Application For Review Of Civil Assessment [penal Code 1214.1] And/or Delinquent Fine Payments Form (Page 2 of 2) in pdf

Application For Review Of Civil Assessment [penal Code 1214.1] And/or Delinquent Fine Payments Form Page 2

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF NEVADA

201 Church Street, Suite 7, Nevada City, CA 95959

(530) 265-1311

10075 Levon Avenue, Suite 107, Truckee, CA 96161

(530) 582-7835

PEOPLE OF THE STATE OF CALIFORNIA ,

ORDER ON APPLICATION FOR

REVIEW OF CIVIL ASSESSMENT

[Penal Code § 1214.1] AND/OR

DELINQUENT FINE PAYMENTS

Defendant: _____________________________________

Case Number____________________

THE COURT having read and considered the Application regarding review of Civil Assessment pursuant to

Penal Code § 1214.1 and/or Review of Delinquent Fine Payment(s), hereby makes the following order:

Defendant’s Application for Review of Civil Assessment is GRANTED; Civil Assessment is vacated and

DMV DL hold is released provided that the fine of $__________ is paid in full on or before _____________.

Defendant’s Application for Review of Civil Assessment is DENIED.

Defendant’s Application for Review of Delinquent Fine Payment(s) is DENIED;

Delinquent fine(s) to remain with GC Services.

Defendant’s Application for Review of Delinquent Fine Payment(s) is GRANTED as follows:

Other orders:_____

_____

Date ___________________________

Signature _______________________________

Judicial Officer

Commissioner

For questions regarding fine balance, please contact the appropriate court location listed above.

ORDER ON APPLICATION FOR REVIEW OF CIVIL ASSESSMENT [Penal Code § 1214.1] AND/OR DELINQUENT FINE PAYMENTS

H:\SHARED\Criminal\Forms\CA-Application&OrderforReviewCA-DFP (rev 122314)

Application For Review Of Civil Assessment [penal Code 1214.1] And/or Delinquent Fine Payments Form Page 2