THE CONFERENCE OF CHIEF CIRCUIT JUDGES - …...THE CONFERENCE OF CHIEF CIRCUIT JUDGES Administrative Office of the Illinois Courts lion. David A. Ilyila Chair Administrative Oflice

THE CONFERENCE OF CHIEF CIRCUIT JUDGESAdministrative Office of the Illinois Courts

lion. David A. Ilyila Chair Administrative Oflice of Illinois CourtsMadison County Courthouse 222 N. LaSalle Street, 13” Floor155 North Main State Street, Suite 405 Chicago, IL 60601ldwardsvilIe, IL 62025(618) 296-4884 (ph) 3101 Old Jacksonville Road(618) 692-7475 (lax) Springfield, IL 62704dahylla@co,rnadison.il.us

March 19, 2019

Honorable Carolyn Taft GrosbollClerk of the Supreme CourtSupreme Court BuildingSpringfield, IL 62701-179 1

Re: Illinois Overweight Citation and Complaint Form

Dear Ms. Grosboll:

The Conference of Chief Circuit Judges, at its meeting on March 15, 2019, approved changes to theIllinois Overweight Citation and Complaint Form (Overweight Ticket). The approved updates arepart of the comprehensive systematic and procedural changes resulting from the enactment of theCriminal and Traffic Assessment Act and recent updates coordinating the Article V Supreme CourtRclles with the Act. There are no changes to the Printing Instructions for the Overweight Ticket filedMay 14, 2014.

On behalf of the Conference of Chief Circuit Judges, I hereby submit the approved citation form toyour office fbr filing pursuant to Supreme Court Rule 552. The new form is effective July 1, 2019.Agencies should deplete their current inventory through June 30, 2019; however, any IllinoisOverweight Citation and Complaint issued on or after July 1, 2019 must conform to the form filedherein.

PILEDMAR25 2019

$JPREME COURTCLERK

Conference of Chief Circuit Judges

EncLosure

PILEDILLINOIS OVERWEIGHT TICKET AND COMPLAINT AY 14 2014

(Uniform Overweight Ticket) SUPREME COURTCLERK

PRINTING INSTRUCTIONS

THE ATTACHED DOCUMENT IS A DRAFT COPY WHICH DOES NOT PURPORT TO REFLECT EITHER SPACING ORSIZE OF TYPE AND BECAUSE IT DOES NOT REFLECT APPROPRIATE COLORING FOR EACH LEAF, THE FOLLOWINGINFORMATION IS PROVIDED:

(1) DIMENSIONS: THE OVERALL DIMENSION OF THE UNIFORM OVERWEIGHT TLCKET FORM SET WILL BENINE AND THREE-FOURTHS INCHES (9 3/4) IN LENGTH BY FIVE AND ONE-HALF INCHES (5 1/2”) IN WIDTH.INCLUDED IN THE LENGTH (9 3/4”) IS A THREE-FOURTHS INCH (3/4”) PERFORATED TEAR-OFF STRIP AT THEBOTTOM AND A HALF INCH (112”) PERFORATED TEAR-OFF STRIP AT THE TOP.

(2) COLOR OF PAPER: ALL LEAVES OF THE UNIFORM OVERWEIGHT TICKET SHALL BE PRINTED ON THECOLOR OF PAPER AS FOLLOWS:

I. COMPLAINT COPY WHITE2. DISPOSITION REPORT COPY WHITE3. POLICE REPORT COPY GREEN4. VIOLATOR COPY GOLDEN ROD5. COURT COMMUNICATION COPY BLUE

(3) FACE OF THE UNIFORM OVERWEIGHT TICKET.(a) ALL PRINTING ON THE FACE OF THE UNIFORM OVERWEIGHT TICKET WILL BE IN BLACK

LETTERING, EXCEPT FOR THE FOLLOWING:

(I) THE FOLLOWING WILL BE PRINTED AS AJQ BARWiTH WHITE LETTERING:(a) TITLES TO EACH BOX(b) TITLE TO THE VEHICLE USE BOX.

(2) THE FOLLOWING WILL BE IN RED PRINT:(a) TICKET NUMBER(b) THE TITLES TO EACH LEAF: COMPLAINT, DISPOSITION REPORT, POLICE REPORT,

VIOLATOR, AND COURT COMMUNICATION(c) THE PRINTING OF THE WORDS IN THE VEHICLE USE SECTION(d) THE PRINTING OF THE WORDS AND BOX FOR CDL INDICATION.

(b) THE FOLLOWING INFORMATION SHALL APPEAR AT THE TOP OF EACH LEAF:

(I) THE WORDS “ILLINOIS STATE POLICE - OVERWEIGHT TICKET AND COMPLAINT” (OROTHER APPROPRIATE WORDING IDENTIFYING THE LAW ENFORCEMENT ENTITY ORMUNICIPALITY, IN THE CASE OF FORMS PRINTED AND ADAPTED FOR USE BY AMUNICIPALITY)

(c) THE FOLLOWING OPTIONAL INFORMATION MAY BE ADDED TO THE TOP OF EACH LEAF:

A BAR CODE MAY BE PLACED ABOVE THE CASE NO. FIELD IN THE COMPLAINT BOX.

(d) THE PRINTING OF THE FOLLOWING LINES IN THE VIOLATION BOX WILL BE SCREENED SO THEYCAN BE WRITTEN OVER:

(1) “Overweight on Axle Gross Bridge15-111 ()- with a road surface weight of______________ through axles

_______________

beingpounds in excess of maximum allowed by statute.”

(2) “15-111(e) - Overweight on permit - Axle Permit # Gross Permit #

(e) THE PERFORATED TEAR-OFF STR1P AT THE TOP AND AT THE BOTTOM Of THE COMPLAINT COPYOF THE UNIFORM OVERWEIGHT TICKET SHALL HAVE IMPRINTED, IN BLACK, THE FOLLOWINGWORDING:

NOTE: USE SEPARATE TICKET FOR EACH VIOLATION

(4) BACK OF THE OVERWEIGHT TICKET:(a) APPROPRIATE PRINTING ON THE BACK SIDE OF THE POLICE REPORT COPY IS OPTIONAL.(b) THE PRINTING ON THE BACK SIDE OF THE COMPLAINT COPY, DISPOSITION REPORT COPY, POLICE

REPORT COPY, VIOLATOR COPY, AND COURT COMMUNICATION COPY OF THE UNIFORMOVERWEIGHT TICKET WILL BE IN BLACK LETTERING.

Revised May 14, 2014



cas

DIl NH N NII NII NI OVERWEIGHT TICKET AND COMPLAINTILLINOIS STATE POLICE

0000000

l15P Dirt. of Toliway ISP Dist.Occurrence IeNo. I of Assign. OW 0 0 0 0 0 0 0 0• County of Township of TWP. 00. Scale # Scale Operator

PEOPLE STATE DCITY)V1LLAGE/COUITY OF:COMPLAINTOF ILLINOIS v.

NAME S1D#

ADDRESS I EYES I U reman

Lea Free Middle Name

Sircer I ICoy Slate Zip Itnie IkighI Weight

DR. LIC. STATE CDL Class EXPIR. DATE DOB—

Undersigned states that on II at_________ A.M. EM. Defendant did unlawfullyoperate: a motor vehicle of the second division

REG NO. STATE MO/YEAR I tcc or US DOT #[ YEAR COLOR NO. AXLES

(flMM. MOTOR VEil. YES [7 NO U071 U SPEC. HAUL. O86DTRUCKTRACTOR O8tUTRAIL,SEMI-TRALL. 0090 BUS

I6ORMOPASSVEH YESQ NOU

PLACARDED HAZ MAT. YES [7 NO U072 [7 SPEC. MOB. EQUIP. 0840 TRUCK UOTHER CODE(S)

QiaRitaicHiway, anyoi,____________________________

Located in the County and State Aforesaid and Did Then and There Commit the Following Offense:

ghlooUAxleUGrossUBridge

0625 ILCS5

___________________ __________________________________

css of maximum

- with a toad surface weight

_____________________________ ________________

01cc 5 ULOCAL ORDNANCE CH__________

___________ ________________

toss weight of

allowed by statute.

0625 ILCS 5/3-40! (d)(2) - Overweight on registratis: with theg

axles

______________________________

ACT

in excess of maximum registration allowed by atatule

U Urban Drnleict

[hxlc 5 Axle to

AnIe I AxleS Axle II Axle 6 Scale Slicker #

Axlc 2 Axle 7 Ante 2 Axle 7 Scale Sticker #

jAxIc 3 Axle 8 Axle t3 AxleS Test Dale:

Axle4 Ante 9 Axle 14 Axle 19 Distance Between Axles:

WITISJFII

Ante 15

FILEDMAR252019

WPREME coumCLERK

Lbs. in Excess

Assessment Schedule #:

Assessments $

Axle 20 functioning Auxiliary Power Unit U

Conditional Assessments $

Fine

- ‘)DRESS/

Total Amount $

Notes:

ICITY

________________________ZIP _________________IL_________AT__________

[7A.M. [7P.M.U. -- certification pursuant Is Section 1-109 of theCode to Section 32-2 at the Criminal Code sf2012,the u._m...., net forth in this instrument are true and correct.

Dated

Cash UQztusy UJEBall

UZCard 0 3.NIA{ 4.I-Bcnt

Acth rEef eCanatxx

I /Mouth Day Yew

Officer SOxtn ID N

WITHOUTADMIUING GUILT, t promhe to rrmtiy wO, the terms of thh Tcket and Release.

xeerrn rlV:xO:xr

COMPLAINT COPY BACKER

Vehicle types as defined in 625 ILCS 5/I et seq. and recorded in the Vehicle Section of the Citation.

+

CODE DEScRIPTION DESCRIPTION

000 IRBOAT 048 ON-DIVISIBLE LOAD OR VEhICLE

00! LL TERIcsIN VEHICLE fATVt 049 ON-POWERED WATERCRAFT

002 MBULANCE 050 FF-IRGIIWAY MOTORCYCLE

003 ANTIQUE VEHICLE 051 ROAN TRANSPORT VEHICLE

004 APPORTI0NABLE SEMI-TRAILER 052 RASSENGER CAR

005 APPORTIONABLE TRAILER 053 PEDESTRIAN

006 UrIIORIZED EMERGENCY VEhICLE 054 PERSONAL WATER CRAFT

092FCTYcLE 055 LE TRAILER

007 }IIYLE 056 OLWE VEHICLE

008 OAT/WATERCRAFT 057 ILROAD TRACK EQUIPMENT

009 us 058 AILROAD TRAIN

[ 010 AMPING TRAILER 059 ]REBUILT VEHICLE

01! hIARITABLE VEhICLE 060 ECREATIONAL VEhICLE

012 jCOMMUTRR VAN 06! fECREATIONAL BOAT

013 ONVERTER DOLLY 062 ECREATIONAL OFF-hIGhWAY VEhICLE

014 USTOM VEHICLE 063 EPAIRED VEHICLE

015 YCLE 063 EPLICS TROLLEY

016 DERELICT VEIIICLE 065 TRUCE VEhICLE

017 ELECTRIC PERSONAL ASSISTIVE MOBILITY DEVIC 066 ROAD TRACTOR

018 APANDED-USE ANTIQUE VEhICLE 067 RURAL MAIL DELIVERY VEHICLE

019 ARM TRACTOR 068 AILBOAI

028 •IRE DEPARTMENT VEhICLE 069 CIIOOL BUS

021 LEET SAFETY VEhICLE 070 NOWMOBILE

022 OREIGN VEIIICLE 071 PEdAL IIAULING VEIIICLE

023 OLE CART 072 PECIAL MOBILE EQUIPMENT

024 REY MARKET VEIIICLE 073 PECIALLY CONSTRUCTED VEIIICLE

025 lOUSE TRAILER 074 PECIALTY PROP CRAFT

026 MPLEMENT OF hUSBANDRY 075 TINDER-STEERED SEMITRAILER

027 UNK VEhICLE 076 TREETCAR

028 IFEBOAT 077 TREET ROD

029 IMOUSINE 078 ANK VEIIICLE

030 OW-SPEED ELECTRIC BICYCLE 079 OW-TRUCK

031 OW-SPEED GAS BICYCLE 080 RACKLESS TROLLEY COACh

032 OW-SPEED VEhICLE 05! RAILER OR SEMI-TRAILER

033 IATERIALLY ALTERED VEIIICLE 082 RANSIT BUS

034 IAXI-CUBE VEhICLE 083 RAVEL TRAILER

035 IEDICAL CARRIER 084 RUCK

036 IEDICAL TRANSPORT VEIIICLE 085 BUCK CAMPER

037 IODIFIED VEhICLE 086 RUCK TRACTOR

038 IOTORBOAT 087 RUCKSTER

039 B3TORIIOME, MINI-MOTORIIOMF, VAN CAMPER 088 YPE I SCIIOOL BUS

040 IOTOR VEIIICLE 089 YPE II SCHOOL BUS

04! IOTOR DRIVEN CYCLE 090 TILITY SERVICE VEIIICLE

042 lOPED 09! RECKER

043 [OTORCYCLE 998 TIlER

041 IOTOR2ED WIIEELCIIAIR 999 ONE

045 IULTIFUNTION SChOOL ACTIVITY BUS

046 ICLTIPURPOSE PASSENGER VEhICLE

047 NONCOMMERCIAL VEhICLE


II VD D H III’ II NI ILLINOIS STATE POLICE

0 0 0 0 0OVERWEIGHT TICKET AND COMPLAINT

- ISP DisI. of 121 Toltwav• Case N

Occurrence 0 0 0 0 0 0 0 0• County of Township of TWO RD. Scale 5 Scale Operator

D PEOPLE STATE CITY! VILLAGE/COUNTY Of:OF ILLINOIS V. v. DI P 1 N REPORT

NAME SID#

Lust first Middle Naeie

ADDRESS EYES C roseS

Strcct C rue

City SOro Zip itair height Weight

DR. LIC. STATE CDL Class EXPIR. DATE DOB

Undersigned states that on II at_________ A.M. PM. Defendant did unlawfullyoperate: a motor vehicle of the second division

REG. NO. STATE MO/YEAR ICC or US DOT #

MAKE YEAR COLOR NO. AXLES

COMM. MOTOR VON YES NOD071 U SPEC. HAUL. 086TRUCK TRACTOR 081 DTRAIL./SEMI-TRAIL. 009fl BUS

PIACARDED HAZ MAT YES U NOD

072 U SPEC. MOB. EQUIP. 0S.tU TRUCK D0THER CODE(S) !t, 1)5 MORE PASS VON YES NOD

Qi a Public Hghway, nanly on__________________________________________

Located in the County and State Aforesaid and Did Then and There Commit the Following Offense: C Urban Dtstnct

Overweight on DAxie C Gross C Bridge ftmit#

_________________________

C 625 ILCS 5!l5-lll ( ) -with a road surface weight of

_________________________

through axles

____________________________

4

being

___________________________

pouxds in excess of maximum allowed by statute.

C 625 ILCS 5/3-401 ld)(2) - Overweight en registration with the gross weight of

___________________________________________

• being

______________________________________________

in excess of maximum registration allowed by statute.

CILCS CLOCALORDINANCE CH_________ ACT

__________!SEC_________________________

4x1e I AxleS Axle U Ante Scale Sticker #

IIO

2 Axle? Axle 12 .4.rle 17 Scale Sticker #

holeS AsIc S Axle 13 Asle IS Test Date:

vole 4 Axle 9 AsIc 4 Axle 19 Distance Between Axles:

Axle 5 Ante IS Axle t5

ROSS WEIGHT

1Anle 20 Functioning Auxiliary Power Unit C

Weather:

Conditional Assessments S

Fine

Total Amount S

Notes:

I. cbsh C Girmuy C E-iI

C 2 &axiCrooj C 3. NIA 4. I-&rei

AsS/Set. 5/Conpany


Lbs. in Excess


Assessments S

21RCUIT COURT LOCATION, DATE, AND TIME:

“9RESS/IURTHOUSE_

tTY

__________ZIP ________________tL___________AT ____________

CANt. CP.M.

as pmoided by law for false csrhfication parsaant to Section 1.109 of theCods of Cie Procedure and perjsly pursuant to Sectian 32-2 st the Crim:nal Code st 2012.the undersigned certifies that the statemsats set forth in this instrument are true and correct.

Dated I /Mnnth Day Year

011/scr Slgl5e IONs

WITHOUTADMIHING GUILT, I promise to ramply with the terms of this Ticket and Release.

Sigms of VIe/hO!

-*

-.-

(DISPOSTION REPORT BACKER)

HEARING JUDGE

_________________________________________

COURT ACTION AND OTHER ORDERS

OPJG[NAL CHARGE

AMENDED CHARGE OR LESSER [NCLUDED OFFENSE OF:___________________

625 ILCS 5/

____________________________________

ILCS LOCAL ORDINANCE CII.

_______ACT _______/SEC._________

BAIL FORFEITURE: Date

LCASIIORBONDCARD

______I

/

______

2. WARRANT ORDERED TO ISSUE

_______I

/

_______

[] 3. INDIVIDUAL BOND

_______/ _______

/

_______

Date

FINDINGS: I I

I GUILTY 6. TURNED OVER TO OTHER AUTHORITY

2. NOT GUILTY 7. CHARGES AMENDED

3. NOLLE PROSEQC8 8. STRICKEN ON LEAVE TO REINSTATE

4. EX PARTE 9. ASSIST

FINE

5. DISMISSED 10. COURT SLIPERVISION

ASSESSMENTS 5

____________

ASSESSMENT SCHEDULE:

CONDITIONAL ASSESSMENTS S

____________

TOTAL $

Suoluro ot Clerk or Court

MAILTO:

-.-



I N ll II ILLINOIS STATE POLICE* a a 0 OVERWEIGHT TICKETAND COMPLAINT

— ISP Dial, of UToitwayOccurrence ISP Disc

Case No. of Assign. OW

County of Township of TWF. RD. Scale # Scale Operator

D PEOPLE STATE CITY! VILLAGE/COUNTY OF:OF ILLINOIS . . POLICE REPORT

NAME SID#

Last First MIddle Name

• ADDRESS EYES Ua

Sired U 505

Cay Sow ZIp hair [teight Weight

DR. UC. STATE CDL Class EXPIR. DATE DOBa

Undersigned states that on II at_________ A.M. PM. Defendant did unlawfullyoperate: a motor vehicle of the second division

REG NO, STATE MO/YEAR ICC or US DOT #


COMM. MOTOR VEil. YES U NO U071 U SPEC. HAUL. OS6UTRUCK TRACTOR SOlE TRAIL/SEMI-TRAIL. 009U BUSPLACAROED I1AZ. MAT. YES U NO U

072 U SPEC. MOB. EQUIP. 084U TRUCK E0THER CODEIS) itORMOREPASSVE5I, YES U NOE

Oi a Ribllc Hghay, nanlY Ofl_______________________________

Located in the County and State Aforesaid and Did Then and There Commit the Following Offense:

Oversseighton UAxle U Gross U Bridge Pcnnt#

__________

U 625 ILCS 5/15-Ill ( ) - with a toad surface weight of___________________________ through axles

_______________

laxog

_______________________

pounds in excess of maximum allowed by slatule.¶ U 625 ILCS 5/3-401 (d)(2) - Overweight on regiatralinn with the gross weight of

____________________________________

• being

__________________________________________

in excess of maximum registration allowed by statute.

UILcs UL0cAL0RorNANcE CII ACT

___________/SEC________________

U Urban District

1.Nnle 2 Axle 7

1Axlr I AxleS Axle It Axle 16 I I Scale Sticker #

Axle 12

+

Nxlu 3 Axle S Axle 3 Axle 5

Axle 4 Axle S Axle 14 Axle IS

AxleS Axle IS Axte 15 Axle 20

Axle I? I Sticker #

Lbs. in Excess

Feel Date:

e Between Axles:

Auxiliary Power Unit U


Assessments $


Fine S

Tolal Amount S

yA0DRESS/‘fllsTHDIlSF

CITY

__________________________ZIP __________________IL

AT

____________

UA.1.UP.M.Nolca:

I. cwh UQai U&tU a BcnJcani U 3. NTAI E 4. I-&rni

Auth)0rf #/Compary

U. S as prosioed by law lot false certiEcation pursuant to Secbon 1-109 ef IheCo mcedure nnd perjury pursuant to Section 32-2 at the Criminal Code of 2012,the ana_._._d certifies that the atalements set forth in this instrument are true and curecl.

Dated / /Month Day Yew

011km S,eratxn to N

WITHOUTADMIUING GUILT, I promise to comply with the terms of this Ticket ond Roloaae.

spates xrVteutxr

-e

(POLICE REPORT BACKER)

Remarks:

+

4-

-.-


NN Nll U NH NH ILLTNOIS STATE POLICE

* * OVERWEIGHT TICKET AND COMPLAINTISP 01st. of DTollway isp D

Case No.Occurrence

ofAssign. OW 0 0 00 0 0 0 0•

County of Township of fl TWP. RD. Scale 0 Scale Operator

DPEOPLE STATE CITY/VILLAGE/COUNTY Of:Of ILLINOIS v. v. VIOLATOR S COPY

NAME SID #

Loot First Middle Nonre

ADDRESS EYES CI Femete

Strcct U Mete

Cay Stote Zip Stair tinight Weight

DR. LIC. STATE CDL Class EXPIR. DATE DOB

Undersigned states that on II at_________ A.M. P.M. Defendant did unlawfullyoperate: a motor vehicle of the second division

REQ NO. STATE MO/YEAR ICC or US DOT #


COMM. MOTOR VEH. YES CI NOD07! CI SPEC. HAUL. 086TRUCK TRACTOR OSIETRAILJSEMI-TRAIL. 009C1 BUS

PLACARDED HAZ. MAT. YES CI NO E072 CI SPEC. MOB. EQUIP. 054CI TRUCK CIOTHER CODE(S) 16 OR MORE PASS VEil. YES CI NOD

G a Public Ilghway, nanely on_____________________________________________________________Located in the County and State Aforesaid and Did Then and There Commit the Following Offense: CI urban Otstmct

Overweight on DAxIe CI Gross CI Bridge Pennt#____________________

CI 625 ILCS 5/IS-Ill ( ) - with a road surface weight of

________________________

through axles

____________________________

being

_________________________

pounds in excess of maximum allowed by statute.

CI 625 ILCS 5/3-401 (d)f2) - Overweight on registration with the gross weight of___________________________________________

• being

__________________________________________

in excess of maximum rcgislraliou allowed by statute.

CIILCs CILOCALORDINANCE CE_________ ACT

__________/SEC

Asia t Aslo 6 ArIr St Axle lb Scole Sticker #

Axle 2 Asic 7 Axle t2 Axle 17 Scale Sticker #

Axle 3 AxleS Axle t3 Axle IS Test Date:

Axle 4 Axle Axle 14 Axlo IS Distance Between Axles:

Axle 5 Aslo tO Axle 15 Axle 20 Functioning Auxiliaty Power Unil CI

GROSS WEIGHT Weather:

Lbs. in Excess

ICIlY

DAM. CIP.M.

u - ts provided by law for false eertiftcatian pursuant to Section 1-109 of thecode ot clvi, Prncedare and peflury pursuant to Seetisn 32-2 of the Criminal Codes! 2012,the undersigned certities that the statements set forth in this instrument sre true and correct.

Dated / /Morth Day Your

l.CWi CIclaimmy L:]EBl

CI z &icturi CI 3. NIA CI 4. I-&nd

Aeth/ErE 0/Company

ugexer etV,elt



kssessments $

Conditional Assessments $

Fine S

Total Amount $

Noles:

i COURT LOCATION, DATE, AND TIME:

ADDRESS/COURTHOUSE

offierxgroeee ON

WIThOUTADMIHING GUILT, I promise to comply with the terms ot this Ticket srd Release.

(VIOLATOR’S COPY BACKER)

READ THESE INSTRUCTIONS CAREFULLY

If you wish to plead “GUILTY”, complete the form entitled “PLEA OF GUILTY AND WAIVER” on the bottom half, of the back side, of the blue copy of the ticket. Follow the instructions on that form and mail it with fullpayment in the applicable amount noted on the ticket in the “Release” Section on the “Total Amount” line.

NOTE: Payment must be by cash, money order, certified check, bank draft, or traveler’scheck unless otherwise authorized by the clerk of the court. (DO NOT SEND CASH IN THEMAIL; use cash only if paving in person.)

If you wish to plead “NOT GUILTY”, complete the form entitled “Avoid Multiple Court Appearances” on thetop half of the back side, of the blue copy and follow those instructions. If you are found guilty, the total amountassessed may be greater than the amount assessed on a guilty plea.

METHOD OF RELEASE - FAILURE TO APPEAR

The method of release is marked on the front side of the ticket in the “Release” section. The result of your failure toappear or pay this ticket is determined by the method of release identified below and may result in either a judgmentof conviction being entered against you for fine, penalties, assessments, and costs as provided in the NOTICE OFCONSENT FOR ENTRY OF JUDGMENT; or, the court may order other consequences identified below:

1. CASH: Ajudgment of conviction may be entered against you as noted above.

2. BOND CARD: Your card will be sent to the issuing company for payment.

3. NOTICE TO APPEAR: The court may issue a warrant for your arrest.

4. INDIVIDUAL BOND: Ajudanent of conviction may be entered for the FULL amount of the bond and/or the courtmay issue a warrant for your arrest.

___________________

+NOTICE

OF CONSENT FOR ENTRY OF JUDGMENT

YOU ARE HEREBY NOTIFIED THAT:If you do not satisfy the charge(s) against you prior to the date set for your appearance

or any date to which the case is continued, you do not submit a written plea of guilty to theclerk at least (3) days before that date, and you fail to answer the charge(s) or appear incourt when required, you thereby consent to the entry of a judgment of conviction againstyou in the amount of the statutory minimum fine plus the assessment in the applicableschedule for the charged offense as provided in the Criminal and Traffic Assessment Act(705 ILCS 135/1 et seq.). The total amount assessed may be greater than the amountassessed on a guilty plea, as discussed above. Any cash bail or other security you havedeposited will be applied toward payment If you are an Illinois Driver and you fail to payin full any judgments imposed, a notice will be sent to the Secretary of State and your driver’s license will not be renewed, reissued, or reclassified, until full payment is received.

-+-NOTE: USE SEPARATE TICKET FOR EACH VIOLATION

hH DI NIh II llh NIh VI NIh Ih OVERWEIGHT TICKET AND COMPLAINTILLINOIS STATE POLICE

* 0000000.

Case No

lisp Disc of flTottwayl ISP Dist.Occurrence ofAssign. Ow00000000•

County of Township of TWP. RD. Scale 6 Scale Operator

PEOPLE STATE CITY/VILLAGE/COUNTY OF:COURT COMMUNICATIONOF ILLINOIS v.

NAME SID #Lost First Middle Narita

- ADDRESS I EYES D tsreaia•

Street I I CCoy Stuto Zip [tuir Height Weight

DR. LIC. STATE CDL Class EXPIR. DATE DOB•

Undersigned states that on II at__________ AM. PM. Defendant did unlawfullyoperate: U a motor vehicle of the second division

REG NO. STATE MO/YEAR IICC or US DOT #

MAKE YEAR CO

)StM.MOTORVEH. YESU NOC

LOR NO. A)ES

071 C SPEC. HAUL. 0$6UTRUCK TRACTOR 081 UTPAJLJSEMI-TRAIL. 009U BUSPLACARDED IIAZ MAT YES U NO U

072 C SPEC. MOB. EQUIP. 084U TRUCK UOTHER CODE(S) 16 OR MORS PASS VEtI, YES NO UOn a Public Hghway, nany on__________________________________________

Located in the County and State Aforesaid and Did Then and There Commit the Following Offense: U Urban District

Overweight on U Axle C Gross U Bridge Pemit #_________________

U 625 ILCS 5/15-Ill ( ) - with a toad surface weighi of

___________________________

through axles

______________________

-

- being

_________________________

sounds in excess of maximum allowed by statute.

U 625 ILCS 3.’3lOl (dl{2) - Overweight on registration with the gross weight of________________________________________• being

__________________________________________

in excess of maximum tegistralion allowed by statute.

U IL C S U LOCAL ORDINANCE CH__________ ACT

____________!SEC_______________________

Axle I Ante S Axle II Axle IS Scale Sticker #

IIo

2 Axle 7 Ants t2 AxIs 17 Scale Sticker Uole 3 Aste S Axle 3 Asia IS Teot Date:

Axle 4 AsIc 9 Axle 14 Axis tO Distance Between Axles:

Ante 5 Axle tO Ante 15 Axle 20 Functioning Auxiliary Power Unit UROSS WEIGHI Weather:


èinc

Total Amount

Notes:

I. Cash Uoiicomy UF,Rl

C i EcouiCaixi U 3. NE5. IC 4. l-Bcarl

AuSrJRst 6/Conpany


Lbs. in Excess

Asueosment Schedule #:

Assessments S

2IRCUIT COURT LOCATIONr DATE, AND TtMF

‘)DRESS/

KtTY ZIP

_________________IL

AT

_______________

UA.M. UP.M,U 5 as pmoides sy law for talse certification pursuant to Section t-t09 of theCode ot C il Procedure and peury pursuant to Sectdn 32-2 ot the Criminal Code of 2012.the undera,ned ceSif/es that the atutemenls set tuSh in this instrument are true and correct.

Dated / /Moxth Day Year

Officer Sieeaiiiee

WIThOUTADMIUING GUILT, I promise to comply with the tacos of this Tcket and Release.

nifflasea etVaOier

-*-

(COURT COMMUNICATION COPY BACKER)

AVOID MULTIPLE COURT APPEARANCES

If you intend to plead GUILTY to this ticket:

1. Complete this form and mail at least TEN (10) work days before the date set for your court appearance notedon the bottom half of the front side of this ticket (Court Place/Date section).

2. Indicate what kind of trial you want—mark only one box, complete the address section below and follow themailing instructions in number 3 below.

I WISH TO PLEAD NOT GUILTY AND REQUEST:A. Trial by Judge

D B.TrialbyJury

A new appearance date will be set and you will be notified of the time and date of trial. Do not come to thecourt until you are notified. When you are notified, you should come to the court prepared for trial and bringany witnesses you may have.

NAf,IE

MAILING ADDRESS

CIT’, STATE ZIP

TELEPITONEXO I_____________

____________________________

3. Mail this form to the Clerk of the Court, Traffic Section, at the address noted in the “Court Place’Date” section on the bottom half of the front side of this ticket.

DO NOT MAIL TO THE POLICE DEPARTMENT

GUILTY PLEA

If you intend to plead GUILTY to this ticket:

1. Complete this form.

2. Mail this form, together with the the applicable payment to the Clerk of the Court, Traffic Section, at theaddress noted in the “Court Place/Date” section on the bottom half of the front side of this ticket. You must mailthis completed form, with the total applicable payment, no earlier than Ten (10) work days after the ticket wasissued (noted on the top half of the front side of the ticket), and no later than Three (3) work days before thecourt appearance date (noted on the bottom half of the front side of the ticket in the “Court Place/Date” section).

NOTE: Payment must be by cash, money order, certified check, hank draft, or traveler’s checkunless otherwise authorized by the Clerk of the Court. (DO NOT SEND CASH IN THE MAIL;use cash only if paying in person.)

PLEA OF GUILTY AND WAIVER

I, the undersigned, do hereby plead guilty to the charge noted on the front side of this ticket, whichdoes not require a court appearance. I understand my right to a trial, and that my signature to this pleaof guilty will have the same force and effect as a conviction entered by the court. I hereby PLEADGUILTY to the said offense on this ticket, GIVE UP my right to trial, and agree to pay the amountrequired.

Defendant’s Signature

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Date

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Mailing Address

City

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State

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Zip

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Documents

THE CONFERENCE OF CHIEF CIRCUIT JUDGES - …...THE CONFERENCE OF CHIEF CIRCUIT JUDGES Administrative Office of the Illinois Courts lion. David A. Ilyila Chair Administrative Oflice