Free TR-200 - Alaska

IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT REQUEST FOR RESCHEDULED ARRAIGNMENT DATE ­ MINOR OFFENSE Citation No. I request that my arraignment date be rescheduled because I will not be available on the following dates: Defendant's Signature: Print Defendant's Name: Mailing Address: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Your arraignment has been rescheduled for at am/pm. If you fail to appear, one of the following will happen: 1. A default judgment will be entered against you for the maximum penalty permitted by law plus $50 in court and collection costs plus any surcharge required by statute. In addition, points will be assessed against your driver's license. Collection efforts will include attachment of your Permanent Fund Dividend. - OR 2. A warrant will be issued for your arrest, and you will be assessed an additional $75 fee. DATE:
TR-200 (4/08) (st.2) (4 ½ x 8 ½) (no hole punch) REQUEST FOR RESCHEDULED ARRAIGNMENT DATE

Date: Daytime Phone:

CLERK