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WAIVER OF RIGHTS BY PLE. SING GUIIMOR NOLO CONTLa 1DERE (NO CONTE <br /> (Word WAIVE, ns to GIVE UP) <br /> Put initial in <br /> blank that applies <br /> YES NO <br /> t�— 1. 1 understand the charges that are pending;against me and the legal rights of a defendant charged with a <br /> (� misdemennor ca fully set forth un the reverse side of this posse. <br /> (_ 2. 1 understand by pleading guilty or nolo contendere(no contest)to the chnrge(s)and by admitting the validity <br /> of the prior(s),if any care charged,I will,and I hereby do in fact waive and give up,both as to the charge(s)and <br /> the prior(s), my rights Lo it jury trial,to confront witnesses, to subpoenn witnesses and my right against <br /> self-incrimination,which rights tire stated on the reverse.aides <br /> a. 1 underetund the maximum penalty and all direct and primary consequences of a conviction of each charge as <br /> stated on the reverse side. • <br /> 4. E'xcept as slated below it is true)hut no one has made any promises of a lesser sentence,reward or immunity <br />�� to induce me to enter a plea of guilty or nolo contendere(tit)contest). <br /> _ 5. It is true that no ane has made any threats to me or anyone else to induce me to enter a plea of guilty or nolo <br />/F contendere(nu contest)and 1 do so freelyand voluntarily. <br /> — G. I understand my sentence will be determined by the Judge/Commissioner. <br /> 7. 1 waive and give up my right to be sentenced not less than 6 hours nor more than 5 days from the time I enter <br /> it plea of guilty or nolo contendere(no vonte.40. �\ <br /> R. 1 waive formal arraignment for judgment and I waive and give up my right to be present at the time of <br /> 1)-Z-- sentencing. <br /> 9. 1 understand that before I am sentenced that my criminal record may be examined and n report and <br /> recommendation mode as to senlence received from the Probation Department;that the Court may decide not <br /> to grunt me probation even if 1 request it or even if the Probation Department recommends it. <br /> —10. There being a factual bcayig fi hyplen,�Ireel and yoluntarilycle:ad g�lL /�la contendere(no contest)to <br /> the following:(it) J C GL[4. CD <br /> (li) <br /> —11. I understand that the maximum penalties for the offenses charged are as follows: <br /> (a) Maximum (b) Maximum <br /> u) Jail ,/SD clays; a) Jail .days; <br /> b) Eine b) Fine <br /> c) 1)riving privilege suspended/revoked c) Driving privilege suspended/revoked <br /> months; mondis; <br /> d► Drivers improvement school or Alcohol (1) Drivers improvement school or Alcohol <br /> treatment program; treatment program; <br /> e) My motor vehicle may be impounded (1-:10) e) My motor vehicle may he impounded (1-30) <br /> (11-90)drays at my oxpvose; (1-90)da Ys tat my expense; <br /> f) Other f) Other <br /> — _12.1 understand that if I am convicted of a third or subsequent violation of Vehicle Code 23152, 1 must <br /> /� successfully complete a one year alcohol program in order to be eligible for a driver's license <br /> (/J� 13.The indicated judgment stated by the court if I plead guilty/nolo contendere (nontektro/ounsefycars:ended <br /> Imposition of Sentence and to grant a conditional release Probation for fiel//three/ <br /> and days in county jail' fine;suspension/revocation of <br /> my driving privileges for none/six months/twelve months/eighteen months/thirty-six months; <br /> and pltis-9ther terms of probation. <br /> _14. 1 admit the truth of the following prior(s): <br /> (1) prior--..-----._.__— (h)court. ._.... _._..._..._...... I ;itv of Conviction <br /> ('l) prior __ 00 court D ale of Conviction <br /> (:) prior (b)court___ _._ Dale of Conviction <br /> — <br /> _15. I understand that 1 have the right to appeal in thin case by filing it NOTICI:OF APPF,AL in this Court within <br /> 30 days from sentencing and the right la have the Appellate Court appoint it free Attorney to represent moon <br /> append if I don't have the funds to hire my own. <br /> —16. Ifapplicable--i understand that I have the right to enter my pica bef�¢,a b ,eat a by a judge,I give up <br /> this right and agree to enter my pica before,and be sentenced by _ ,duly appointed <br /> Commissioner of the Court. <br /> Dated: ,�—„� I!1/� Sigiinlurc <br /> I have gone over the Written Plea of Guilty or Nolo Contendere(nn contest)form with any client and his legal rights as set forth <br /> on the reverse side and to the hest of my information and helief the defendant understands his rights and his plea,is voluntarily, <br /> freely and understandingly made.There is it factual basis for the k,, nd 1 concur in the plea entered. <br /> Dated: �'3 19�� %=�v=�l % "'7Clturncy for defendant <br /> I declare under penalty of perjury that I have. interprcl. this cgal Rights anti Waiver of Rights form from the English <br /> language into the —_to ngaaagc•and 1 ager• nt to glia Court that Lha defendnnl understood my translation, <br /> and the answers are as indicated by defendant. <br /> Dated: 19 lnterpretor <br /> 1 have actively participated in advising the defendant of his rights and upon inquiry fine)that the defendant understands the <br /> nature of the charge(s),the elements of the offense,the pleas anti the del'ensea available and the punishment which may be <br /> exacted.The court hereby determines that the pion of guilty or nolo contendere(no contest)is knowingly,freely,voluntarily,anti <br /> understandingly made and there is it factual basis for t.hc defendant's plen(s)of guilty or nolo contendere(no contest)and this <br /> waiver farm is made it part of Ute docket.I also find that the constitutional nghLs set forth under h2 above are understood by the <br /> defendant and he know'ngly,intelligently and expressly waived each right enumernt• therein. <br /> Dated: 19�� <br /> Ju e Q cissioner of the Munieipa earl <br /> 203(2187) <br />