• STATE OF LOUISIANA

  • VERSUS

  • PARISH OF JEFFERSON

  • DOB
     - -
    2 digit month, 2 digit day, 4 digit year
  • WAIVER OF CONSTITUTIONAL RIGHTS

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

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

  • DATE
     / /
    2 digit month, 2 digit day, 4 digit year
  • 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.

  • DATE
     / /
    2 digit month, 2 digit day, 4 digit year
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  • Should be Empty: