SUPERIOR COURT OF CALIFORNIA, COUNTY OF AMADOR CLERK'S USE ONLY 500 ARGONAUT LANE, JACKSON, CA 95642 (209) 257-2600 THE PEOPLE OF THE STATE OF CALIFORNIA, Plaintiff, vs. Defendant. FELONY WAIVER & PLEA FORM CASE NO: Fill out this form if you wish to plead guilty or no contest to the charges against you. Initial/complete each applicable item only if you understand it. If you have any questions about your case, the possible sentence, or the information on this form, ask your lawyer or the judge. 1. NATURE OF CHARGES (In Re Tahl (1969) 1 Cal.3d 122): A. Charges: (set forth all charges, enhancements, special allegations, prior convictions and probation violations, which will be subject to a plea) B. Proposed Disposition: C. I understand the nature of the above-referenced crimes; that is, what is required by law for a person to be guilty. Specifically, I understand the elements of all the charges and the possible defenses. initials Revised 07/2008 Page 1 of 11 American LegalNet, Inc. www.FormsWorkflow.com 2. CONSTITUTIONAL RIGHTS AND WAIVERS By personally writing YES in the boxes below, I understand the following rights and facts. I expressly give up and waive each right knowingly, intelligently, and voluntarily as each applies to the charges, enhancements, special allegations, prior convictions, and probation violations alleged. (People v. Sumstine (1984) 36 Cal.3d 909.) DEFENDANT TO PERSONALLY WRITE YES OR NO IN EACH BOX: I UNDERSTAND THIS RIGHT 1. Right to a speedy and public trial by jury . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Right to confront and cross examine all witnesses against me . . . . . . . . . . . . 3. Right to remain silent and not incriminate myself . . . . . . . . . . . . . . . . . . . . . 4. Right to subpoena witnesses and produce evidence . . . . . . . . . . . . . . . . . . . . 5. Right to be represented by an attorney at all stages of the proceedings and to have the court appoint one if I cannot afford my own . . . . . . . . . . . . . . . . . . 6. I do not have the right to a jury trial on charges of violating probation, although I do have the right to a hearing before a judge . . . . . . . . . . . . . . . . . 7. I GIVE UP THIS RIGHT (If prior to preliminary hearing) Right to a preliminary hearing to determine if there is probable cause to hold me for trial . . . . . . . . . . . . . . . . . . . . . . . . . A. I understand that by pleading guilty I am giving up my right to a jury trial. initials B. I understand that because I am not going to trial, I am giving up my right to confrontation of witnesses (i.e. my right to see, hear, and have my attorney question all witnesses who might have been called to testify) and my right to subpoena witnesses and produce evidence on my behalf. initials C. I understand by pleading guilty, I am giving up my right to remain silent and to require the District Attorney to prove the case against me. In other words, I am admitting my guilt of the crime(s) charged. initials D. I understand People v. West (1970) 3 Cal.3d 595 is a case that allows me to plead guilty or no contest, for valid tactical reasons, to something I feel I did not do. However, for the purposes of my criminal record and for sentencing, the plea is treated the same as any other guilty plea. initials Revised 07/2008 Page 2 of 11 American LegalNet, Inc. www.FormsWorkflow.com 3. REPRESENTED BY SELF OR COUNSEL: Defendant to personally write YES in one of the two boxes: REPRESENTED BY SELF: I give up my right to an attorney. REPRESENTED BY AN ATTORNEY: I have discussed my case with my attorney. We discussed the rights I am giving up by my plea, the elements of the offense(s) charged, the possible defenses, and the consequences of my plea. 4. NO OTHER PROMISES – CONDITIONAL PLEA: A. I have not been induced to enter this plea by any promise or representation of a lesser sentence, probation, reward, immunity, or anything else, except as set forth in paragraph 1(B) above. initials B. I understand my sentence is to be determined solely by the Court. If the Court does not agree with any of the promises or representations stated above, I understand I will be allowed to withdraw my guilty plea. initials 5. CONSEQUENCES OF GUILTY PLEA, NO CONTEST, FINE AND CONFINEMENT (Bunnell v.Superior Court (1975) 13 Cal.3d 592): A. No Contest Plea: I understand a plea of no contest will have the same effect in this case as a plea of guilty. Also, if the offense is punishable as a felony, it can be used against me in a civil lawsuit. (P.C. §1016.) initials B. Prison Sentence: 1. Straight up – no conditions: I understand the maximum term facing me as a result of my plea is years. (In re Birch (1973) 10 Cal.3d 314.) initials Revised 07/2008 Page 3 of 11 American LegalNet, Inc. www.FormsWorkflow.com 2. Conditional pleas: a. No State Prison promise: I understand I will not be sentenced to State Prison at the outset and I will be placed on probation. However, if I violate any of the terms and conditions of probation, I can be sentenced to State Prison for the maximum sentence of years. initials b. Prison term lid: I understand I will receive no more than years in State Prison at the outset. If I am granted probation and then violate any of the terms and conditions of probation, I could be years in State Prison. sentenced to initials c. Stipulated prison term: I understand I will committed to State Prison for the term of years. I will not be considered for probation or a lesser term in prison. initials 3. If no probation offenses – mandatory state prison: I understand I will not be eligible for probation. I will be sentenced to State Prison as a result of this plea. (People v. Caban (1983) 148 Cal.App.3d 706.) initials C. Parole: I understand in the event I violate probation and I am committed to State Prison, or following a prison commitment, I will be subject to parole supervision for three years (P.C. §3000, if sentenced pursuant to §1170); or five years (P.C. §3000, if sentenced pursuant to §1168); or seven years (P.C. §3000.1, if sentenced pursuant to 1168 for any offense of first degree). In case of a parole violation, I understand I will be subject to parole for an additional year (if a three-year parole term) or an additional two years (in the case of a fiveyear parole term). (P.C. §§3000, 3000.1). initials Revised 07/2008 Page 4 of 11 American LegalNet, Inc. www.FormsWorkflow.com D. Fines, Restitution, Penalty Assessments, Drug and Laboratories Fees (People v. Clark (1992) 7 Cal.App.4th 1041.) (1) Fine: I may be ordered to pay a FINE of up to $10,000 (P.C. §672) and a penalty assessment of 230 % of the fine imposed. initials (2) Restitution Fine For All Felonies Whether Probation Granted or Not: The sentencing judge will impose a Restitution Fine of not less than $200 nor more than $10,000. (P.C. §1202.4.) initials (3) Criminal Justice Administration Fee: I understand I will be ordered to pay a criminal justice administration fee for administrative costs incurred in conjunction with the arrest. (Gvt.C. §§29550, 29550.1, 29550.2.) initials (4) Administration Screening Fee: I understand if I was arrested and released on my own recognizance, I will be ordered to pay an administration screening fee. (Gvt.C. §29550(f).) initials (5) Court Security Fee: I will be ordered to pay a Court Security Fee in the amount of $20.00 for each charge for which I am entering a plea for a total of $____________. (6) ____________ initials Restitution to Victim(s): I understand the sentencing judge will order restitution to the victim(s) of my crime(s) who incur(s) any loss, as a result of the commission of the crime. (P.C. §1202.4 (f).) ______ initials Revised 07/2008 Page 5 of 11 American LegalNet, Inc. www.FormsWorkflow.com E. Citizenship (P.C §1016.5): I understand if I am not a citizen of the United States, a plea of guilty could result in my being deported from the United States, excluded from admission to the United States or denied naturalization as a United States Citizen. initials F. Parole/Probation: I understand if I am currently on probation or parole for any other criminal offense, my guilty plea in this case may constitute a violation of that probation or parole. Any such probation or parole could be revoked as a result of my plea. initials 6. ADDITIONAL CONSEQUENCES: A. Sexual Offenses: (1) AIDS Testing: I understand I will be required to submit to nonconfidential AIDS testing as a result of my plea to any one of the following offenses: P.C. §§ 261, 264.1, 261.5, 262, 264.1, 266c, 286, 288a. (P.C. §§1202.1.) initials (2) If my plea is to an offense defined in P.C. §§261, 264.1, 266c, 285, 286, 288, 288a, 288.5 or 289, and the victim of one or more of those offenses was a child under the age of 18 years, the court will prohibit all visitation between me and the child victim. (P.C. §1202.05.) initials (3) Sex offender registration: I understand, as a further consequence of the plea to the specified offenses in P.C. §290 involving sexual assault, I will be required to register with local law enforcement as a sex offender. (P.C. §290.) initials (4) Revised 07/2008 Additional Fine for Violation of Penal Code §290(c): I understand, as a further consequence of the plea to the specified offenses in P.C. §290 (c), I will be required to pay a fine of $300, upon the first Conviction, and a fine of $500, upon the second and each subsequent conviction.(P.C. §290.3.) ___________ initials Page 6 of 11 American LegalNet, Inc. www.FormsWorkflow.com B. Narcotics Offenses: (1) Criminal Laboratory Analysis Fee: I understand I may be required to pay a laboratory analysis fee of $50.00 for each offense. (H&S C. §11372.5.) I understand this fee is subject to a penalty assessment. (PC. §§1463, et seq. and 1464.) initials (2) Drug program fee: I understand I may be assessed $150.00 for each offense. (H&S C. §11372.7.) I understand this fee is subject to a penalty assessment. (PC. §§1463, et seq. and 1464.) initials (3) Narcotics offender registration: I understand as a consequence of my plea, I will be required to register with local law enforcement as a narcotics offender. (H&S C. §11590.) initials (4) Forfeiture: I understand my plea may be used as evidence against me with respect to forfeiture of any property, which was or may be seized in connection with the investigation giving rise to the charge(s) against me. (H&S C §11470.) initials (5) License suspension: I understand as a result of my plea, my driver’s license will be suspended by the Department of Motor Vehicles. (Veh.C. §§13202.5.) initials C. Arson Offenses: (1) (2) Revised 07/2008 Arson offender registration: I understand as a consequence of my plea, I will be required to register with local law enforcement as an arson offender. (P.C. §457.1.) initials Arson Fine: I understand as a consequence of my plea to any felony arson offense, the court may impose a fine not to exceed $50,000, unless a greater amount is otherwise provided by law. (P.C. §456.) If I committed the offense of arson for pecuniary gain, the court may impose a fine of twice the anticipated or actual gross gain in lieu of the aforementioned fine. ____________ initials Page 7 of 11 American LegalNet, Inc. www.FormsWorkflow.com D. DUI Offenses: (1) License (DUI cases): I understand as a result my guilty plea, my driver’s license will be suspended/revoked by the Department of Motor Vehicles. (Corley v. DMV (1990) 222 Cal.App.3d 72.) initials (2) Ignition interlock: I understand I may be required to install an ignition interlock device on any motor vehicle I own operate. (Veh.C. §§13352, 23575.) initials (3) See Addendum A – DUI RELATED OFFENSES Attached & incorporated herein by reference. initials E. Diagnostic Study: I understand if the judge wants a diagnostic study to assist in deciding my case, the judge may refer my case to a facility of the California Department of Corrections and Rehabilitation, where I can be confined up to 90 days for such study. (P.C. §1203.03.) initials F. Three Strikes Legislation; Prior Felony Conviction; Enhancement: If my plea is to a “violent” (P.C. §667.5(c)) or a “serious” (P.C. §1192.7(c)) felony, a conviction for one more felonies will result in substantially increased punishment and a conviction of two or more “violent” or “serious” felonies will potentially result in a maximum of life in prison. (P.C. §1170.12.) initials G. Harvey Waiver (People v. Harvey (1979) 25 Cal.3d 754): I understand though Count(s) will be dismissed, the agreement is the sentencing judge may nevertheless consider the facts underlying those dismissed counts, including any restitution, in deciding my sentence for the count(s) I am entering pleas. initials H. Revised 07/2008 Other: Page 8 of 11 American LegalNet, Inc. www.FormsWorkflow.com 7. CIRCUMSTANCES OF THE PLEA A. I have talked about this case with my attorney and had enough time for that discussion. I have told my attorney all the facts and circumstances known to me about my case. B. I understand in many cases I have the right to appeal some of the decisions of this court to a higher court, including, but not limited to, the rulings on motions, such as requests for suppression of evidence, and I am waiving my right to appeal as a condition of this plea (People v. Kelly (1994) 22 Cal.App.4th 533; People v. Vargas (1993) 13 Cal.App.4th 1653; People v. Castrillon (1991) 227 Cal.App.3d 718.) initials initials C. Arbuckle Waiver (People v. Arbuckle (1978) 22 Cal.3d 749): I understand and agree the sentence in this case may be imposed by another judge. initials 8. PLEA(S) A. I understand the previously set forth charges, rights, and consequences, and freely and voluntarily guilty nolo contest to plead (list charge(s)) B. If applicable – I freely and voluntarily admit the following enhancement(s), special allegations, prior convictions, and/or probation violations: C. I am pleading to the above offense(s) because: (1) I am, in fact, guilty of the offense(s) initials OR (2) For some other reason (People v. West (1970) 3 Cal.3d 595) initials DATE: SIGNED: Defendant’s Signature Revised 07/2008 Date of Birth Page 9 of 11 American LegalNet, Inc. www.FormsWorkflow.com 9. ATTORNEY’S STATEMENT (1) I am the attorney of record for the defendant. (2) I have gone over the form and addenda, if any, with my client. (3) I have explained each of the defendant’s rights to the defendant, and answered all of the defendant’s questions with regard to this plea. (4) I have discussed the facts of the defendant’s case with the defendant and explained the consequences of this plea, the elements of the offense(s), and the possible defenses. (5) I ___concur ___do not concur in this plea and the defendant’s decision to waive constitutional rights. SIGNED: DATE: Attorney for Defendant 10. INTERPRETER’S STATEMENT (IF APPLICABLE) I, , having been duly sworn, truly translated this form to the defendant in the language. The defendant indicated that (s)he understood the contents of the form, and (s)he then initialed the form. DATE: SIGNED: Court Interpreter 11. ACKNOWLEDGMENT BY DISTRICT ATTORNEY The People of the State of California, by and through its attorney, TODD RIEBE, District Attorney, concurs in the defendant’s plea of guilty, as set forth by the defendant in the above declaration. DATE: SIGNED: Deputy District Attorney Revised 07/2008 Page 10 of 11 American LegalNet, Inc. www.FormsWorkflow.com 12. COURT’S FINDINGS AND ORDER (a) The Court obtained an oral acknowledgment from the defendant that he/she has read and understood the plea form. (b) The Court inquired of the defendant and finds the defendant has not recently ingested drugs or alcohol, so as to affect his or her ability to exercise judgment in entering the plea. (c) The Court, having reviewed this form and having questioned the defendant concerning the defendant’s constitutional rights and the defendant’s admission of other conviction(s) and probation violation(s), if any, finds: (i) Defendant understands his or her constitutional rights, the nature of the charges against him or her, and the consequences of his or her plea; (ii) Defendant has expressly, knowingly, understandingly, and intelligently waived his or her constitutional rights; (iii) Defendant’s plea(s) and admission(s) are freely and voluntarily made with an understanding of the nature and consequences; and (iv) there is a factual basis for the plea(s)/admission(s). (d) The Court accepts the defendant’s plea(s) and admission(s) and the defendant is convicted on his or her plea(s). (e) The Court orders this form filed. DATE: SIGNED: Judge of the Superior Court Revised 07/2008 Page 11 of 11 American LegalNet, Inc. www.FormsWorkflow.com