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Ralph W. Muxlow
Kevin W. Muxlow
Traffic Law
Criminal Defense
Additional Areas
Overland Park, KS
Les's Summit, MO
Kansas City, MO
Mid-Missouri
The Muxlow Law Group has
4 convenient offices:
Overland Park, KS
Lee's Summit, MO
Kansas City, MO
Mid-Missouri
Contact
First Name
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Last Name
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Email
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Cell Phone
Date of Birth
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How many charges or tickets
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0
1
2
3
4
5
6
7
8
9
10
What are the ticket number(s)?
Was your Ticket given to you by a Highway Patrolman/State Trooper or City Officer?
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Highway Patrolman/State Trooper
City Officer
If Highway Patrol, which County were you stopped in?
If City Officer, which City were you stopped in?
When is your Court Date?
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Do you have more than one Court Date? If so, please list each date and where:
Have you missed your Court Date, and if so, is there a Warrant for your arrest?
[DUI / DWI only] - Why were you stopped by the Police?
[DUI / DWI only] - Did the Officer take your license?
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Yes
No
[DUI / DWI only] - What day were you arrested?
[DUI / DWI only] - Did you submit a breath test at the police station?
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Yes
No
[DUI / DWI only] - If so, what was the result?
[DUI / DWI only] - Did you refuse a breath test at the police station?
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Yes
No
[DUI / DWI only] - Have you ever had a DUI / DWI in your past?
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Yes
No
[DUI / DWI only] - If so, please provide the City or County where your Case was and when:
[DUI / DWI only] - If so, how was your prior case disposed?
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Probation
Diversion
Guilty
Dismissed
Acquitted
Please provide any other details relevant to your ticket(s) below, be as detailed or brief as you desire:
Please type the letters and numbers shown in the image.