFNS Signature of omplaining Witness Month ay Year fficer s I. No. NTI T APPAR URT APPARAN URT Month ay Year Time : AM AT RQUIR Hour : PM Truck Accident Personal Injury Property amage NITINS ARA Business School Residential Rural RA ry Wet Snow Ice TRAFFI Light Medium Heavy VISIBILITY lear Rain Snow Fog quipment Helicopter Pace VASAR Radar Breathalyzer quipment perator s Name perator I No. Unit ode UTT-1 fficer s opy (Yellow)

6 FFIR S PY BAK - YLLW ISPSITIN F AS ATS F AJURNMNTS: FRM: / / T: / / RASN: FRM: / / FRM: / / RASN: ISPSITIN AT: BY: URT VILATINS BURAU PLA: BAIL INFRMATIN BAIL AMUNT $ ASH BN PST WITH: FIN $ STS $ BAIL FRFITUR: (NAM & TITL) AMUNT $ AT / / SNTN JAIL: AYS: R. LI. RVK: AYS RVATIN AT: / / FFIR S MMNTS (See Instructions on over) WITNSSS: (NAM & ARSS) SUBPNA ISSU 1. YS N 2. 3.

7 XAMPLAR NLARG FR LARITY URT I.. PRFIX TIKT NUMBR Municipal ourt of Anytown 123 Main Street Anytown, NJ YU AR HRBY SUMMN T APPAR BFR THIS URT T ANSWR THIS MPLAINT HARGING YU WITH TH FFNS LIST: river s Lic. No. xp. ate State ommercial License TH UNRSIGN RTIFIS THAT Name First Initial Last (Please Print) Address ity State Zip ode Telephone Box Birth ate yes Sex Weight Height Restrictions I UNLAWFULLY (PARK) (PRAT) A Make of Vehicle Year Body Type olor Lic. Plate No. State xp. ate ffense ate LATIN F FFNS ommercial Vehicle Hazardous Material ut of Service Month ay Year Time : AM Hour : PM escribe Location Municipality Any Town ounty Any ounty Mun. ode (ffense) AN I THN AN THR MMIT TH FLLWING FFNS (N HARG PR MPLAINT) TRAFFI FFNSS (heck ne) TITL Unregistered vehicle 4-85 Improper passing 3-29 Failure to exhibit documents 4-97 areless driving.l. or RG. or INS Failure to turn 3-33 Unclear plates Failure to stop or yield 3-66 Maintenance of lamps 8-1 Failure to inspect f Failure to wear seatbelt 8-4 Failure to make repairs 4-81 Failure to observe signal 4-98 Speeding MPH in a MPH Zone IN XSS F SP LIMIT BY: 1-9 MPH MPH MPH MPH MPH MPH 65 MPH Zone Safe orridor onstruction Zone PNALTY SHUL N RVRS PARKING FFNS vertime Meter No. Prohibited Area ouble THR TRAFFI/PARKING FFNS (escribe) ut of Service box NT T VNR: Please continue to print the corresponding circled violation number in each box Safe orridor box Statute No. rdinance/ode No. TH UNRSIGN FURTHR STATS THAT THR AR JUST AN RASNABL GRUNS T BLIV THAT YU MMITT TH ABV FFNS AN WILL FIL THIS MPLAINT IN THIS URT HARGING YU WITH THAT FFNS Signature of omplaining Witness Month ay Year fficer s I. No. NTI T APPAR URT APPARAN URT Month ay Year Time : AM AT RQUIR Hour : PM Truck Accident Personal Injury Property amage NITINS ARA Business School Residential Rural RA ry Wet Snow Ice TRAFFI Light Medium Heavy VISIBILITY lear Rain Snow Fog quipment Helicopter Pace VASAR Radar Breathalyzer quipment perator s Name perator I No. Unit ode UTT-1 efendant s opy (Hard opy - Buff)

8 PLAS RA ARFULLY 1. PAYMNT AN GUILTY PLA You may plead guilty and pay the penalty, if the check box ourt Appearance Required has not been checked on the reverse side and the offense is payable without the necessity of a court appearance. The more frequently charged payable offenses and penalties are listed below. You may also either telephone the court or sign onto to determine if the offense is payable and the amount of the penalty. If you wish to pay the penalty, bring or mail this ticket, together with payment in the amount of the penalty, to the court at the address indicated below prior to the court date displayed on the front of this ticket. Payments by mail are to be by check or money order made payable to this Municipal ourt. o not send cash, Please print the ticket number on the front of the check or money order. If payment is received by the court after your court date, you may be assessed additional penalties. A receipt will be sent to you only if your payment is accompanied by a self-addressed, stamped envelope. To make payment via the Internet or for more information, logon to: 2. FFNS IS NT PAYABL R URT APPARAN RQUIR If the offense charged on the reverse is not payable, or if ourt Appearance Required (see check box on reverse side) is checked, you must appear in court at the time and place indicated, even if you wish to plead guilty. XAMPLAR NT ATUAL SIZ All new instructions 3. PLA F NT GUILTY If you wish to plead not guilty, you must notify the court at the address and telephone number as shown below at least 7 days prior to the court date listed on the front of this ticket. If you fail to notify the court, it may be necessary for you to make 2 court appearances. NTI IF YU FAIL T APPAR IN RSPNS T THIS SUMMNS R T PAY TH PRSRIB PNALTY, AITINAL PNALTIS MAY RSULT, A WARRANT MAY B ISSU FR YUR ARRST AN YUR RIVING PRIVILGS IN NW JRSY MAY B RVK. IF THIS IS A PARKING TIKT, YUR FAILUR T APPAR R PAY TH PRSRIB PNALTY SHALL B NSIR AN AMISSIN F LIABILITY AN A FAULT JUGMNT MAY B NTR AGAINST TH WNR F TH VHIL. XPT FR A PARKING TIKT, A RR F THIS NVITIN WILL B SNT T TH IVISIN F MTR VHILS THAT ISSU YUR LINS. Send payment to: Anytown Municipal ourt P. Box 123, Anytown, NJ (201) Hours of operation: PNALTIS FR MMNLY HARG FFNSS Title 39 ffense Payable Amount Title 39 ffense Payable Amount 3-4 Unregistered $ Failure to turn $81.00 vehicle 3-29 Failure to exhibit docs. $ Failure to stop or yield $ Unclear Plates $ Failure to inspect $ Maintenance of $ Failure to make $ lamps repairs f Failure to wear seatbelt $ areless driving $81.00 n or after Feb. 2, 2004 $ Speeding-xceeding the speed limit by: 4-81 Failure to observe 1-9 MPH - $ signal Improper Passing $81.00 $ MPH - $ MPH - $ NT: If Safe orridor, 65 MPH Zone, or onstruction Zone is checked on the reverse side, you must contact the court to determine the penalty because certain fines are UBL in those areas. LAL SUPPLMNTAL VILATINS BURAU SHUL rd. No. ffense Payable Amt rd. No. ffense Payable Amt New Payable Amounts 39:3-76.2f has two Payable amounts; one effective through 2/1/04 the other effective as of 2/2/04 Speeding only shown on ticket up to excess of 19 MPH PLAS NTIFY URT F ISABILITY AMMATIN NS New language efendant s opy (Hard opy - Back - Buff)