x PLEA/STANDARD PAYMENT Defendant Nam: [Cause # [=O SI] Verity uve. ca [Offense | Sage den Street Address [Cause # [4 - he aT Offense | VP TA Mailing Address (If Different fom Street Addr.): Cause # Offense | City, St, Zip: Cause # | | Offense Home/ # & Cell # Cause # [Offense Email Address: ° | consento having comespondence sent by email SHOULD YOUR ADDRESS CHANGE, IT IS YOUR RESPONSIBILITY TO INFORM THE COURT, INWRITING, OF YOUR CURRENT ADDRESS. Tenter a plea of NOLO CONTENDERE (NO CONTEST) ‘ plea of Nolo Contendere [No Contest] means you are not contesting the charge flled against you. f you enter ples of no contest, the Court will enter a finding of guilt and you willbe required to pay ines and court costs, Tenter a plea of GUILTY ‘A Blea of Guilty means you are admitting your guilt tothe charge filed against you. Ifyou enter 2 ple of guilty, the Cour will eniera finding of guilt and you wil be required to pay fines and court cast, Lenter a plea of NOT GUILTY AND REQUEST: Trial before the Court (Therefore waiving my right to a Trial by Jury) Trial by Jury I swear that I will appear before the Court at 195 Roger Hanks Pkwy Ste. 2Dripping Springs, IX 78620 upon notice by the Court, or pay to the Court the principal sum of § lus all necessary and reasonable expense incurred in any arrest for failure to appear. Standard Payment Plan Summary |, (out Defendant's name here), defendant, understand and agree to the terms of the standard payment pian and acknowledge ang agree that the following is true and correct: 1. lamableto payS__B Ile OO _on or before the date my payment is due as described in the attached Standard Payment Plan Summary. 2. lunderstand how much | owe, the dates that my payments are due, and how many payments | will eed to make. 3. | understand that I can request collection staff to review my financial information (payment ability information) to see if| can have lower monthly payment amounts or additional time to pay than what is listed in the attached Standard payment Plan Summary. | do not need or want collections program staff ‘to review my financial information because | can successfully make the payments described in the attached Standard Payment Plan Summary. $25.00 payment plan fee will be due under the Standard Payment Plan if the entire fine and costs are not paid before the 31” day from judgment, pursuant to Texas Local Government Code, Section 133.103. Defendant's Signature Date Court/Collection Staff Name Court/Collection Staff Signature Judge Signature Comments:‘PAYMENT PLAN SUMMARY, IPs 195 Roger Hanks Pkwy. Ste. 2 Dripping Springs, TX. 78620 (512) 858-7446 Panty: Hurd, Vance Walter Cases): 17-09684V ‘Additional Monies Applied to: Last Payment Payment # Date Amount T rsAOT 316.00 Total 316.00 PLUS $25.00 PER OFFENSE IF FUL! FINE IS NOT PAID WITHIN 30 DAYS _(INITIALS) *L UNDERSTAND THAT A $25.00 PER OFFENSE FEE HAS BEEN ADDED TO THIS PAYMENT PLAN __(INITIALS) ‘To make your payment online goto: Wittp://www.gov-pay.com/hayscountyipd x Pany’s Signature Date PAGE 1 OF Prine om S71S72017 at 3:36:38 PMOFFICIAL RECEIPT Justice of the Peace, Precinct 4 195 Roger Hanks Parkway Suite 2 Dripping Springs, Texas 78620 (512) 858-7446 Payor Receipt No Hurd, Vance Walter 2017-02391-JP4 4010 WINDMILL RD. aete DRIPPING SPRINGS, TX 78620 08/15/2017 (Dessrpton ‘Rrount Paid ] Hurd, Vance Walter 17-0968J4y The Siate of Texasvs. Vance Hurd 'Non-Trafic Violation 2548, Warrant Fee - Const. Pet. 4 20.56 SUBTOTAL 46.00 Remaining Balance Due: $316.00 PAYMENT TOTAL 46.00 Credit Card Tendered 48.00 Total Tendered 6.00 Change 0.00 os/1si2017 Cashier Audit 03:29 PM Station JP4S7 15962820 OFFICIAL RECEIPTOFFICIAL RECEIPT Justice of the Peace, Precinct 4 195 Roger Hanks Parkway Suite 2 Dripping Springs, Texas 78620 (512) 858-7446 Payor Receipt No Hurd, Vance Walter 2017-02390-JP4 1010 WINDMILL RD Paneer DRIPPING SPRINGS, TX 78620 apes (Descipton Amount Paid ] Hurd, Vance Walter 17-0968u4 The State of Texas vs. Vance Hurd Traffic Case Fees 100.10, County Fine 65.00 Warrant Fee - Const. Pet. 4 50,00 SUBTOTAL 215.10 Remaining Balance Due: $0.00 PAYMENT TOTAL 245.10 Credit Card Tendered 215.10 Total Tendered 215.10 Change 0.00 08/15/2017 Cashier Audit 03:25 PM Staton JP4s7 15962617 OFFICIAL RECEIPT