Form Tn 0011 PDF Details

The Superior Court of California, County of Santa Clara, offers a way for individuals to request the vacating of a civil assessment through the TN 0011 form, known as the Civil Assessment Petition and Order. This legal document provides a structured method for defendants to formally request relief from assessments imposed for failing to pay fines or fees by a given deadline. The form requires defendants to detail their reasons for non-payment, which can range from being hospitalized, on overseas military duty, incarcerated, or other justifiable reasons. It mandates attaching written proof to support the claim for the time period in question. This crucial step ensures that the court has tangible evidence to consider alongside the petition. Once completed and submitted, the court then reviews the petition and decides whether to grant or deny the request to vacate the civil assessment. Such decisions are made based on the evidence presented and the circumstances outlined in the petition. Serving as a vital bridge between the court and defendants, the TN 0011 form is instrumental in providing individuals with a pathway to explain their circumstances and seek relief from financial penalties that, for some, may be burdensome.

QuestionAnswer
Form NameForm Tn 0011
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestn0011, 0011 civil form, civil assessment petition form, form tn 0011 pdf

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SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA

Santa Clara Courthouse*

Palo Alto Courthouse

1095 Homestead Road

270 Grant Avenue

Santa Clara, CA 95050

Palo Alto, CA 94306

South County Courthouse

301 Diana Avenue

Morgan Hill, CA 95037

*Mailing Address for the Santa Clara Courthouse: 191 North First Street, San José, CA 95113

CIVIL ASSESSMENT PETITION AND ORDER

Defendant’s Request and Declaration to Vacate Civil Assessment

Defendant’s Name:

 

Case Number:

IMPORTANT: WRITTEN proof of any of the following MUST be attached and cover the time period in question.

HOSPITALIZED

OVERSEAS MILITARY DUTY

INCARCERATED

OTHER

The following is an explanation of my failure to pay. (Please print in English only.)

I declare under penalty of perjury that the foregoing statement is true and correct to the best of my knowledge and that written proof is attached to this form.

Executed at

 

 

on

 

 

 

(CITY AND STATE)

 

 

 

(DATE)

Mailing address:

 

 

 

 

 

Telephone:

Signature:

 

 

 

 

 

 

 

(DEFENDANT)

ORDER RE CIVIL ASSESSMENT (COURT USE ONLY)

The Court having read and considered the Petition regarding vacating the Civil Assessment pursuant to PC 1214.1(B), hereby makes the following order:

Petition to vacate is:

Denied

Granted

Date:

(JUDICIAL OFFICER)

Superior Court of California

County of Santa Clara

TN-0011 REV 08/02/12

CIVIL ASSESSMENT PETITION AND ORDER

Page 1 of 1

Defendant’s Request and Declaration to Vacate Civil Assessment

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This form requires specific data to be filled in, therefore be certain to take your time to fill in what is requested:

1. To start with, when filling out the tn 0011, begin with the area with the following blanks:

Step number 1 for filling out tn civil assessment form

2. Soon after filling out the previous part, go on to the subsequent stage and fill in all required particulars in all these blanks - I declare under penalty of perjury, CITY AND STATE, DATE, Mailing address Telephone DEFENDANT, Signature, ORDER RE CIVIL ASSESSMENT COURT, Granted, Denied, The Court having read and, Date, and Superior Court of California CIVIL.

Superior Court of California CIVIL, The Court having read and, and Mailing address Telephone DEFENDANT in tn civil assessment form

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