Application For Consent Of Court To Enter A Plea Page 2

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S
W
C
:
TATEMENT OF RIGHTS AND
AIVER OF
OUNSEL
A
U.S. C
?
YES
NO
(C
O
)
RE YOU A
ITIZEN
IRCLE
NE
Y
C
I
, O
. A
OU HAVE BEEN CHARGED WITH A VIOLATION OF AN ORDINANCE OF THE
ITY OF
NDEPENDENCE
HIO
S THE
,
:
ACCUSED
YOU HAVE CERTAIN RIGHTS
1.
.
THE RIGHT TO BE INFORMED OF THE NATURE OF THE CHARGE AGAINST YOU
2.
,
.
TO SEE
READ AND HAVE A COPY OF THE AFFIDAVIT OR THE COMPLAINT AGAINST YOU
3.
,
.
IF YOU DO NOT UNDERSTAND THE NATURE OF THE CHARGES
TO HAVE THEM EXPLAINED TO YOU
4.
.
THE RIGHT TO KNOW THE MAXIMUM PENALTY YOU CAN RECEIVE IF YOU ARE CONVICTED
IF THIS IS A TRAFFIC
,
CASE
YOU MAY ALSO LOSE THE RIGHT TO DRIVE FOR SOME TIME AND HAVE POINTS ADDED TO YOUR DRIVING
.
RECORD
5.
.
THE RIGHT TO KNOW THE IDENTITY OF THE COMPLAINANT
6.
;
.
THE RIGHT TO REMAIN SILENT
ANYTHNG YOU SAY CAN BE USED AGAINST YOU
7.
,
THE RIGHT TO BE REPRESENTED BY AN ATTORNEY
AND
8.
.
THE RIGHT TO HAVE AN ATTORNEY APPOINTED AT NO COST IF YOU CANNOT AFFORD ONE
IF YOU REQUEST A
,
COURT APPOINTED ATTORNEY
YOUR CASE WILL BE TRANSFERRED TO GARFIELD HEIGHTS MUNICIPAL COURT
.
TO ACCOMMODATE THIS REQUEST
9.
.
THE RIGHT TO A REASONABLE CONTINUANCE TO OBTAIN AN ATTORNEY
10.
(
)
.
THE RIGHT TO A TRIAL BY JURY IF THE CHARGE
S
YOU ARE FACING CARRIES A POSSIBLE JAIL SENTENCE
IN
,
THIS EVENT
YOUR CASE WILL BE TRANSFERRED TO THE GARFIELD HEIGHTS MUNICIPAL COURT TO
.
ACCOMMODATE THIS REQUEST
11.
.
THE RIGHT TO BE BROUGHT TO TRIAL WITHIN THIRTY DAYS OF THE DATE YOU WERE CHARGED
12.
U
S
,
IF YOU ARE NOT A CITIZEN OF THE
NITED
TATES
YOU ARE HEREBY ADVISED THAT CONVICTION OF THE
(
)
,
OFFENSE
S
TO WHICH YOU ARE PLEADING MAY HAVE THE CONSEQUENCES OF DEPORTATION
EXCLUSION
U
S
,
FOR ADMISSION TO THE
NITED
TATES
OR DENIAL OF CITIZENSHIP ACCORDING TO THE LAWS OF THE
U
S
.
NITED
TATES
13.
.
THE RIGHT TO REMAIN FREE ON A REASONABLE BAIL WHILE YOUR CASE IS AWAITING TRIAL
14.
.
10
THE RIGHT TO APPEAL THE RULING FROM THIS COURT
THE APPEAL MUST BE FILED WITHIN
DAYS AND THE
.
CASE WILL BE TRANSFERRED TO GARFIELD HEIGHTS MUNICIPAL COURT
(
)
. I
,
YOU MUST ENTER A PLEA TO THE CHARGE
S
AGAINST YOU
F YOU REFUSE TO PLEAD
THE COURT SHALL ENTER A
N
G
G
H
M
PLEA OF
OT
UILTY ON YOUR BEHALF AND THE CASE WILL BE TRANSFERRED TO
ARFIELD
EIGHTS
UNICIPAL
C
.
:
OURT
THE LAW ALLOWS YOU TO ENTER ANY OF THE FOLLOWING PLEAS
A. G
: A
G
. T
UILTY
PLEA OF
UILTY IS A COMPLETE ADMISSION OF GUILT
HE COURT PERMITS AN EXPLANATION OF
.
THE CIRCUMSTANCES ON A PLEA OF GUILTY
B. N
C
: A
N
C
O
ONTEST
PLEA OF
O
ONTEST IS NOT AN ADMISSION OF GUILT BUT AN ADMISSION OF THE TRUTH
. S
/
OF THE FACTS ALLEGED IN THE COMPLAINT
UCH A PLEA
ADMISSION WILL NOT BE USED AGAINST YOU IN
. T
ANY FUTURE CIVIL OR CRIMINAL PROCEEDING
HE COURT PERMITS AN EXPLANATION OF CIRCUMSTANCES
N
C
ON A PLEA OF
O
ONTEST
C. N
G
:
. I
OT
UILTY
A PLEA OF NOT GUILTY IS A COMPLETE DENIAL OF THE FACTS ALLEGED IN THE COMPLAINT
F
N
G
G
H
M
YOU ENTER A PLEA OF
OT
UILTY YOUR CASE WILL BE TRANSFERRED TO
ARFIELD
EIGHTS
UNICIPAL
C
.
OURT
C
I
,
YOU ARE HERE BECAUSE YOU ARE CHARGED WITH A VIOLATION OF AN ORDINANCE OF THE
ITY OF
NDEPENDENCE
O
. I
,
.
HIO
F YOU HAVE QUESTIONS
DO NOT SIGN THIS FORM
TAKE THE FORM INTO COURT WITH YOU AND ASK ANY
.
QUESTIONS YOU HAVE OF THE MAYOR OR PROSECUTOR PRIOR TO OR WHEN YOUR CASE IS CALLED
;
.
I HAVE READ THIS STATEMENT
I HAVE BEEN GIVEN THE CHANCE TO ASK QUESTIONS AND THEY WERE ANSWERED
I
.
HAVE DECIDED ON MY OWN TO WAIVE MY RIGHTS AND PROCEED TODAY
I DO NOT WANT A CONTINUACE TO TALK TO
,
: (P
)
A LAWYER
AND I STATE THAT MY PLEA IS AS FOLLOWS
LEASE CIRCLE YOUR PLEA
(A)
G
(B)
N
C
(C)
N
G
UILTY
O
ONTEST
OT
UILTY
_________________________________________
___________________________________
D
S
D
'
EFENDANT
IGNATURE
ATE
PRINT DEFENDANT
S FULL NAME

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