COURT I.D. PREFIX TICKET NO. COMPLAINT AND SUMMONS MUNICIPAL COURT ADDRESS CITY, NJ YOU ARE HEREBY SUMMONED TO APPEAR BEFORE THE COURT TO ANSWER THE COMPLAINT CHARGING YOU WITH THE OFFENSE LISTED: THE UNDERSIGNED CERTIFIES THAT LICENSE PLATE THE OWNER/OPERATOR OF THIS VEHICLE DID UNLAWFULLY PARK A STATE EXP. DATE VEHICLE MAKE YEAR TYPE COLOR OFFENSE DATE TIME FIRST OBSERVED METER NO. LOCATION MUNICIPALITY AND DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE DESCRIPTION THE UNDERSIGNED FURTHER STATES THAT THERE ARE JUST AND REASONABLE GROUNDS TO BELIEVE THAT YOU COMMITTED THE ABOVE OFFENSE AND WILL FILE THIS COMPLAINT IN THIS COURT CHARGING YOU WITH THAT OFFENSE. SIGNATURE OF COMPLAINANT DATE ISSUED OFFICER ID POLICE UNIT SEE REVERSE FOR INSTRUCTIONS COURT DATE COURT TIME For on-line information and payment options, log-on to: www.njmcdirect.com NEW JERSEY UNIFORM ELECTRONIC TICKET PATS-1 (12/01) PLEASE READ CAREFULLY 1. PLEA OF NOT GUILTY If you intend to plead not guilty to the offense charged in this Complaint and Summons and have a trial, you must notify the Court Administrator, whose address and telephone number are shown below, of your intention at least 7 days prior to your scheduled court date. If you fail to notify the Court Administrator, it may be necessary for you to make 2 court appearances. Any Court, 123 Main Street Any City, N.J. 99999 - Telephone: (999) 999-9999 2. COURT APPEARANCE REQUIRED If “Court Appearance Required” is printed on the front of this Complaint and Summons (see area in red on other side) you must appear in court at the time and place indicated, even if you wish to plead guilty. If “Court Appearance Required” is not printed on the front of this Complaint and Summons, you must still appear in court if you wish to have a trial. 3. PLEA OF GUILTY: PAYMENT THROUGH VIOLATIONS BUREAU If you wish to plead guilty and give up your rights to have a lawyer and a trial, you may do so provided a PAYABLE AMOUNT is listed on the front of this Complaint and Summons (see area in red on the other side). If the Violations Bureau is authorized to dispose of this charge, complete in full the APPEARANCE, GUILTY PLEA AND WAIVER (see below) and bring or mail this Complaint and Summons together with payment in the amount of the prescribed penalty, to the Violations Bureau at the address indicated below prior to your scheduled court date. Business Hours: Send all Any Court Violations Bureau payments to: 123 Main Street, Any City, NJ 99999 Telephone (999) 999-9999 For on-line information and payment options, log-on to: www.njmcdirect.com If payment is made by mail do not send cash but send check or money order payable to this Municipal Court. If payment is received by the Violations Bureau after the appearance 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. Please be sure to print the summons number on the front of your check or money order. APPEARANCE, GUILTY PLEA AND WAIVER By signing this document, I enter my appearance before the Court to answer the charge contained in this Complaint and Summons. I give up my rights to have a lawyer and a trial. I admit that I committed the offense charged, plead guilty, and make payment of the prescribed penalty. _____________________________________ _________________ (Defendant’s Signature) (Date) Driver’s License Number State Exp. Date NOTICE IF YOU FAIL TO APPEAR IN RESPONSE TO THIS SUMMONS OR TO PAY THE PRESCRIBED PENALTY, ADDITIONAL PENALTIES MAY RESULT, A WARRANT MAY BE ISSUED FOR YOUR ARREST AND YOUR DRIVING PRIVILEGES IN NEW JERSEY MAY BE REVOKED. FAILURE TO APPEAR OR PAY THE PRESCRIBED PENALTY SHALL BE CONSIDERED AN ADMISSION OF LIABILITY AND A DEFAULT JUDGMENT MAY BE ENTERED AGAINST THE OWNER OF THE VEHICLE. PLEASE NOTIFY COURT OF DISABILITY ACCOMMODATION NEEDS.
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