North Carolina > Statewide > Juvenile
Waiver Of Parents Right To Counsel J-143 - North Carolina
| Waiver Of Parents Right To Counsel Form. This is a North Carolina form and can be used in Juvenile Statewide . |
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File No. STATE OF NORTH CAROLINA In The General Court Of Justice County District Court Division IN THE MATTER OF: Name Of Juvenile Date Of Birth Age WAIVER OF PARENTS RIGHT TO COUNSEL Name And Address Of Parent ABUSE/NEGLECT/DEPENDENCY TERMINATION OF PARENTAL RIGHTS G.S. 7B-602, -1109 I am the parent of the juvenile named above. I have been told that I have the right to have a lawyer represent me. I have been told of my right to have a lawyer appointed by the Court if I cannot afford to hire one. With full knowledge of these rights, I knowingly, willingly, and understandingly choose as follows: (check only one) 1. I do not want a court-appointed lawyer. I will hire my own lawyer at my own cost. 2. I do not want the assistance of any lawyer. I understand that I have the right to represent myself, and that is what I intend to do. Date Name Of Parent (Type Or Print) Signature Of Parent CERTIFICATE OF JUDGE I certify that the above named parent has been fully informed in open Court of the nature of the proceedings. The parent has also been fully informed of his/her right to counsel, including the right to have a lawyer appointed in the event the parent cannot afford to hire an attorney. The parent has elected in open Court to have the matter heard and disposition made: 1. without the appointment of a lawyer. 2. without the assistance of a lawyer. Furthermore, the above waiver was executed in my presence freely and voluntarily after its meaning had been fully explained. Date Name Of District Court Judge (Type Or Print) Signature Of District Court Judge AOC-J-143, New 7/99 (Replaces J-203) 1999 Administrative Office of the Courts
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