Plea of No Contest

Plea of No Contest or Guilty

Name*

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Email*

Date of Birth*

Case Number *

Charge Description*

I, hereby enter my appearance for the offense charged in the above-referenced cause, waive my right to a trial by Jury or Judge, plead*

No Contest to the offense alleged by the citation and/or complaint in this cause, and agree to satisfy the penalty assessed by the Court. Guilty to the offense alleged by the citation and/or complaint in this cause, and agree to satisfy the penalty assessed by the Court.

Date of Plea

Defendant will sign using*

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Defendant's Signature*

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Defendant's Signature*

First Name

Initial (optional)

Last Name