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Supplemental Disposition (Traffic Appeal) UTC-5 - Alabama
| Supplemental Disposition (Traffic Appeal) Form. This is a Alabama form and can be used in Traffic Statewide . |
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State of Alabama UJS FORM UTC-5 Rev.6 / 85 NAME OF DEFENDANT BIRTH DATE MO DAY YR SUPPLEMENTAL DISPOSITION (TRAFFIC APPEAL) STATE DRIVER'S LICENSE NUMBER CASE NUMBER CC _____ ____________ YR. NUMBER COURT ORI NUMBER AL UTC SERIES & NUMBER J TR LOWER COURT CASE NUMBER ______ _________________ YR NUMBER WAIVED COUNSEL TYPE TRIAL JURY NON-JURY ATTORNEY FOR DEFENDANT FINDING OF THE COURT: GUILTY AS CHARGED NOT GUILTY GUILTY OF LESSER CHARGE OF : ______________________________________________________________________ NOL PRESSED REFERENCE: SECTION ______________________________________________________________________, CODE OF ALABAMA, 1975. MUNICIPAL ORDINANCE NUMBER/SECTION _____________________________________________________________________________________ COURT ORDERS: CASE DISMISSED MUNICIPAL APPEAL DISMISSED FINE$ _________________________ + COURT COSTS $ _________________________ + TOTAL $ __________________ JAILED ___________ DAY(S) IN _________________________________________________________________________ COURT REFERRAL PROGRAM DUI DDC LOCATION _______________________________________________________________ OR ID # ______________________ LICENSE SUSPENDED: ________________ DAY(S) ___________________ MONTH(S) __________________ YEAR(S) OTHER SENTENCE PROVISIONS: I HEREBY CERTIFY THAT THIS IS A TRUE COPY OF THE RECORD OF THIS COURT. MO DATE LICENSE ATTACHED YES NO DAY YR ________________________________________ SIGNATURE-JUDGE/CLERK DPS RECEIVED LICENSE PART 2: TO LOWER COURT YES NO ORIGINAL: TO DPS WITH UTC American LegalNet, Inc. www.USCourtForms.com
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