PLEA FORM
Offense: ________________________________________ Docket #: ____________________
Name: _______________________________________________________________________
Address: ______________________________________________________________________
City: _________________________________________________________________________
County: _____________________________________ State: _________ Zip: ______________
Mailing Address (if different): _____________________________________________________
______________________________________________________________________________
Phone: Home: ________________ Work: _________________ Cell: ___________________
Employer: ______________________________ Address: ______________________________
Parent/Guardian (if minor): _______________________________________________________
Employer: __________________________________________ Phone: ___________________
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PLEA (check one)
I admit my guilt and enter a plea of Guilty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I do not admit guilt, but do not wish to contest the charge. I enter a plea of Nolo Contendere . .
*I request a trial by Judge, and waive my right to a trial by jury. I enter a plea of Not Guilty . .
* I request a trial by Jury, and enter a plea of Not Guilty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*If a cash bond has been posted and I fail to appear at any required Court hearing,
according to the terms of my release, I authorize the Justice Court, Precinct Two,
Williamson County, Texas to enter a plea of Nolo Contendere, and apply all cash bonds to
fines and fees.
Signed this _________ day of ________________________________, 20______.
___________________________________
Defendant
DD: Plea Form.doc (8/12/09)
__________________________________
Parent /Guardian (if applicable)