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*Required Fields

*I understand that payment of this obligation will result in these funds becoming the property of the defendant.: -- Yes No
*I confirm that I understand any return of funds by the City of Frisco shall be made to the defendant in this criminal cause and not a third party.: -- Yes No
*Defendant Name First:
Defendant Name Middle:
*Defendant Name Last:
*Date of Birth: (mm/dd/yyyy)
*Arrest Number:
Receipt Number:
Do NOT complete. Agency staff will enter appropriate data in this field.