Amador — Request for Modification

Source: https://amador.courts.ca.gov/system/files/crim025_requestformodification.pdf

[NAME, ADDRESS & PHONE # OF PARTY MAKING THE REQUEST] FOR COURT USE ONLY

PLAINTIFF: PEOPLE OF THE STATE OF CALIFORNIA

Vs

DEFENDANT:

HEARING DATE:
REQUEST FOR MODIFICATION OF:

CASE NUMBER:

I, , am the defendant in this case and am seeking to modify my:

[YOUR NAME]

due to [EXPLAIN WHY THE MODIFICATION IS NEEDED AND IF NECESSARY THE TIME REQUIRED]

I can pay the fine by _____________ [PROVIDE A REALISTIC DATE BY WHICH YOU CAN PAY THE FINE] I request the court order work program in lieu of fine.

DATED: [SIGNATURE OF DEFENDANT]

[TO BE COMPLETED BY JUDGE]

Defendant’s request is set for hearing on: AT_______ Defendant’s request is denied. Defendant’s request is granted. In Whole In part A $30.00 collection fee is imposed pursuant to PC§1205(e). A $30.00 collection fee was previously imposed Defendant is ordered to report to the Collections Department forthwith.

DATED: JUDGE OF THE SUPERIOR COURT

REQUEST FOR MODIFICATION-(Rev 10/05/2018)-CRIM025

PROOF OF SERVICE BY MAIL Dawn Harmon, Clerk of the Amador Superior Court, State of California, and not a party to the within entitled action, served the attached.

REQUEST FOR MODIFICATION

on the parties in said action, by placing a true copy thereof enclosed in a sealed envelope with postage thereon addressed as

shown, for collection and mailing pursuant to the ordinary business practice of the office which is that mail is collected and

deposited with the United States Postal Service on the same day in the ordinary course of business.

AMADOR COUNTY OFFICE OF THE DISTRICT COUNSEL FOR PEOPLE
ATTORNEY
708 COURT STREET (VIA INTER OFFICE MAIL)
JACKSON, CA 95642

AMADOR COUNTY PROBATION DEPARTMENT (VIA INTER OFFICE MAIL)
675 NEW YORK RANCH ROAD
JACKSON, CA 95642

____________________________________________ DEFENDANT
[YOUR NAME]

____________________________________________
[YOUR MAILING ADDRESS]

____________________________________________
[YOUR MAILING ADDRESS]

____________________________________________
[YOUR PHONE NUMBER]

[TO BE COMPLETED BY CLERK]

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed at Jackson, California on .

DAWN HARMON, CLERK

By ________________________________ Deputy Clerk

REQUEST FOR MODIFICATION-(Rev 10/05/2018)-CRIM025