STATE OF SOUTH CAROLINA COUNTY OF STATE VS. AKA: Race: Sex: Age: DOB: SS#: Address: City, State, Zip: DL# ___________ * SID# ______________________ *CDL Yes No CMV Yes No Hazmat Yes No ) ) ) ) ) ) ) ) ) ) ) ) IN THE COURT OF GENERAL SESSIONS INDICTMENT/CASE#: _____-GS-______-_______________ A/W#: ______________________________________ Date of Offense: _____________________________ S.C. Code §: ________________________________ CDR Code #: ________________________________ SENTENCE SHEET CONVICTED OF or PLEADS In disposition of the said indictment comes now the Defendant who was TO: ____________________________________________________________________________________________________________ In violation of § of the S.C. Code of Laws, bearing CDR Code # ___________ NON-VIOLENT VIOLENT SERIOUS MOST SERIOUS Mandatory GPS §17-25-45 st (CSC w/minor 1 or Lewd Act) The charge is: The plea is: As indicted, Lesser Included Offense, Without Negotiations or Recommendation, Defendant Waives Presentment to Grand Jury. (def.'s initials) Negotiated Sentence, Recommendation by the State. ATTEST: Solicitor SC Bar # Defendant Attorney for Defendant SC Bar # State Department of Corrections County Detention Center, WHEREFORE, the Defendant is committed to the under the Youthful Offender Act not to exceed for a determinate term of days/months/years or ________ years and/or to pay a fine of $ ; provided that upon the service of ______________________ days/months/years and or payment ; plus costs and assessments as applicable*; the balance is suspended with probation for of $ ________ _____________________ months/years and subject to South Carolina Department of Probation, Parole and Pardon Services standard conditions of probation, which are incorporated by reference. CONCURRENT or CONSECUTIVE to sentence on: __________________________________________________ The Defendant is to be given credit for time served pursuant to S.C. Code §24-13-40 to be calculated and applied by the State Department of Corrections. The Defendant is to be placed on Central Registry of Child Abuse and Neglect pursuant to S.C. Code §17-25-135. Pursuant to 18 U.S.C. Section 922, it is unlawful for a person convicted of a violation of Section 16-25-20 or 16-25-65 (Domestic Violence) to ship, transport, possess, or receive a firearm or ammunition. SPECIAL CONDITIONS: RESTITUTION: Total: $ Deferred plus 20% fee: Def. Waives Hearing $ Ordered PTUP days/hours Public Service Employment Obtain GED Attend Voc. Rehab. Or Job Corp. May serve W/E beginning Substance Abuse Counseling $ $ $ $ $ $ $ $ $ $ $ $ $ $ Random Drug/Alcohol Testing Fine may be pd. in equal consecutive weekly/monthly Beginning pmts. of $ Paid to Public Defender Fund $ Payment Terms: Set by SCDPPPS ___________ Recipient: *Fine: §14-1-206 (Assessments 107.5%) §14-1-211 (A)(1)(Conv. Surcharge) §14-1-211 (A)(2)(DUI Surcharge) §56-5-2995 (DUI Assessment) §56-1-286 (DUI Breath Test) Proviso 61.6 (Public Def/Probation) §14-1-212 (Law Enforce. Funding) §14-1-213 (Drug Court Surcharge) §50-21-114 (BUI Breath Test Fee) §56-5-2942(J) (Vehicle Assessment) 3% to County (if paid in installments) TOTAL Clerk of Court/Deputy Clerk Court Reporter: $100 $100 $12 $25 $500 $25 $150 $50 $40/ea Other: Appointed PD or appointed other counsel, Proviso 61.6 requires $500 be paid to Clerk during probation and shall be collected before any other fees. Presiding Judge Judge Code: Sentence Date SCCA/217 (07/2016) American LegalNet, Inc. www.FormsWorkFlow.com