Form 362 - Waiver Of Further Appearances And Request To Enter Plea
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1Form 362
WAIVER OF FURTHER APPEARANCES AND REQUEST TO ENTER PLEA
STATE OF VERMONT
SUPERIOR COURT
CRIMINAL DIVISION
Unit
Docket No.
Defendant's Name
DOB
STATE OF VERMONT
v.
/
/
Address
Offense(s)
I, the Defendant named above, am charged with the crime(s) of
which is a misdemeanor under the laws of the State of Vermont. I understand that the maximum punishment for this offense is
.
to
to
to
I understand that I have the right
be represented by an attorney at my own expense, and if I cannot afford
hire one,
have one appointed
at State expense.
I am not represented by an attorney and do not wish to be represented by one.
.
I am represented by an attorney, whose name is
I believe that my attorney
has done all that anyone could do to counsel and assist me.
I understand that as a defendant in a criminal case I have certain constitutional and statutory rights. I understand that I may continue to plead
NOT GUILTY to the above offense, and that the State has the burden of proving me guilty beyond a reasonable doubt. I understand that by pleading
GUILTY or NOLO CONTENDERE I am giving up the following rights, and that the Court may impose the same punishment as if I had
continued to plead NOT GUILTY, stood trial, and been convicted by a jury:
a. the right to a trial by jury;
b. the right to question any witnesses testifying against me;
c. the right to present evidence and have witnesses brought to the Court for me at State expense;
d. the right to remain silent regarding the offense with which I am charged;
e. the right to appeal.
No threats or force have been used against me by anyone to try to make me plead guilty or nolo contendere. I plead guilty or nolo contendere
of my own choice, freely and voluntarily. No promises have been made to me by anyone for the State except those which are contained in the
attached Notice of Plea Agreement. I agree that there is a factual basis for my plea of guilty or nolo contendere, supported by the affidavit.
I understand that by pleading GUILTY I admit that I committed the essential parts of the offense(s) with which I have been charged. I understand
that by pleading NOLO CONTENDERE I do not deny that I committed the essential parts of the charge(s). I further understand that a plea of
GUILTY or NOLO CONTENDERE to a violation of Title 23 of the Vermont Statutes Annotated may result in a suspension of my license or
privilege to operate a motor vehicle in the State of Vermont. I understand that, if I am not a citizen of the United States,
a plea of GUILTY or NOLO CONTENDERE may have consequences of deportation or denial of United States citizenship.
GUILTY
I hereby ask the Court to accept my plea of
NOLO CONTENDERE
to the charge(s) listed above. I enclose $
in a check or money order payable to the Superior Court of Vermont for
payment of the fine imposed by the court, plus the $147.00 surcharge, and 15% of the fine imposed for the offense, rounded upward to
the nearest whole dollar as recommended in the attached Notice of Plea Agreement. (Pursuant to 13 VSA Section 7282 6A & B).
Signature of Defendant
Date
Signature of Attorney
Signature of Guardian ad Litem (if defendant is under 18 years of age)
I accept the defendant's plea to the charges listed above, finding it to be voluntary and made with knowledge and understanding of its con-
sequences after a knowing waiver of constitutional rights. The plea has a factual basis. I adjudge the defendant guilty and enter a judgment of
guilty.
I do not accept the defendant's plea by waiver for the charge(s) listed above.
Signature of Judge
Date
10/13 SML
Copy 1 ~ Court
Copy 2 ~ Defendant
Copy 3 ~ State's Attorney
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