COMPLAINT AND SUMMONS by cln12100

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									   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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