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Texas Form Lf606 2017
SSN:
-
-
DOB:
Email:
Offense & Charge
3. Please state the exact crime for which
you were charged, convicted, or
received a deferred adjudication:
4. Date of offense:
Date of conviction or deferred adjudication:
5. County and State of pending offense, conviction or deferred adjudication:
County:
State:
6. Court:
(Example: 300th District Criminal Court or Federal Court)
7. Please describe the events and circumstances
that led to the charge:
(If you need more space, attach additional...
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