THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) WAIVER OF SENTENCE REVIEW I, ___________________________________ , have discussed the sentence review procedure set forth in RSA 651:57 through RSA 651:61 with my attorney, with whom I am satisfied, and I understand that upon review, where appropriate, my sentence can be reduced, increased, or it may stay the same. I have freely and voluntarily waived my right to a sentence review and understand that I could have spoken on my behalf at such a review hearing. I have read the foregoing statement and voluntarily sign the same. Date Defendant I, ___________________________________ , as counsel for the defendant, have thoroughly explained to the defendant all of the above, and I believe that the defendant fully understands the procedure outlined herein and has the mental capacity to evaluate this procedure and, having done so, agrees knowingly and intelligently to waive his right to a sentence review. Date Counsel for the Defendant WAIVER OF SENTENCE REVIEW BY THE STATE OF NEW HAMPSHIRE I, ___________________________________ , do hereby state that I understand the provisions of RSA 651:57 through RSA 651:61 which grants the State a right to apply for sentence review of the State Prison sentence imposed on the aforementioned individual, and I hereby waive this right to sentence review as provided in said statutes. Date Prosecuting Attorney NHJB-2315-S (10/31/2006) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com