Request for Jail Time Credit

LACY LAKEVIEW
City of Lacy Lakeview Municipal Court
P.O. Drawer 154549, Waco, TX 76715-4549
(254)799-2458
http://www.lacylakeview.org
TIME SERVED PLEA FORM - REQUEST FOR CREDIT FOR JAIL TIME SERVED
Name

First NameLast Name
Warrant/Citation Number*
Violation Charged*
Warrant/Citation Number
Violation Charged
Warrant/Citation Number
Violation Charged
Warrant/Citation Number
Violation Charged
DEFENDANT'S MOTION FOR CREDIT FOR JAIL TIME SERVED

I, the undersigned, do hereby enter my appearance in the above numbered cause of the offense(s) wherein I am charged in the municipal court of the City of Lacy Lakeview, McLennan County, Texas. I have been informed of my right to a jury trial and that my signature on this plea will have the same force and effect as a plea of guilty onthe judgment of the Court.
PLEA

I hereby knowingly and voluntarily walve my right to jury trial and all other rights listed above, agree to pay all fines, fees, and court costs and enter the plea of: (Check one) GuiltyNolo Contendere (No Contest)
Plea*

GuiltyNolo Contendere (No Contest
I understand that will receive credit for Jail Time for the fine and costs in full only when the Judge agrees tothis request and signs this order.
Location of Incarceration*
Dates: From*

MonthDayYear
Date
Date*

MonthDayYear
Date
Email*
example@example.com
DOCUMENTATION FROM FACILITY OF INCARCERATION MUST BE ATTACHED
Upload Documentation Here*

Cancelof
Sign*

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Date*

MonthDayYear
Date
Address*
City/St/Zip*
Phone Number*
Should be Empty:

LACY LAKEVIEW

TIME SERVED PLEA FORM - REQUEST FOR CREDIT FOR JAIL TIME SERVED