Plea Forms - Div. M

DEFENDANT

DOB

Date

CASE NO.

JUDGE

DIVISION

hereby plead guilty to the crime(s) of

in violation of La. R.S.

By doing so, I understand that am giving up the following rights:

1) to a trial by Judge or Jury

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2) to be presumed innocent until the District Attorney proves my guilt beyond a reasonable doubt.

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3) to require the District Attorney to call witnesses who, under oath, would have to testify against me at trial; and to have my attorney confront, ask questions and cross examine each of those witnesses.

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4) to testify myself at trial, if I choose to do so; or to remain silent, if I choose not to testify and not have my silence held against me or considered as evidence of my guilt.

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5) to present witnesses who would testify for me and present favorable or helpful evidence.

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6) to appeal any verdict of guilty that might be returned against me at trial.

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I understand that the sentencing range is

I understand that my sentence will be

If my sentence is deferred under the provisions of La. R.S. arts. 893 or 894 and I subsequently violate the conditions of probation, I understand that my probation could be revoked and that I could be sentenced to any term of imprisonment within the sentencing range noted above.

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I understand that I must comply with the following special conditions of probation:

Undergo an evaluation with IPS/JPHSA within 30 days and complete any and all courses recommended within 180 days of the evaluation.

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Undergo random drug screening.

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Complete 40 hours of community service per month for 6 months.

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Obtain a GED or Vo Tech training if you do not have a high school diploma.

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Pay court costs, fines, and any fees.

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within ______ days.

I am not suffering from any physical or mental impairment that would affect my competency to enter this plea.

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I am able to read, write and understand the English language.

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I am satisfied with the way that my attorney and the Court have handled my case.

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I have not been forced, coerced or threatened in any way to enter this plea of guilty?

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I understand all of the possible legal consequences of pleading guilty and wish to plead guilty at this time because I am, in fact, guilty of this crime.

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I understand that I have two (2) years after the judgment of conviction and sentence has become final to file for post-conviction relief.

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I understand that I have thirty (30) days to appeal this sentence.

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I understand that this crime carries the following enhanced penalties for a subsequent offense.

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I understand that this guilty plea could be used to enhance the penalty for any future conviction, should I be convicted of another felony in the future.

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I understand that as a result of pleading guilty or nolo contendere I may be subject to additional consequences or waivers of constitutional rights in the following areas as a result of my plea, including my: A. Right to vote B. Right to bear arms C. Right to due process D. Right to equal protection

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I understand that as a result of pleading guilty or nolo contendere there may be potential consequences impacting the following: A. College admissions and financial aid B. Public housing benefits C. Employment and licensing restrictions D. Standard of proof for probation or parole revocations

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I understand that at all stages of the proceedings, including appeals, I have the right to retain an attorney of my choice to defend me. If I cannot afford an attorney, one will be appointed to represent me, at no cost to myself.

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This form has been fully explained to me by my attorney. In addition, I have read it, and I fully understand it.

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WARNING TO NON-CITIZENS - After speaking to my Attorney, I know and fully understand that if I am not a citizen of the United States, entering a plea of "guilty" or "no contest" could have serious immigration consequences, including, but not limited to, deportation, the exclusion of admission to this country, or the denial of naturalization under federal law.

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Defendant's Signature

DATE

Date

I have informed the defendant of his or her rights, particularly the nature of the crime to which he or she is pleading guilty, the maximum sentence the court could impose under the law, any plea offers made by the state and the fact that the defendant, by entering this plea of guilty is waiving his or her right to a trial by jury or by judge, his or her right to confront and cross-examine his or her accusers, his or her right against self-incrimination, and lastly that his or her only appeal is for review of jurisdictional defects; and I am entirely satisfied that the defendant knowingly, intelligently, freely and voluntarily entered this plea of guilty knowing the consequences.

Defense Attorney's Signature

DATE

Date

Attorney Email

Add email if you'd like a copy.

STATE OF LOUISIANA

VERSUS

PARISH OF JEFFERSON

WAIVER OF CONSTITUTIONAL RIGHTS