Request an Extension for a Vehicle in Violation

Request An Extension For A Vehicle In Violation

                              CITY OF NEW CARROLLTON
                          6016 PRINCESS GARDEN PARKWAY - NEW CARROLLTON, MARYLAND 20784

                                                   (301 ) 459-3771
                         REQUEST FOR EXTENSION OF TIME FOR VEHICLE IN VIOLATION

 

 

 Name

Case NO#

Address

Phone Number

Email

Make of Vehicle

Model

Year of Vehicle

Color(s)

Tag #

State

Expiration Date

No Visible Tag

 Number of Days Requested for Extension (30 day Maximum)*

 

Location of the Vehicle: (Check One)

Drive Way               Front Yard            Other

Garage                     Backyard

 

If other, please indicate location. 

Nature of Violation

Detailed Description for Request Extension

Have You Previously Requested an extension for this vehicle?

Have you requested an extension for any other vehicle?

Signature

Date

*(Please note this request to grant an extension may be declined or approved for less that the time requested.)



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