Guilty Waiver

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IN THE CLEVELAND MUNICIPAL COURT

State of Ohio/City of Cleveland

Vs

Defendant

Original Court Date

Case Number / Citation Number

PLEA OF GUILTY WITHOUT PERSONAL APPEARANCE

Pursuant to Traffic Rule 13, I hereby waive my right to trial and enter a plea of GUILTY to the AMENDED charge of Unsafe Vehicle in violation of Cleveland Codified Ordinance Section 437.01 which is a zero point violation. I understand that my total fines and costs will be $196 and that I will have ninety (90) days to pay said fine and costs.

If you did not provide proof of insurance at the time of the citation, please provide the following:

Insurance Company

Policy Number

Defendant's Name

Home and Work Phone Number

Email Address

Signature of Defendant / print name /

SSN (last 4 digits)

Date of Birth

Address (Apt. Number) (NO P.O. BOXES ACCEPTED)

City, State & Zip Code

Please review the Rights Announcement for Criminal and Traffic Arraignments before the Cleveland Municipal Court.

I confirm that I have viewed the Rights Announcement for Criminal and Traffic Arraignments before the Cleveland Municipal Court.

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