Conditional Plea Form

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CONDITIONAL PLEA FORM
[For use with Rule 24.3(b), Arkansas Rules of Criminal Procedure]
IN THE CIRCUIT COURT OF ______________, ARKANSAS
_________Division
No. _____________
STATE OF ARKANSAS
v.
_____________________________, Defendant
CONDITIONAL PLEA
I, _____________________________ (name of defendant), with the approval of the
court, and the consent of the Prosecuting Attorney am entering a plea of [guilty] [no contest]
to Count 1. ____________________________________________________________
Count 2. ____________________________________________________________
Count 3. ____________________________________________________________
I understand my plea is conditioned upon the filing of an appeal on the issue
of_____________________ (describe [motion to suppress seized evidence] [motion to suppress
custodial statement] [motion to dismiss a charge because not brought to trial within the time provided
in Rule 28.1 (b) or (c)] or [challenge to the constitutionality of Ark. Code Ann. §_____] upon
which appeal will be based.)
I understand that, if the judge approves my plea of [guilty] [no contest], a judgment
and sentence will be entered, and that I may appeal on the issue specified above in the
manner provided by the rules of court.
I understand that if I win my appeal on the issue specified above, that I may
withdraw my plea of [guilty] [no contest].
I have read and understand the above. I have discussed the case and my
constitutional rights with my lawyer. I understand that by pleading [guilty] [no contest], if
my plea is not later withdrawn, I will be giving up my right to a trial by jury, to confront,
cross-examine, and compel the attendance of witnesses, and my privilege against
self-incrimination. I agree to enter my plea as indicated above on the terms and conditions
set forth herein.
_____________________
_____________________________
Date
Defendant

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