Plea Of Guilty Form printable pdf download

Plea Of Guilty Form

State of New York

County of Orange:

Justice Court of New Windsor

PLEA OF GUILTY

This application may be submitted to the Court having

jurisdiction in person, by registered or by an authorized agent,

and may be used for disposition of any traffic infraction,

except for offense of a subsequent speeding offense within

eighteen months, or for a second or subsequent passing of a

school bus.

If the Court denies this application, the applicant will be

notified to appear.

To: New Windsor Justice Court:

have

been charged with

, committed on

at New Windsor, New York.

I have been convicted during the past two years of the following

violations of the Vehicle and Traffic Law or of any local law of

ordinance governing or regulating Traffic:

Date

Offense

Dispo

Sentence

Court

_______________________________________________________________

I acknowledge receipt of the following warning, as required:

"A plea of guilty to this charge is equivalent to a conviction

after trial.

If you are convicted, not only will you be liable

to a penalty, but in addition, your license to drive a motor

vehicle or motor cycle, and your certificate of registration, if

any, are subject to suspension and revocation as prescribed by

law".

I waive arraignment in open court and the aid of counsel.

I plea guilty to the offense as charged, and understand that

once my plea of guilty is accepted, plea cannot be withdrawn

without a successful motion to vacate judgment (Coram Nobis).

I elect and request that the charge be disposed of and the fine

or penalty fixed by court.

Statement of explanation:

(optional)_____________________________________________________

________________________________________________________________

____________________

SIGNATURE __________________________

Date:

/2011

Print Name: ____________________

Date of Birth:______________

Ticket/Case # __________________________

Plea Of Guilty Form

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