1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 IN THE JUSTICE'S COURT OF THE NEW RIVER TOWNSHIP IN AND FOR THE COUNTY OF CHURCHILL, STATE OF NEVADA THE STATE OF NEVADA, COUNTY OF CHURCHILL, Plaintiff, vs. Case No.: ___________________________________, Defendant WAIVER OF APPEARANCE AND IMPOSITION OF SENTENCE I, the defendant in the above entitled action, being fully advised of my rights in the premises, and in accordance with Nevada Revised Statutes 178.388*, hereby waive my appearance for imposition of sentence on the charge of: __________________________________________ ___________________________________________________________________________ In the above entitled action, and hereby enter a plea of GUILTY to the above charge, as originally cited on Churchill County Sheriff’s Office and/or Nevada Highway Patrol Citation Number _____________, and subsequently cited on Warrant Number ___________________ as issued by the Justice Court of Churchill County. I acknowledge and understand that as a result of my plea of GUILTY I am requesting to be given credit for time served in the custody of ____________________________. I further request to be given the Justice Court of Churchill County to clear Warrant Number ____________________ pursuant to my plea of GUILTY. _____________________________ WITNESSED BY _____________________________________ DEFENDANT’S SIGNATURE _____________________________________ DATE Rights of Defendant * NRS 178.388 Presence of the Defendant “3. In the prosecutions for offenses punishable by fine or by imprisonment for not more than 1 year or both, the court, with written consent of the defendant, may permit arraignment, plea, trial and imposition of sentence in the defendant’s absence.” IT IS SO ORDERED _____________________________________ M. D. RICHARDS Judge, Justice Court New River Township American LegalNet, Inc. www.FormsWorkflow.com