NOTICE -- APPEARANCE, WAIVER AND PLEA Commonwealth of Virginia VA. CODE ANN. § 16.10-69.40:2 HEARING DATE CASE NO. NOTICE 1. You have the right to appear at trial. 2. You are presumed innocent until proven guilty beyond a reasonable doubt. 3. You have the right to retain counsel to represent you. 4. You have the right to have the Clerk subpoena witnesses on your behalf. 5. You have the right to plead guilty or not guilty or nolo contendere to any charge placed against you. 6. You have the right to appeal the judgment of the District Court within ten (10) days. 7. If you fail to enter a written or court appearance, you may be tried in your absence. . ............................................................................................................ NOTICE -- APPEARANCE, WAIVER AND PLEA [ ] Commonwealth of Virginia [ ] CITY [ ] COUNTY [ ] TOWN of v. ............................................................................................................ ACCUSED ............................................................................................................ ............................................................................................................ APPEARANCE, WAIVER AND PLEA By signing below, I am entering my written appearance in the court case resulting from the violation (s) charged on the accompanying summons or warrant. I have read and understand the notice above. I also understand that my plea of guilty will have the same force and effect as a finding of guilty by a judge. Understanding all this, I PLEAD GUILTY to the violation charged, WAIVE my right to a court hearing, and agree to pay the fine and court costs prescribed for my offense. THIS FORM MUST BE ACCOMPANIED BY YOUR SUMMONS OR WARRANT ........................................ DATE ................................................................................. NAME (please print) ____________________________________________ SIGNATURE Notice to Defendant Considering a Plea of Guilty or a Plea of Nolo Contendere: If you decide to plead guilty or nolo contendere to an offense, you are waiving your right to confront your accusers and your right against compulsory self-incrimination. FORM DC-324 (MASTER) 5/07 American LegalNet, Inc. www.FormsWorkflow.com