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200 Form Tr
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Defendant’s Signature
Print Name
Date
Mailing Address
City
State
Phone
Email*
ZIP
*By providing my email address, I request that the court email court documents issued in this case to the
email address provided above. I agree to notify the court if I change my email address or wish to receive
documents by mail by using form TF-820, Electronic Delivery of Case Documents.
For clerk’s use only: This is the defendant’s
1st
2nd
3rd or more request...
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