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2. First Name*
3. Last Name*
4. Date of Birth*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Email Address*
13. Phone Number*
15. Ticket Number*
17. MOTION TO SET ASIDE JUDGMENT ON TRAFFIC INFRACTION

    For good cause shown, and upon such terms as the court deems just, the court may set aside a judgment entered on a traffic infraction

21. I AM ASKING THE COURT TO SET ASIDE JUDGMENT THAT I:

    1. failed to respond within 30 days after infraction was issued
    2. failed to appear for the scheduling hearing
    3. failed to pay the court agreement
23. other:
27. Facts in Support of motion to set aside judgment. FACTS MUST SHOW GOOD CAUSE:*
31. I AM ASKING THE COURT TO (CHECK ALL BOXES THAT ARE APPLICABLE):

    1. ADJUDICATE FTA
    2. APPEAR IN COURT FOR
    3. SET UP A PAYMENT PLAN

    1. WAIVE FTA FEE
    2. MIGITATON

    1. REMOVE FROM COLLECTION
    2. CONTESTED
33. OTHER:
35. Pay the original penalty of $
39. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
41. Electronic Signature*

    "I STATE AND CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT."

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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

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