IN THE MUNICIPAL COURT OF DELAWARE COUNTY, OHIO The State of Ohio City/Village of ____________________________ Plaintiff vs. __________________________________________ Defendant Case No. ________________ NOT GUILTY PLEA 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. I plead NOT GUILTY I waive the reading of the complaint and acknowledge receipt of a copy of the complaint. I demand a jury trial. I waive my right to a trial by a jury. I want my case tried within the time required by law. I knowingly and voluntarily waive my right to have a trial within the time required by law. I waive my right to appear at an arraignment. I waive my right to appeal my administrative license suspension. I appeal my administrative license suspension. I waive my right to have an appeal hearing on the administrative license suspension within five days and consent to a continuance of the appeal hearing until a later date. ____________________________________ Defendant's Signature __________________________________________ Street Address/PO Box Number __________________________________________ City/State/Zip Code __________________________________________ Area Code/Phone Number __________________________________________ Email Address __________________________________________ Date ____________________________________ Trial Counsel's Signature __________________________________________ Print Name __________________________________________ Street Address/PO Box Number __________________________________________ City/State/Zip Code __________________________________________ Area Code/Phone Number Email Address __________________________________________ Date Supreme Court Registry Number IF YOU HAVE NOT RECEIVED NOTICE WITHIN 10 DAYS CALL 740-203-1570 American LegalNet, Inc. www.FormsWorkFlow.com