City Of Salem Plea Petition Form

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IN THE MUNICIPAL COURT OF THE CITY OF SALEM
COUNTY OF MARION, STATE OF OREGON
City of Salem/State of Oregon
)
PETITION TO PLEAD
)
GUILTY OR NO CONTEST
vs.
)
)
)
CASE NUMBER:
_______________Defendant__________
)
___________________
I am the defendant in this case, and my initials and signature below indicate that I have read or have had
read to me, understand, and affirm all of the following:
1. My true name is above, but I also am known as _______________________.
2. I am ____ years old. I have gone to school through _____________. I
(have taken)
(have not
taken) alcohol, medication, or a drug (whether prescribed for me, over-the-counter, or illegal) that could
affect my ability to make decisions. My ability to make decisions is not affected by injury, illness, or
disability.
3.
My attorney’s name is ____________________.
I choose not to have an attorney (see Waiver of
Counsel).
4. I have told my attorney everything I know about the charge(s) against me. My attorney has talked with
me about the charge(s), possible defenses, and legal challenges I may have in this case.
I am satisfied
with the advice and help my attorney gave me.
5. I know I have the following rights at trial: (1) to have a jury trial or, if I choose not to have a jury trial,
the right to have a trial by a judge; (2) to see, hear, and question all people who testify against me; (3) to
remain silent about all facts of the case; (4) to call witnesses and enter evidence; (5) to testify; (6) to have
the jury told, if I do not testify, that it cannot hold that decision against me; and (7) to require the City
attorney to prove my guilt to a jury or court beyond a reasonable doubt.
6. I understand that I give up: (1) any defenses I may have to the charge(s); (2) objections to the
consideration of evidence concerning my guilt; and (3) challenges to the accusatory instrument.
7. I understand that a plea of “Guilty” or “No Contest” will result in a final conviction for the charge(s)
listed in paragraph #8 below. I understand that if I plead “Guilty” or “No Contest,” the judge may impose
the same punishment as if I pleaded “Not Guilty,” had a trial, and was convicted.
8. I want to plead:
Guilty
No Contest
Count # _____: _________________________,
Violation/
Misdemeanor
Maximum Probation: ___________,
Maximum Jail Sentence: _____________, Minimum Jail Sentence: ___________,
Maximum Fine: ____________, Minimum fine: _________________,
Mandatory License Suspension:____________________________
Guilty
No Contest
Count # _____: _________________________,
Violation/
Misdemeanor
Maximum Probation: ___________,
Maximum Jail Sentence: _____________, Minimum Jail Sentence: ___________,

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