IN THE CIRCUIT COURT OF WILLIAMSON COUNTY, TENNESSEE STATE OF TENNESSEE VS. Docket No. __________________________ WAIVER OF RIGHT TO APPEAL I, ____________________________, defendant above-named, do hereby expressly waive my right to an appeal from the judgment entered against me in this cause on the _________ day of _____________________, 20___. I understand that by waiving may right to an appeal, the judgment against me will become final; and, thus, I will not be able to obtain any relief from the judgment in the future. I understand [a] the nature, meaning and effect of the judgment, [b] my right to a transcript of the proceedings in the trial court without cost to me for use in the appellate courts, [c] my right to the effective assistance of counsel to prepare and present my appeal in the appellate courts, [d] my right to have counsel without cost to me, and [e] my right to an appeal from the judgment as a matter of right. My decision to waive my right to an appeal is the direct result of the exercise of my own free will and intellect and is completely voluntary; and no pressure, threats or promises of gain or favor have been made to induce me to waive my right to an appeal. Signed this the ________ day of ________________, 20___. X________________________________________________ Defendant’s signature _____________________________________________ Attorney for the Defendant American LegalNet, Inc. www.USCourtForms.com