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IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT
IN AND FOR ORANGE / OSCEOLA COUNTY, FLORIDA
7 4 G
Cbs fy
STATE OF FLORIDA, CASE NO. ti DN
DIVISION: 1g
he: x Wey Defendant.
adi BIN ee /
PLEA (S) FORM
1 PLEA: {, , Defendant, withdraw my plea(s) of not gully and enter ple: a(s) of:
Count () Guitty (Nolo Contendre
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to () as charged 0 lesser ( say A
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Degree i se ite )} Maximum Sentence ive F in.Man.
Count ___ () Guilty () Nolo Contendre to HK as charged () lesser
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, Defendant CASE NO.!
8. PLEA UNDERSTANDING: | understand thata plea of Guilty admits that | committed the crime(s)
and a plea of Nolo Contendere says that ! do not contest the evidence against me. ! understand that if the Court
accepts my plea(s) there will be no trial and the Court will impose sentence(s) based upon my plea(s).
(Defendant's Initials)
6. CHARGES, DEFENSES, PENALTIES: | have read the Information/Indictment in this case and
l understand the charge(s) to which | enter my plea(s). | have reviewed the evidence against me. | know of no
physical evidence containing DNA which could exonerate me. My attorney(s) has/have explained to me the
maximum penalties for the charge(s), the essential elements of the crime(s). and possible defenses to the
crimeis). l understand these things | aiso understand that if | am on probation/community control/paroie, my
probation/com munity control/parole can be revoked and | can receive a separate sentence up to the maximum
on the probation/community controV/parole charge in addition to the sentence imposed in the present case(s).
(Defendant's Initials)
7. VOLUNTARINESS: No one has pressured, forced, threatened, or coerced me to enter the
plea(s). | am entering the plea(s) because: () | believe | am guilty or ( ) | believe that it is in my best interest. |
enter the plea(s) voluntarily of my own free will (Defendant's Initials)
8, DEPORTATION: 1 understand that if! am not a citizen of the United States, | WILL be
deported. I have also had a meaningful opportunity to consult with an attorney(s) regarding deportation. |
understand that no attorney(s) nor judge can advise/guarantee that | will or will not be deported
(Defendant's Initials)
9. EDUCATION: The highest grace/education | have completed:
| read and write ( ) English ( ). 1() read ( ) was read this Plea Form by
(Defendant's Initials)
10. COMPETENCY: At the present time, | am not under the influence of any drugs, alcohol,
medication, or narcotics. 1() am { ) am not presently taking any medication. | am presently taking the following
medication The medication () does ( ) does not
affect my ability to concentrate or to think clearly.
| am not suffering from any physical or mental problems that
would affect my understanding of these proceedings. (Defendant's Initials)
at. ENHANCED SENTENCE: | understand that the State of Florida () is ( ) is not seeking an
enhanced sentence as for which the Court may impose a sentence
of . (Defendant's Initiais)
12, PRISON RELEASEE REOFFENDER: | understand that | will be sentenced to the statutory
maximum unless the Court can give me a greater sentence if | am entering a plea(s) of Guilty/Nolo Contendre to
an.offense(s) enumerated in F.S. 775.082(9)(a)1. and (1) the offense(s) was committed within three years.of my
release from a state correctionai facility operated by the Department of Corrections or a private vendor or from
a correctional institution of another state, the District of Columbia, the United States, or any foreign jurisdiction;
(2) the offense(s} was committed while serving a prison sentence i in one of the aforementioned facilities: or (3)
the offense(s) was committed while on escape status. (Pefendant’s Initials)
13. CRIMINAL PUNISHMENT CODE: | understand that my sentence will be imposed pursuant to
Florida Law and the Criminal Punishment Code Scoresheet (CPCS). The CPCS will be prepared and is based
upon the offense(s) that | am entering plea(s) and my prior criminal record. {understand that | will not be
permitted to withdraw my plea(s) if the correct CPCS atmy sentencing is other than what is presumed at this time.
J understand that the CPCS only suggests a minimum sentence and the Court can sentence me to any lawful
sentence. | understand that if my Total Sentence Points are greater than or equalto 363, a life sentence may be
imposed by the Court for any felony offense | understand that my maximum sentence is up to the statutory
maximum unless the Lowest Permissible Prison Sentence in Months exceeds the statutory maximum. No one
has promised me that the Court will depart from the CPCS. (Defendant's Initials)
14. TIME SERVED: | agree the correct amount of time served that | am entitled to is
(Defendant's Initials)
Plea-Form-Circwit-2/2013 Page 2of 4
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15. EARLY RELEASE: | understand that | may serve every day of my sentence. No one has
promised that | will be released prior to the expiration of my sentence nor that | will receive any good and gain
time. (Defendant's Initials)
16. ATTORNEY FEES: | do ( )not waive ( )waive my rightto a hearing, and | agree that.
is a reasonable sum to pay for the services of my court appointed attorney(s). (Defendant's Initials)
17. CIVIL COMMITMENT: | understand that if 1 am entering a plea(s) of Guilty/Nolo Contendre to
@ sexually motivated offense or if | have been previously convicted of a sexually motivated offense, this plea(s)
may subject me to involuntary civil commitment as a sexually violent predator upon completion of my sentence.
(Defendant's Initials)
18. DRIVER'S LICENSE: | understand that if | am entering a plea(s) of Guilty/Nolo Contendre to an
offense for which automatic, mandatory, or discretionary driver's license/privilege suspension or revocation is
required or discretionary by law to be imposed by the Court or by a separate agency, this plea(s) will provide the
basis for the suspension or revocation of my driver's license/privilege. | understand that if lam entering a plea(s)
of Guilty/Nolo Contendre to a traffic offense | may be declared a Habitual Traffic Offender, (Defendant's
Initiats)
19. SUPERVISION TOLLING AND COSTS: 1 understand that while | am incarcerated my
probation/community control/parole is tolled unless ordered otherwise by the Court. | understand that if | am
placed on probation/community control/parole | will be required to pay costs of supervision. (Defendant's
Initials)
20. DNA: | understand that the Court will order me to submit to a DNA sample.
(Defendant's Initials)
21. SENTENCING DATE: | understand that if the Court permits me to-remain at liberty pending my
Sentencing | will comply with the following conditions: (1) show up on time on the date that Sentencing is
set; (2)
not violate any conditions of my release; (3) not violate any law; (4) all requests of the Department of Corrections
to complete a Pre-Sentence Investigation report (if required); and (5) notify immediately
any change in my address
or telephone number to the Clerk of Court, bonds person, and my attorney(s). | understand that
if | violate any
of the aforementioned conditions | will not be allowed to set aside my plea(s) and the Court may sentence
me to
the total maximum penalties indicated in Paragraph 3. (Defendant's Initials)
22. COLLECTIONS GOURT: | understand that if my financial
referred to the obligations are
Collections
it Court Program for collection that
any failure to‘tof
com ply with the Collection Court Program requirements
15 thy a ui
PORE: ily attechment being issued_and my case heing
sent to a Collection Agency to collect the Court Fines and Costs. (Defendant's Initials)
23. HEARING PRESENCE: 1( ) waive ( ) do not waive my right to be present at any
Restitution/Attorney(s) Fee/Cost Hearing. {Defendant's Initials)
24, SEAL/EXPUNGEMENT: No one has promised me that this case{s) will be sealed or expunged.
(Defendant's Initials)
25, APPEAL: | understand that! have thirty (30) days to file an appeal of in writing of the
Court's
Judgment and Sentence to the Clerk of Court. | understand that if | cannot afford an attorney one will be
appointed to represent me. My attorney(s) has/have explained to me what an appeal
is. By entering this plea,
|understand that! give up my right to appeal all matters except (1) the legality af my sentence: (2) this Court's
authority to hear this case; and (3) any pre-trial ruling for which 1 have reserved the tight to appeal,
and for which
this Court has made a finding that controls an issue in this case. (Defendant's Initials)
26> -—-DEFENDANT’S-CERTIFICATION: --1-have-read -every-word-in-this~Plea(s)-fo
rm,-have
discussed the contents with my attorney(s), and fully understand it. | am fully satisfied
with the way my
attorney(s) has/have handled this case for me. My attorney(s) has/have done everything | have asked
himfher to do. (Defendant's Initials)
Plea-Form-Citeuit-2/2013 Page 30f 4
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file A case No. __!
. Defendant
SWORN TO, SIGNED, AND FILED IN OPEN COURT in the presence of defense counsel and the Judge
this day of, » 20.
Orange / Osceola
Clerk of the Circuit Court
and County Court Defendant's Signature
By:
Deputy Clerk in Attendance
CERTIFICATE OF DEFENDANT'S ATTORNEY(S) AND PROSECUTOR
We, Defendant's Counsel of Record, certify that: Ive have discussed this case with defendant, including
the nature of the charges, essential elements of each, the evidence against him/her of which | am aware, the
possible defense he/she has, the maximum penalty for the charge(s) and the right to appeal. No promises have
been made other than as set forth in this plea or on the record. | believe the defendant fully understands this
written plea, the consequences of entering it, and that the plea is entered of the defendant's own free will.
1, the Prosecutor, consent to the plea(s) to lesser charges, if applicable, and confirm the representations
in Paragraph 2.
jul, (les
Defendant's Attorney(s) Prosecutor 1010685
Florida Bar No., Florida Bar No.,
DNA INQUIRY ADDENDUM TO PLEA OF GUILTY OR NOLO CONTENDRE
DEFENSE COUNSEL
[have revidwed the discovery disclosed by the State, including a listing or description of physical items
of evidence.
I have reviewed with my client the nature of the evidence disclosed through discovery.
lam personally unaware of any physical evidence for which DNA testing may exonerate my client.
Defendant's Attorney(s) Date
Florida Bar'No.
DEFENDANT
I have discussed the discovery and Information with my attorney and agree to the representations
made by my attorney.
Defendant Date
PROSECUTOR
— Lam pefsonally unaware of any physical evidence for which DNA testing may exonerate the
‘eiencens pele bn
03/25/2021
Prosecutor 1010685 Date
Florida Bar No.
Plea-Formn-Cireuit-2/2013 Page 4 of 4
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