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1. ___I plead NOLO CONTENDERE and enclose fine.
2. ___I plead GUILTY and enclose fine.
3. ___I plead NOT GUILTY and request a trial by Jury.
4. ___I plead NOT GUILTY and waive my right to Jury Trial and request a Trial before the Court/Judge
Attorney’s Name and Phone Number:
____________________________________________
(if you will be represented by counsel)
DATE ________________
STREET ADDRESS ___________________________________________
CITY ____________________STATE ___________ZIP ______________
HOME PHONE ___________________WORK PHONE ________________
SIGNATURE ________________________________________
PRINT NAME _______________________________________
ENCLOSE YOUR COPY OF THE CITATION (TICKET). REFER TO THE FINE SCHEDULE TO MAKE PAYMENT BY CASH, CHECK, CASHIER’S CHECK OR MONEY ORDER PAY TO THE ORDER OFTHE BASTROP MUNICIPAL COURT, OR YOU MAY PAY WITH A CREDIT CARD ONLINE.
Complete and sign this form and return to the Bastrop Municipal Court, 104 Grady Tuck, Bastrop, Texas 78602.
Contact may be made with the Municipal Court Clerks Monday through Friday, from 8:00 a.m. to 4:00 p.m. Phone (512) 332-8650 or (512) 581-0900 • Fax (512) 332-8659
E-mail:
bmcourt@cityofbastrop.org
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Effective 01/01/08
Revised 06/09
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