Fill and Sign the Under Oath to Tell the Truth I State that Form

JD-1760, 11/99 Petition for Judgment Against Juvenile/Parent for Unpaid Forfeiture§895.035(2m)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.STATE OF WISCONSIN, CIRCUIT COURT, COUNTYIN THE INTEREST OF NamePetition for Judgment Against Juvenile/Parent for Unpaid Forfeiture Date of BirthCase No. For Official UseUnder oath to tell the truth I state that: 1.I am:a representative of the public’s interest under §938.09, Wisconsin Statutes:District attorney (for §§938.12, 938.125, 938.13, Wisconsin Statutes)Corporation counsel (for §§938.125, 938.13, Wisconsin Statutes)City/Village/Town attorney (for §§938.125, Wisconsin Statutes)Person designated by county board (for §§938.125, Wisconsin Statutes)a representative of the agency supervising the juvenile.a representative of the law enforcement agency that issued the citation to the juvenile.2a.The juvenile was ordered to pay a forfeiture in the total amount (including any costs, assessments, surcharges, etc.) of $ by:this courtthe municipal court of 2b.The custodial parent was ordered to pay a forfeiture in the total amount (including any costs, assessments, surcharges, etc.) of $ by:this courtthe municipal court of 3.The amount of forfeiture still owing is $ , andthe juvenile has failed to pay the forfeiture.the custodial parent has failed to pay the forfeiture. orit appears likely that the juvenile will not pay the forfeiture.it appears likely that the custodial parent will not pay the forfeiture. 4.The court order that created the obligation of the juvenile on (date) ,expired, or will expire on (date) .5. This petition is brought not later than one year after the expiration of the order or sentence, or any extension of same. I am requesting that the court conduct a hearing and enter judgment for the amount of unpaid forfeiture in favor of the county or appropriate municipality and against:the juvenile.the custodial parent of the juvenile Subscribed and sworn to before me on Notary Public, State of Wisconsin My commission expires: Distribution: 1. Original – Court; 2. Juvenile; 3. Juvenile’s Custodial Parent Signature of Petitioner Name Printed or Typed Company/Agency