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COURT OF COMMON PLEAS OF BUCKS COUNTY CRIMINAL DIVISION CRIMINAL COURT Commonwealth of Pennsylvania vsCP-09-CR- - MDJ 07- --CR- - OTN NO: TO THE CLERK OF COURTS CRIMINAL DIVISION, Bucks County, Pennsylvania Enter my appearance for in the above stated case. Phone number (This must be a number thatis answered/monitored to insure that you will respond forthwith to any calls from the court, if requested) Pre-Trial Discovery Request By checking this box, I am requesting that Pretrial Discovery pursuant to PA Rule of Criminal Procedure 573(B). (If I do not check this box, I understand that I am required to file a separate request for pretrial discovery) Certificate of Compliance Pursuant to Bucks County Administrative Order 88, I certify that this filing complies with the provisions of the Access Policy of the Unified Judicial System of PA hat require filing confidential information and documents differently that non-confidential information and documents. *Pursuant to PA Rule of Criminal Procedure114(B)(3)(c)(i) electronic service is requested. ======================================================================== I, being fully aware of the charge(s) against me and being advised of my rights and upon the advice of Counsel, hereby WAIVE ARRAIGNMENT and enter a plea of (Guilty) (Not Guilty). We reserve the right to object to defects in the Bill of Information at the time of trial. Defendant signature: Attorney signature: Date: 20 ***Original to be filed with the Clerk of Courts and a Copy with the District Attorney*** American LegalNet, Inc. www.FormsWorkFlow.com