SC-6.2 Final Disposition Felony Sentence With Probation Page 1 of 4 IN THE SUPERIOR COURT OF COUNTY, STATE OF GEORGIA STATE OF GEORGIA versus Clerk to complete if incomplete: OTN(s): CRIMINAL ACTION #: DOB: Ga. ID#: Term of 20 Final Disposition: FELONY with PROBATION First Offender/Conditional Discharge entered under: PLEA: VERDICT: O.C.G.A. 247 42-8-60 O.C.G.A. 247 16-13-2 Negotiated Non-negotiated Jury Non-jury Repeat Offender as imposed below Repeat Offender waived The Court enters the following judgment: The Defendant is adjudged guilty or sentenced under First Offender/Conditional Discharge for the above-stated offense(s); the Court sentences the Defendant to confinement in such institution as the Commissioner of the State Department of Corrections may direct, with the period of confinement to be computed as provided by law. Sentence Summary: The Defendant is sentenced for a total of , with the first to be served in confinement and the remainder to be served on probation; or to be served on probation. The Defendant is to receive credit for time served in custody: from ; or as determined by the custodian. 1. The above sentence may be served on probation provided the Defendant shall comply with the Conditions of Probation imposed by the Court as part of this sentence. 2. Upon service of , the remainder of the sentence may be served on probation; PROVIDED, that the Defendant shall comply with the Conditions of Probation imposed by the Court as part of this sentence. Count Charge (as indicted or accused) Disposition (Guilty, Not Guilty, Guilty-Alford, Guilty- Lesser Incl, Nolo, Nol P ros , Dead D ocket ) Sentence Fine Concurrent/ Consecutive, Merged, Suspended 1 2 3 American LegalNet, Inc. www.FormsWorkFlow.com State of Georgia v. Criminal Action # SC-6.2 Final Disposition Felony Sentence With Probation Page 2 of 4 3. The Court sentences the Defendant as a recidivist under O.C.G.A.: 247 17-10-7(a); 247 17-10-7(c); 247 16-7-1(b); 247 16-8-14(b); or 247 . 4. The above sentence includes a behavioral incentive date of in accordance with O.C.G.A. 247 17-10-1. GENERAL CONDITIONS OF PROBATION The Defendant is subject to arrest for any violation of probation. If probation is revoked, the Court may order incarceration. The Defendant shall comply with the following General Conditions of Probation: 1) Do not violate the criminal laws of any governmental unit and be of general good behavior. 2) Avoid injurious and vicious habits. 3) Avoid persons or places of disreputable or harmful character. 4) Report to the Community Supervision Officer as directed and permit the Community Supervision Officer to visit you at home or elsewhere. 5) Work faithfully at suitable employment insofar as may be possible. 6) Do not change your place of abode, move outside the jurisdiction of the Court, or leave Georgia without permission of the Community Supervision Officer. If permitted to move or travel to another state, you agree to waive extradition from any jurisdiction where you may be found and not contest any effort by any jurisdiction to return you to this State. 7) Support your legal dependents to the best of your ability. 8) When directed, in the discretion of the Community Supervision Officer: (a) submit to evaluations and testing relating to rehabilitation and participate in and successfully complete rehabilitative programming; (b) wear a device capable of tracking location by means including electronic surveillance or global positioning satellite systems; (c) complete a residential or nonresidential program for substance abuse or mental health treatment; and/or (d) agree to the imposition of graduated sanctions as defined by law. 9) Make restitution as ordered by the Court. FINE SURCHARGES or ADD-ONs: The Court assesses all fine surcharges or add-ons as required by the laws of the State of Georgia and as are applicable to offense(s) for which the Defendant has been convicted. 1) The Court orders that: the Defendant shall pay the community supervision fee as required by law; or the community supervision fee is waived. 2) If counsel was provided under the Georgia Indigent Defense Act: the Defendant shall pay the $50 Public Defender Application Fee; or the Public Defender Application Fee is waived. 3) If counsel was provided at public expense: the Defendant shall pay attorney222s fees of $ to County; or attorney222s fees are waived. 4) The Defendant shall pay the Crime Lab Fee as required by law. SPECIAL CONDITIONS OF PROBATION The Defendant is advised that violation of any Special Condition of Probation may subject the Defendant to a revocation of probation and the Court may require the Defendant to serve up to the balance of the sentence in confinement. The Defendant shall comply with all Special Conditions of Probation: as designated on the attached Inventory of Special Conditions of Probation; or as follows: (import conditions to be imposed from Inventory of Special Conditions of Probation). American LegalNet, Inc. www.FormsWorkFlow.com State of Georgia v. Criminal Action # SC-6.2 Final Disposition Felony Sentence With Probation Page 3 of 4 FIRST OFFENDER OR CONDITIONAL DISCHARGE (If designated by the Court) The Defendant consenting hereto, it is the judgment of the Court that no judgment of guilt be imposed at this time but that further proceedings are deferred and the Defendant is hereby sentenced to confinement at such institution as the Commissioner of the State Department of Corrections or the Court may direct, with the period of confinement to be computed as provided by law. Upon violation of the terms of probation, upon conviction for another crime during the period of probation, or upon the Court's determination that the Defendant is or was not eligible for sentencing under the First Offender Act or for Conditional Discharge, the Court may enter an adjudication of guilt and proceed to sentence the Defendant to the maximum sentence as provided by law. Upon fulfillment of the terms of this sentence, or upon release of the Defendant by the Court prior to the termination of this sentence, the Defendant shall stand discharged of said offense without court adjudication of guilt and shall be completely exonerated of guilt of said offense charged. Defendant's school enrollment: The Defendant: is 17 years of age or older, was convicted of the felony offense(s) of , and is or will be enrolled in School or school system, O.C.G.A. 247 15-6-36; or is 13-17 years of age, was convicted of the felony offense(s) of , and is or will be enrolled in School or school system, O.C.G.A. 247 15-11-560(g). The Clerk shall give notice as required by the statute. For Court222s Use: The Hon. , Attorney at Law, represented the Defendant by: employment; or appointment. SO ORDERED this day of , 20. Judge of Superior Court Judicial Circuit (print or stamp Judge222s name) American LegalNet, Inc. www.FormsWorkFlow.com State of Georgia v. Criminal Action # SC-6.2 Final Disposition Felony Sentence With Probation Page 4 of 4 FIREARMS: If you are convicted of a crime punishable by imprisonment for a term exceeding one year, or of a misdemeanor crime of domestic violence where you are or were a spouse, intimate partner, parent, or guardian of the victim, or are or were involved in another similar relationship with the victim, it is unlawful for you to possess or purchase a firearm including a rifle, pistol, or revolver, or ammunition, pursuant to federal law under 18 U.S.C. 247 922(g)(9) and/or applicable state law. Acknowledgment: I have read the terms of this sentence or had them read and explained to me. If all or any part of this sentence is probated I certify that I understand the meaning of the order of probation and the conditions of probation. I understand that violation of a special condition of probation could result in revocation of all time remaining on the period of probation. Defendant American LegalNet, Inc. www.FormsWorkFlow.com