AOC-491.1 Rev. 9-03 Page 1 of 2 Doc. Code: COPG Case No. Court COMMONWEALTH'S OFFER ON A PLEA OF GUILTY County PLAINTIFF DEFENDANT Commonwealth of Kentucky Court of Justice www.kycourts.net COMMONWEALTH OF KENTUCKY VS. 1. Charges and Penalties: Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ 2. Amended Charges (if any): Amended Charge ___________________________________________UOR Code_______________________ Penalty Penalty Penalty Penalty Penalty Penalty ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ AOC-491.1 Rev. 9-03 Page 2 of 2 3. Reason(s) for amended charge(s) and UOR Code(s) (if applicable): _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 4. Facts of the Case: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 5. Recommendations on a Plea of Guilty (Plea Agreement): _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 6. Offered this _____ day of ________________, 2______. ____________________________________________ Commonwealth's Attorney or Assistant Commonwealth's Attorney ____________________________________________ Defendant ____________________________________________ Prosecuting Witness ____________________________________________ Prosecuting Witness ____________________________________________ Defense Attorney ____________________________________________ Police Officer ____________________________________________ Police Officer American LegalNet, Inc. www.FormsWorkFlow.com