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2. First Name*
3. Last Name*
5. Ticket Number*
6. Violation/Offense*
8. Street/PO Box*
10. City*
11. State*
12. ZIP*
14. Email Address *
15. Phone*
17. Driver's License/Identification*
19. Waiver of Right to Show Cause Hearing
    Defendant herein, having made a previous court appearance in which the defendant, knowingly and voluntarily pleaded to a Class C Misdemeanor. The Court deferred further proceedings without entering an adjudication of guilt pursuant to Article 45.051 (deferral of final disposition) or Article 45.0511 (driver’s safety course) of the Texas Code of Criminal Procedure. I, named defendant, request that the deferral period be cancelled and knowingly and voluntarily waive my right to a show cause hearing. I understand that a verdict of guilty will be entered and any outstanding balance is due.
21. Final Judgment
    A Final Judgment will be processed upon receipt. You will receive a copy in the manner in which the Waiver of Right to Show Cause is received; i.e., email or mail. This form MUST be received by the Court and a Final Judgment processed before your payment will be accepted.
23. Payment Information*
    -- Select One --I agree to pay the balance, if any, online at trafficpayment.com within 30 days.I agree to mail a check or money order for the balance, if any, payable to Celina Municipal Court within 30 days.
25. Defendant Signature*
    By typing my name, I adopt this as my signature and have read, affirm and agree to the information herein.
26. Date*
    Date
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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