PLEA OF NOLO CONTENDERE (No Contest) -- CONDITIONAL PLEA OF NOLO CONTENDERE (No Contest) JD-CR-60 Rev. 7/10 Pr. Bk. 39-18, 39-22, 61-6 State of Connecticut vs. C.G.S. 54-94a STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov G.A. number or Judicial District Held at (City or town) Docket number On (Date) Plea Of Nolo Contendere (No Contest) I am the defendant in the case named above and: I have personally been in the court and have been advised of my rights; I have had the complaint in this case read to me or gave up my right to have the complaint read to me; I do not want to contest the claims of the State of Connecticut that are in the complaint; and, I will not contend with the State of Connecticut about the complaint. By signing this paper, I plead nolo contendere (no contest) and put myself on the clemency of the court. Dated at (City or town) On (Date) Signed (Defendant) X Signed (Parent or guardian of minor defendant) Signed (Attorney for defendant) X X The Judicial authority accepts the defendant's plea of nolo contendere: (Judicial Authority must specify yes or no) Signed (Judge/Assistant Clerk) Yes No Conditional Plea Of Nolo Contendere (No Contest) I am in the defendant in the case named above and: I have personally been in the court and have been advised of my rights; I have had the complaint in this case read to me or gave up my right to have the complaint read to me; I do not want to contest the claims of the State of Connecticut that are in the complaint; and, I will not contend with the State of Connecticut about the complaint. By signing this paper, I plead nolo contendere (no contest) and put myself on the clemency of the court on the condition that I have the right to take an appeal under section 54-94a of the Connecticut General Statutes. I understand that I can file an appeal of a motion to suppress or a motion to dismiss only if I do so within the time allowed by law and only if the trial court has determined that a ruling on the motion would be dispositive of the case. Subject to the above, I reserve for review the rulings on the following specific motions to suppress or dismiss: (Specify the motion(s) for which review is sought) Dated at (City or town) On (Date) Signed (Defendant) X Signed (Parent or guardian of minor defendant) Signed (Attorney for defendant) X X A Trial Court Determined that a Ruling on the Above Motions to Suppress or Motion to Dismiss Would Be Dispositive of the Case: (Judicial Authority must specify yes or no) Yes No Date Signed (Judge) The Judicial Authority accepts the defendant's conditional plea of nolo contendere: (Judicial Authority must specify yes or no) Yes Signed (Judge) No Date American LegalNet, Inc. www.FormsWorkFlow.com