__________________________________ (YOUR NAME)
__________________________________ STREET ADDRESS
__________________________________ CITY, STATE, ZIP
__________________________________ TELEPHONE NUMBER

__________________________________ (YOUR NAME), IN PRO PER

SUPERIOR COURT OF THE STATE OF CALIFORNIA 
FOR THE COUNTY OF SACRAMENTO 

PEOPLE OF THE STATE OF CALIFORNIA,
Plaintiff,
vs.

__________________________________,
Defendant.	Case No.  ________________________

EX-PARTE APPLICATION TO DISMISS NON-FELONY TRAFFIC CITATIONS AND/OR WARRANTS  (Cal. Vehicle Code § 41500)
	
TO THE HONORABLE COURT IN THE ABOVE-ENTITLED ACTION:
PLEASE TAKE NOTICE that the defendant, _______________________________ (name of defendant) hereby moves the court for an ex-parte order to dismiss all non-felony citations, warrants, and/or other holds resulting from Cal. Vehicle Code violations pursuant to the authority of Cal. Vehicle Code § 41500. This motion is based on the grounds that defendant is committed to custody of the Dept. of Corrections and/or Adult Authority.
NAME: _______________________________ 	DATE OF BIRTH: _____________________ 
DRIVERS LICENSE #: __________________ 	VEHICLE LICENSE #: _________________  
WARRANT #: _________________________ 	CITATION #: _________________________
I swear under penalty of perjury that I have read the above statement and that these statements are true and correct.
Date: ___________				_______________________________________
_______________________________________
DEFENDANT IN PRO PER