2. Please Note:
   By requesting an extension for any violation(s): I understand that I have a right to a jury trial and that my signature on this plea of nolo contendere (meaning "no contest") will have the same force and effect as a plea of guilty on the judgment of the Court. I do hereby plead nolo contendere to said offense as charged, waive my right to a jury trial or hearing by the Court, and agree to pay the fine and costs the judge assesses. I understand that my plea may result in a conviction appearing on either a criminal record or a driver's license record. Please note that a $15 Time Payment Fee will be assessed on the 31st day of your extension agreement(s) and failure to comply with this agreement(s) will result in a Capias Pro Fine warrant being issued.
4. IF YOU ARE GRANTED WITH THE ADDITIONAL TIME TO PAY THE OFFENSE(S) LISTED IN THE REQUEST SUBMITTED, A GUILTY JUDGMENT WILL BE ENTERED AGAINST YOU AND WILL BE REPORTED TO THE STATE AS REQUIRED BY LAW AND COULD HAVE ADDITIONAL CONSEQUENCES.*

   1. I ACCEPT

    

6. PLEASE ENTER PLEA *
   -- Select One --Guilty No Contest
8. First Name*
9. Last Name*
11. Address1*
13. City*
14. State*
15. Zip*
17. Date of Birth *

    Ex: MM/DD/YYYY

18. Phone Number *
19. Email Address*
21. Citation Number *
    Enter additional violations/ citations below.
22. Date of Citation*
23. Violation *
    Please enter the type of citation that was issued. Ex: ran stop sign
25. Citation Number
26. Date of Citation *
27. Additional Violations
29. Citation Number
30. Date of Citation *
31. Additional Violations
33. ACKNOWLEDGEMENT TO SUBMIT ADDITIONAL REQUIRED INFORMATION *

    1. I ACCEPT

    By checking the "I ACCEPT" box above, I am acknowledging that it is my responsibility to email the court a copy of my proof of driver’s license or identification to court@cedarhilltx.com which I will do so immediately upon submitting this form.
35. Extension Request Payment Plan Options *

    Please select an option.

    1. I will pay in full in 30 days.
    2. I need more than 30 days to pay in full.
37. Thank You ~ Cedar Hill Municipal Court
    Thank you for your submission. For additional information, questions or comments, please contact us by: Tel: 469-272-2930 ext. 1041 or Email: court@cedarhilltx.com
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field