Free TR-120 - California

NONTRAFFIC NOTICE TO APPEAR
(Face of Court's Copy)

(Name of Agency and Jurisdiction) NOTICE TO APPEAR
Date of Violation 1. / / Name (First, Middle, Last) 2. Address 3. City 4. Driver Lic. No. 5. Sex 6. Code 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Evidence Seized 19. Hair Eyes State Class Height State Time

MISDEMEANOR Nontraffic (Citation No.) Case No.

AM PM

Day of Week

SMTWTFS

ZIP Code Birth Date Juvenile (Phone No.) ) Other Description Misdemeanor or

Age

/
Weight

/
Race

(

Ordinance

Description

Infraction (Circle)

M M M M M M M M M M M M
Booking Required (see reverse)

I I I I I I I I I I I I

Location of Violation(s) City/County of Occurrence 20. Comments 21. Violations not committed in my presence, declared on information and belief. 22. I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct. 23. ______________________________________________________ Arresting or Citing Officer ___________ Serial No. _____to_____ Dates Off _____to_____ Dates Off

24.___/___/___ ____________________________________________ ___________ Date Name of Arresting Officer, if different from Citing Officer Serial No. WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE INDICATED BELOW. 25. X Signature 26. WHEN: ON OR BEFORE THIS DATE: _____/_____/_____

WHAT TO DO: 27. WHERE:

28.

To be notified

Time: __________ AM PM Time: __________ AM PM FOLLOW THE INSTRUCTIONS ON THE REVERSE. [Name of court[s]] [Section[s] or division[s], room no[s].] [Street address[es]] [Phone No.] You may arrange with the clerk to appear at a night session of the court.

FPO Barcode
Judicial Council of California Form Rev. 09-20-05 (Pen. Code, § 853.9)

DEFENDANT COPY SEE REVERSE TR-120

Shaded areas on the form indicate spaces subject to modification for local or agency requirements.

NONTRAFFIC NOTICE TO APPEAR
(Reverse Of Defendant's Copy)

IMPORTANT -- READ CAREFULLY
WARNING: If you fail to appear in court as you have promised, you may be arrested and punished by 6 MONTHS IN JAIL AND/OR A $1,000 FINE, regardless of the disposition of the original charge. (Pen. Code, § 853.7.) If "Booking Required" is checked you must appear on a weekday prior to your court date for booking at: _____________________________________________________ between the hours of ___ and ___ and bring the signed verification to your court appearance. Call _______________ for more information. Booking Verification: I declare under penalty of perjury under the laws of the State of California that ______________________________ was booked on _______ Defendant's name Date ____________________ ____________ Officer Serial No.

WHAT TO DO

Shaded areas on the form indicate spaces subject to modification for local or agency requirements.

NONTRAFFIC NOTICE TO APPEAR
(Reverse Of Court's Copy)

(Circle one) RIGHT or LEFT THUMB PRINT

Shaded areas on the form indicate spaces subject to modification for local or agency requirements.