IN THE GENERAL SESSIONS CRIMINAL COURT SHELBY COUNTY, TENNESSEE State of Tennessee * No.(s) _________________________________________ vs. * _______________________________________________ __________________________ * DOB ______________Race __________Sex_________ Defendant ________________________________________________________________________ ____________________________________ WAIVER BIND-OVER AND MITTIMUS INFORMATION ________________________________________________________________________ ____________________________________ Upon motion of defendant, as evidenced by his / her signature below, that he / she be allowed to waive iminhis/aherry right to a prelexamination, as provided by Rule 5.1, Tennessee Rules of Criminal Procedure, on the following charges: ________________________________________________________________________ ____________________________________ ________________________________________________________________________ ____________________________________ ________________________________________________________________________ ____________________________________ ________________________________________________________________________ ____________________________________ and upon statements of counsel and the defendant and the recors ids and fn this cause,ile IT APPEARS TO THE COURT that tndanthe def has eintelligently and voluntarily waived his/her right to a preliminary examination and his/her rights to presentt befmentore t and ihe Gndirand ctmenJury, agreeing to allow the District Attorney General the right to proceed by filing an information on a d tplea he tofer notms f guior a lty, annegotiated plea agreement (if any) are included on this waiver, and his/her bail set at $__________________________________________. IT FURTHER APPEARS TO THE COURT THAT the defendant ithats awar any e plea negotiations involve only the charges included in the affidavit of complaint for docket no.(s) ________________________________________________________________________ _______________________________________, and the defendant is aware that he/she is waiving this hearing, regardless of whether there are any additional pending charges. THEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED that the defendant be bound over, waiving his/her right to a preliminary examination, presentment and indictment to the Grand Jury on a plea of not guilty to the enumhaterat aled charl paperge(s and s) and trecords in the proceeding be transmitted to the Shelby County Criminal Court Clerk and that the Sheriff ofeu Shelofby C bail iountn the y, in liamount of $_______________, receive the defendant into his custody in the Shelby County Jail and safely keep tl he/he defshe be endant untidelivered by due course of law. ENTERED this the _____day of _______________, yr ________. __________________________________________________________________ ___ Judge ____________________________________________________________________ D ivision __________________________________________ ______________________________________________________ Defendant Assistant District Attorney General __________________________________________ Attorney for Defendant ___________________________________________ B. P. R. Number