NO._______________________ STATE OF TEXAS Vs. _________________________________ DEFENDANT § § § § § IN THE 159TH/217TH JUDICIAL DISTRICT COURTS OF ANGELINA COUNTY, TEXAS WAIVER OF JURY TRIAL The Defendant, joined by counsel, waives the right to trial by jury and requests the Attorney for the State and the Court to approve this waiver. I am represented by counsel in this cause, and my counsel has advised me that under the constitutions of the United States and Texas, I have the right to have my case tried by a jury. Counsel has further advised that the right to a jury trial includes the right to subpoena witnesses and the right to confront and cross-examine the state’s witnesses. I understand that by signing this waiver I give up those rights at a jury trial only, and I do so voluntarily. Defendant will proceed in this case by: ____Plea ____Non-jury trial ____________________________________ Defendant ____________________________________ Attorney for Defendant ____________________________________ Attorney for State Defendant is charged with a felony in this cause; Defendant is represented by counsel; and the Attorney for the State has consented and approved of the waiver above, therefore the Court approves and consents to waiver of jury trial in this cause ____________________________________ Judge, 159TH/217TH District Court Revised 1-5-07 American LegalNet, Inc. www.FormsWorkflow.com