Form 369a - Notice Of Plea Agreement - Vermont

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NOTICE OF PLEA AGREEMENT
Date
Form 369A
STATE OF VERMONT
SUPERIOR COURT
CRIMINAL DIVISION
Unit
Docket No.
 
 
Defendant's Name
DOB
STATE OF VERMONT
v.
/
/
 
The State of Vermont and the Defendant named above enter into the following agreement:
 
Charge:
Charge:
Charge:
Docket Number:
Docket Number:
Docket Number:
 
 
 
Amended:
Amended:
Amended:
Yes
No
Yes
No
Yes
No
Amended Charge Code:
Amended Charge Code:
Amended Charge Code:
Amended Section No:
Amended Section No:
Amended Section No:
Guilty
Nolo Contendere
Guilty
Nolo Contendere
Guilty Nolo Contendere
SENTENCE:
SENTENCE:
SENTENCE:
& Surcharge $
FINE $
FINE $
& Surcharge $
& Surcharge $
FINE $
 
Mo.
Days
(Min.)
Yr.
(Min.)
Yr.
Mo.
Days
(Min.)
Yr.
Mo.
Days
 
Yr.
Mo.
Days
(Max.)
(Max.)
Yr.
Mo.
Days
(Max.)
Yr.
Mo.
Days
Consecutive
Concurrent
Consecutive
Concurrent
Consecutive
Concurrent
No
Suspended with Probation: Yes
No
Suspended with Probation: Yes
Suspended with Probation: Yes
No
Term of Probation:
months yrs
months yrs
Term of Probation:
months yrs
Term of Probation:
Treatment Credit:
Treatment Credit:
Treatment Credit:
Days
Days
Days
Days
Out-of-State Credit:
Out-of-State Credit:
Out-of-State Credit:
Days
Days
Local Lock-up Credit:
Local Lock-up Credit:
Local Lock-up Credit:
Days
Days
Days
 
All Suspended except
days months yrs
All Suspended except
days months yrs
All Suspended except
days months yrs
      
 
 
The parties hereby stipulate that this conviction is a violation of the Defendant's probation and, as part of this Plea Agreement,
waive further notice, separate hearing, and agree that the Court impose the following:
TOTAL SENTENCE:
Total FINE & Surcharges: $
Cases to be Dismissed by State:
Special Probation Conditions:
 
Docket #
Charge:
Docket #
Charge:
Docket #
Charge:
Charge:
Docket #
Docket #
Charge:
Report Date:
Forthwith:
PSI Ordered? Yes No
 Sex offender registration required
Defendant already on probation? Yes No
(See Reverse for General Conditions)
In addition to any credit to which defendant is
Other:
entitled by law, the parties agree defendant shall
receive credit for treatment, out-of-state, and
local lockup as shown above.
 
 
 
 
I have reviewed this agreement and understand it.
This is a binding Rule 11 Agreement.
Defendant
Date
 
Prosecutor
Date
Date
Defense Attorney
 
 
Judge
Date
Guardian ad Litem
Date
 
 
Distribution: 1st Copy ~ Court; 2nd Copy ~ Computer Operator; 3rd Copy ~ State's Attorney; 4th Copy ~ Defendant; 5th Copy ~ Defense Attorney
Rev. 3/15 SML

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