Plea By Mail - State Of New Jersey Municipal Court printable pdf download

__________________________ Municipal Court

COURT I.D.

PREFIX

TICKET / COMPLAINT NO.

PLEA BY MAIL

(R. 7:12-3 and R. 7:6-3)

Charge: ______________________

NOTE: This form may only be used to enter a plea for one charge, i.e., one charge per form.

Please complete all sections of this form and return it to the court by ________________________. If you fail to return the enclosed

form by the date listed, you may be required to personally appear in court to resolve your case.

State of New Jersey

vs.

Defendant’s Name:

FIRST

M.I.

LAST

Defendant’s

Address:

Phone #:

STREET ADDRESS

CITY

STATE

ZIP

Section 1. Reason for Hardship

I am the defendant in this case and certify that it would be an undue hardship for me to come to court for the following reason(s):

(Continue on the back of this form, or use additional sheets, if necessary. You must date and sign each additional sheet.)

Section 2. Advisement and Plea Instructions

This form may only be used to plead not guilty or guilty in trafﬁ c or parking cases or guilty in non-trafﬁ c cases.

I have been fully informed of my right to a reasonable postponement. I give up my right to have an attorney, to apply for a public

defender, and to remain silent. I also give up my right to be present at the trial and to cross-examine any witnesses.

I understand that if I plead guilty or the judge ﬁ nds me guilty for an offense, other than parking, a record of the conviction may be

sent to the New Jersey Motor Vehicle Commission and, if my license was not issued by New Jersey, to the motor vehicle agency of the

state that issued my driver’s license.

I understand that the judgment of the court will be sent to me by ordinary mail at the above address and that if I plead guilty or am

found guilty, I must pay all ﬁ nes, penalties and costs imposed by the court. If I plead not guilty and I am found guilty or if I disagree with the

sentence, I may appeal my case or I may appeal the sentence within 20 days of the date of the decision or sentence. Information on how

to appeal the municipal court’s decision may be obtained from the municipal court or the Judiciary’s website at

If I plead “Not Guilty,” the judge will hear the testimony of the complaining witness or other witnesses, review the facts I present

below in my defense, and decide the case based on the testimony and facts presented.

If I plead “Guilty,” the judge will consider the facts I present below to explain what happened before imposing any penalty against

me.

Before determining the penalty, the judge may consider comments from the complaining witness, other witnesses or from the

prosecutor.

Section 3. Plea

FOR TRAFFIC OR PARKING CASES ONLY (please check one):

FOR NON-TRAFFIC CASES ONLY (please check):

I plead “Not Guilty” to the above charge

I plead “Guilty” to the above charge

I present the following facts in defense or explanation:

(Continue on the back of this form, or use additional sheets, if necessary. You must date and sign each additional sheet.)

Section 4. Certiﬁ cation

I have read and acknowledged the above. I agree and certify that the foregoing statements made by me are true.

I am aware that if any of the foregoing statements made by me are wilfully false, I am subject to punishment.

Defendant’s Signature

Date

Promulgated 10/01/2007

Catalog Number: 10715 - English

Plea By Mail - State Of New Jersey Municipal Court

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