warning: filing false information with the court is a class a
Anuncio
Rockwall County Defendant Information Assessed: Court Cost _____________ Cause#____________________________ Fine _____________ Fee _____________ Community Service _____________ Defendant's Info Name Phone Home__________________________ Cell____________________________ Address Address City, State, Zip E-Mail Address Social Security # Driver's License # State Date of Birth Marital Status (Circle): Single Married Widowed Divorced Legally Separated List Names, Addresses, and Phone Numbers of TWO (2) people NOT living with you, or each other, that know who you are and can get a hold of you if needed. By my signature below the information above is true and correct to the best of my knowledge. (Con Mi Firma Abajo Declaro Que Esta Informacion Es Verdad Y Es Correcto Con El Mejor De Mi Cono Cimiento.) WARNING: FILING FALSE INFORMATION WITH THE COURT IS A CLASS A MISDEMEANOR PUNISHABLE BY UP TO ONE YEAR IN JAIL AND A MAXIMUM FINE UP TO $4,000. ADVERTENCIA: LA PRESENTACION DE INFORMACION FALSA CON EL TRIBUNAL ES UNA CLASE A DELITO MENO PUNIBLE CON HASTA UN ANO DE CARCEL Y UNA MAXIMA MULTA HASTA $4,000. Date (Fecha) Signature (Firma)
