File No. STATE OF NORTH CAROLINA In The General Court Of County Justice Superior Court Division STATE VERSUS Name Of Defendant WAIVER/CERTIFICATION OF ARRAIGNMENT G. S. 15A-945 File No.(s) Offense(s) (Print Or Type) WAIVER OF ARRAIGNMENT In accordance with G. S. 15A-945, the undersigned defendant waives arraignment in Superior Court and enters a plea of not guilty to the charges contained in the case(s) referenced above. The undersigned defendant and his/her attorney represent that: 1. there are no pending pretrial motions. 2. the only pretrial motions pending are those listed below which are in writing and have been filed with the Clerk of Superior Court. List Motions: Date Signature Of Attorney Date Signature Of Defendant CERTIFICATION OF ARRAIGNMENT I certify that the defendant was arraigned on the case(s) referenced above on the date shown below and entered a plea of not guilty. Date Signature Deputy CSC Assistant CSC Clerk Of Superior Court AOC-CR-216, Rev. 2/01 2001 Administrative Office of the Courts American LegalNet, Inc. www.USCourtForms.com