Waiver Of Right To Have Appointed Counsel Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Waiver Of Right To Have Appointed Counsel Form. This is a Tennessee form and can be use in Shelby Local County.
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Tags: Waiver Of Right To Have Appointed Counsel, Tennessee Local County, Shelby
STATE OF TENNESSEE
SHELBY COUNTY
CHANCERY COURT
DOCKET NUMBER
WAIVER OF RIGHT TO HAVE
APPOINTED COUNSEL
Page 1 of 1
___________________________________________ vs. _______________________________________
The undersigned represents to the court that he/she has been informed of the charges against him/her,
the nature thereof, the statutory punishment therefore and the right to appointment of counsel upon his/her
representation to the court that he/she is unable to employ counsel and the reasons therefore, all of which he/she
fully understands.
The undersigned now states to the court that he/she does not desire the appointment of counsel,
expressly waives the same and desires to appear in all respects in his/her own behalf, which he/she understands
he/she has the right to do.
Date: ____________________________
__________________________________________
Defendants’ signature
__________________________________________
Deputy Clerk & Master
Form WO-07/04
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