31 Day Extension Request Form

2. Full Name

   I have been charged with the following offense, in the Municipal Court of the City of Post.

3. Offense

5. Waiver
   I understand that I have the right to a jury trial and do waive that right. I do hereby enter my appearance to the offense charged and agree to pay the fine and costs the judge assesses.

   I understand that I have the right to a jury trial and do waive that right. I do hereby enter my appearance to the offense charged and agree to pay the fine and costs the judge assesses.

7. Plea

   I enter my plea of:

   1. No Contest- I understand that my plea of No Contest will have the same force and effect as a plea of guilty on the judgment of the court.
   2. Guilty
9. Request & Understanding
   I request that the Court grant me 31 days time to pay the fine and costs assessed.<br><br> I understand that if any amount remains unpaid after 31 days, the Court is required to assess an additional court cost of $25.00 as per (Sec. 133.103 Local Government Code).<br><br> I understand that a capias pro fine warrant may be isssued for my arrest any time after the 31 days. The warrant will be issued for the remaining balance of all fines and costs and will include a $50.00 warrant fee, a $30.00 failure to appear fee and a collections fee of 30%.

   I request that the Court grant me 31 days time to pay the fine and costs assessed.
   
   I understand that if any amount remains unpaid after 31 days, the Court is required to assess an additional court cost of $25.00 as per (Sec. 133.103 Local Government Code).
   
   I understand that a capias pro fine warrant may be isssued for my arrest any time after the 31 days. The warrant will be issued for the remaining balance of all fines and costs and will include a $50.00 warrant fee, a $30.00 failure to appear fee and a collections fee of 30%.

11. First Name

12. Last Name

14. Address1

16. Address2

18. City

19. State

20. Zip

22. Citation Number

23. Date of Birth
    Date of Birth

25. Driver's License Number

26. Issuing State

28. Signature

29. Today's Date
    Today's Date

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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