Criminal/DWI

 

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Please fill out the following information

 Name:  
 Address:    
 Home Telephone Number:  
Work Telephone Number:
 E-mail address:
 Date of incident:
 Have you had a court appearance?    
 Next Court Appearance date:  
 Location where charged:  
 Nature of charge:  
 Were firearms seized?  
 Do you have any previous criminal convictions?    

Motor Vehicle Forfeiture:

   
 Did you have a motor vehicle seized?    
 If so, what is the year, make and model of the vehicle?
 Are there any liens against the property that was seized?    
    

   

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