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Statement Of Defendant On Plea Of Guilty CrRLJ 4.2(g) - Washington

Statement Of Defendant On Plea Of Guilty Form. This is a Washington form and can be used in Guilty Plea Statewide .
 Fillable pdf Last Modified 10/15/2012
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Court of Washington for No. Plaintiff, vs. Statement of Defendant on Plea of Guilty Defendant. 1. 2. 3. 4. My true name is ________________________________________. My age is ___________________. I went through the ___________________ grade. I Have Been Informed and Fully Understand that: (a) (b) Count 1. 2. 3. 4. [ ] In count(s) _________, the defendant committed the offense against another family or household member as defined in RCW 10.99.020. The elements are: [ ] as set out in the charging document. [ ] as follows: I have the right to representation by a lawyer and that if I cannot afford to pay for a lawyer, one will be provided at no expense to me. I am charged with: Crime RCW or Ordinance (with subsection) . Statement of Defendant on Plea of Guilty - Page 1 of 5 CrRLJ-04.0200 (07/2012) - CrRLJ 4.2(g) American LegalNet, Inc. www.FormsWorkFlow.com 5. I Understand That I Have the Following Important Rights, and I Give Them All Up by Pleading Guilty: (a) (b) (c) (d) (e) (f) The right to a speedy and public trial by an impartial jury in the county where the crime is alleged to have been committed; The right to remain silent before and during trial, and the right to refuse to testify against myself; The right at trial to hear and question the witnesses who testify against me; The right at trial to testify and to have witnesses testify for me. These witnesses can be made to appear at no expense to me; I am presumed innocent unless the charge is proven beyond a reasonable doubt or I enter a plea of guilty; The right to appeal a finding of guilt after a trial. 6. In Considering the Consequences of my Guilty Plea, I Understand That: (a) (b) The crime with which I am charged carries a maximum sentence of ________ days in jail and a $_____________ fine. The prosecuting authority will make the following recommendation to the judge: . (c) The judge does not have to follow anyone's recommendation as to sentence. The judge can give me any sentence up to the maximum authorized by law no matter what the prosecuting authority or anyone else recommends. The judge may place me on probation for up to five (5) years if I am sentenced for a domestic violence offense or under RCW 46.61.5055, or up to two (2) years for all other offenses and impose conditions of probation. If the court orders me to appear at a hearing regarding my compliance with probation and I fail to attend the hearing, the term of probation will be tolled until I appear before the court on the record. The judge may require me to pay costs, fees and assessments authorized by law. The judge may also order me to make restitution to any victims who lost money or property as a result of crimes I committed. The maximum amount of restitution is double the amount of the loss of all victims or double the amount of my gain. If I am not a citizen of the United States, a plea of guilty to an offense punishable as a crime under state law may be grounds for deportation, exclusion from admission to the United States, or denial of naturalization pursuant to the laws of the United States. (d) (e) (f) Notification Relating to Specific Crimes: If any of the Following Paragraphs Apply, the Box Should Be Checked and the Paragraph Initialed by the Defendant. [ ] (g) The crime of _________________________________ has a mandatory minimum sentence of _____________________ days in jail and $____________ fine plus costs and assessments. The law does not allow any reduction of this sentence. Statement of Defendant on Plea of Guilty - Page 2 of 5 CrRLJ-04.0200 (07/2012) - CrRLJ 4.2(g) American LegalNet, Inc. www.FormsWorkFlow.com [ ] (h) The crime of prostitution, indecent exposure, permitting prostitution and patronizing a prostitute has a mandatory assessment of $____________. The court may reduce up to two-thirds of this assessment if the court finds that I am not able to pay the assessment. RCW 9A.88.120. [ ] (i) If this crime involves a sexual offense, prostitution, or a drug offense associated with hypodermic needles, I will be required to undergo testing for the human immunodeficiency (HIV/AIDS) virus. [ ] (j) This plea of guilty will result in suspension or revocation of my driving license or privilege by the Department of Licensing for a minimum period of ________________, or longer based upon my record of conviction. This period may not include suspension or revocation based on other matters. [ ] (k) I may not possess, own, or have under my control any firearm, and under federal law any firearm or ammunition, unless my right to do so is restored by the court of record that ordered the prohibition on possession of a firearm or the superior court in Washington State where I live, and by a federal court if required. I must immediately surrender any concealed pistol license. [ ] (l) If this crime involves a violation of Title 77 RCW, the Department of Fish and Wildlife may, and in some cases shall, suspend or revoke my privileges under Fish and Wildlife licensing. [ ] (m) If this crime involves a drug offense, my eligibility for state and federal education benefits will be affected. 20 U.S.C. ยง 1091(r). [ ] (n) This plea of guilty is considered a conviction under RCW 46.25.010 and I will be disqualified from driving a commercial motor vehicle. RCW 46.25.090. I am required to notify the Department of Licensing and my employer of this guilty plea within 30 days after the judge signs this document. RCW 46.25.030. [ ] (o) If this case involves driving while under the influence of alcohol and/or being in actual physical control of a vehicle while under the influence of alcohol and/or drugs, I have been informed and understand that I will be subject to: [ ] the penalties described in the "DUI" Attachment. OR [ ] these penalties: The mandatory minimum sentence of ______________ days in jail, _______________ days of electronic home monitoring and $_____________ monetary penalty. The court shall require me to apply for an ignition interlock driver's license and to drive only with a functioning ignition interlock device or, if the court waives those requirements, to submit to alcohol monitoring, for ____ year(s). I may also be required to drive only motor vehicles equipped with an ignition interlock device as imposed by the Department of Licensing and/or the court. My driving privilege will be suspended or revoked by the Department of Licensing for the period of time stated in paragraph 6(j). In lieu of the minimum jail term, the judge may order me to ser
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