Mono — Can’t Afford to Pay Fine Forms

Source: https://www.mono.courts.ca.gov/system/files/cant-afford-pay-fine-forms-pcrc-4335.pdf

Can’t Afford to Pay Fine:TR-320 ML Traffic and Other Infractions CONFIDENTIAL

Clerk stamps date here when the form is filed.

Using this form If you cannot afford to pay your fine to the Mono County Superior Court, fill out this form to ask for a lower fine, a payment plan, and/or more time to pay.

You may use this form even if your fine has been sent to collections. If you have more than one ticket, use one form for each ticket.

You must send this form to the Court one of the following ways: o Mail to the Mono Superior Court, P.O. Box 1037, Mammoth Lakes, CA 93546 o Take to the Courthouse at 100 Thompsons Way, Mammoth Lakes, CA 93546 o Scan and email to mono.traffic@mono.courts.ca.gov Superior Court of California, o Fax to 760-924-5419 County of Mono 100 Thompsons Way If you lost your ticket or have questions, contact the Mono County P.O. Box 1037 Superior Court by calling 760-924-5444 or visit the court website at Mammoth Lakes, CA 93546 www.mono.courts.ca.gov for more information.

Types of fines

Use this form for traffic fines (like speeding) or other infractions, such as Case Number: Fish & Game and local ordinances This form is not for parking tickets. Read your parking ticket to find out Ticket Number: what you can do.

Important! Do not use this form to tell the Court you did not do anything wrong and you want to contest your ticket/citation. See the instructions on your ticket or your “courtesy notice of bail” and visit the Court website www.mono.courts.ca.gov for more information on contesting your ticket/citation. 1 Your Information

Name: ___________________________________________________________________________________

Street or mailing address: ____________________________________________________________________

Telephone: _______________________________

Email (optional): __________________________ * OK to email you at this email? Yes No

2 What type of income do you have?

I do not receive money from any source (skip to 3)

I receive public benefits (check ALL that apply, and then go to 3)

Food Stamps (CalFresh) State Supplementary Payment (SSP) Medi-Cal County Relief/General Assistance CalWORKS or Tribal TANF In-Home Supportive Services (IHSS) Supplemental Security Income (SSI) Cash Assistance Program for Immigrants (CAPI) Other need-based aid (specify): _________________________________________________

Mono County Superior Court Local Form TR-320 ML Rev. April 11, 2019 Optional Form Vehicle Code, § 42003(c). Penal Code, § 1214.1 Can’t Afford to Pay Fine: Page 1 of 3 California Rules of Court, rules 2.106(c) and 4.335 Traffic and Other Infractions

Case Number:

I do NOT receive public benefits, but I receive money from other sources (Answer ALL that apply)

a. How much do you earn (take-home pay) or receive from other sources (including income received in
your family from a spouse or live-in romantic partner)
$_________________ every: (check one) Year 2 weeks Twice a month
Week Month Season
Other: _____________________________________

b. This money supports me and __________________ other people.

c. If I pay this fine, I would: (check ALL that apply, if any)

Not have enough money to pay my rent/mortgage. I pay $___________ for rent/mortgage every
(check one): Month Week Other: _____________________________________

Not have enough money to pay for other basic living expenses. Basic living expenses are things like:
food, utilizes, childcare, child support, transportation, medication, insurance (medical, car, house,
rental, and student loans).

Not have enough money to pay my debt for other court cases.

Have other problems (please explain):

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

3 Do you have anything that shows your public benefits, income, or expenses? ________ ____Things like an EBT card, paystubs, bank statements, rent or mortgage checks, or utility bills.

a. Yes, I have attached copies to this form.

IMPORTANT! Keep the original documents for your own records. Any copies you attach can be
destroyed after the Court makes a decision on your case. Cross out any social security numbers, or
other private information, on the copy you give to the Court.

b. No, I do not have any papers to show because:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

4 Have you told the Mono County Superior Court before that you can’t pay this fine?

Yes No, not that I can remember (Skip to 5)

What has changed in your family’s life since then? (Check ALL that apply, if any) Lost job or reduced hours at work Started to receive public benefits Suffered a serious illness or disability Other:______________________________________________________________________________ ___________________________________________________________________________________

Mono County Superior Court Local Form TR-320 MLRev. April 11, 2019 Optional Form Vehicle Code, § 42003(c). Penal Code, § 1214.1 Can’t Afford to Pay Fine: Page 2 of 3 California Rules of Court, rules 2.106(c) and 4.335 Traffic and Other Infractions

Case Number:

5 What are you asking the Court to do? (Check ALL that you are willing and able to do)

Lower the amount I owe on the fine.
There are mandatory fees that
Payment plan: I want to pay: $______ every month on the cannot be reduced just because you
_______ day of the month, until this fine is paid off. There do not have the money to pay them.
will be a $35 administrative fee added to your total. You may ask for more time to pay
and/or monthly payments even if

More time to pay: Please change my deadline to the Court cannot reduce these fees. (month/day/year): _______________________

Attend traffic school (this will add a mandatory, non-reducible $65 fee to your total) Please note that traffic school is only allowed once every 18 months from violation date to violation date. It is your responsibly to know if you are eligible for traffic school or not. The $65 fee is non-refundable, even if you find out that you are not eligible for traffic school after the fact.

If you have penalty charges (called “civil assessments”) for not appearing in court for your ticket for this form will also be considered a request to eliminate or reduce those penalty charges. Check the following reason the Court should consider: I had “good cause” for failing to appear for my ticket (explain the reason, you can add extra pages or attach documents that help explain): ____________________________________ _________________________________________________________________________ I ask the Court to consider my financial circumstances.

6 Other information:

List other facts (if any) about why you can’t pay the fine or your choices in 5 (You can add extra pages of attach other documents that help you explain):

7 Driver’s license “hold” or suspension Did you miss a court date or fail to pay a fine? If so, the Department of Motor Vehicle (DMV) might have suspended or put a “hold” on your driver’s license. If the court clears your failure to appear or failure to pay, the Court will notify the DMV. You must still contact the DMV to get your license back.

8 Read and sign below

I promise that the information above is correct. I declare under penalty of perjury, under the laws of State of California, that all information on or attached to this form is true. I understand that in order for my request to be considers, I need to sign the attached “Plea Form” to waive my right to contest the ticket/citation.

DATE:

---

Type or print your name Sign your name

Mono County Superior Court Local Form TR-320 MLRev. April 11, 2019 Optional Form Vehicle Code, § 42003(c). Penal Code, § 1214.1 Can’t Afford to Pay Fine: Page 3 of 3 California Rules of Court, rules 2.106(c) and 4.335 Traffic and Other Infractions

Superior Court of California TR-322 ML Mono County

Can’t Afford to Pay Infraction Plea Form

Fill out this form if:

You accept and understand the charges on your infraction ticket, You want to plead guilty or no contest instead of going to court, and You want the Mono County Superior Court (the Court) to consider your request to eliminate or reduce your infraction fines

1 Your information

Name:________________________________ Ticket or Case Number:______________________________

Street or Mailing Address:_________________________________________________________________

Telephone:________________ Email (optional):_______________________ Date of Birth:_____________

2 Charges

I am pleading guilty or no contest to all of the charges on my infraction ticket/citation. I understand if my

__request is denied the fines I owe are the amount set in my bail notice.

3 If you are pleading guilty or no contest for infraction ticket/citation you understand you are giving up the following Constitutional rights:

I give up my right to be represented by a lawyer (at your expense) and the right to represent myself; I give up my right to a court trial; I give up my right to confront and cross-examine witnesses; I give up my right to remain silent and to not incriminate myself; I give up my right to present a defense and to produce evidence and witnesses on my own behalf; I give up my right to appeal the Court’s decision; I give up my right to an interpreter if I do not speak English well;

4 If you check Guilty or No Contest (nolo contender) below, that means:

I understand that a “no contest” (nolo contender) plea will have exactly the same effect as a “guilty” plea, __but can’t be used against me in a civil lawsuit.

5 I freely and voluntarily plea (check one) Guilty No Contest

I declare under penalty of perjury under the laws of the State of California that there are facts that support my plea and that the information I have provided on this form is true and correct.

Date:____________________________ Signature:________________________________________________

Mono County Superior Court Local Form TR-322 MLRev. April 11, 2019 Optional Form Vehicle Code, § 42003(c). Penal Code, § 1214.1 Can’t Afford to Pay Fine: Page 1 of 1 California Rules of Court, rules 2.106(c) and 4.335 Traffic and Other Infractions Plea Form