State of Maryland v, Case No. M. Age: - HighestLevelofEducation: 55c Read &Write English: 790' Waiver of Rights In order for the Court to accept my guilty plea in this matter, I understand the following: (Read each statement and place your initials on each line 1 I know I am charged With a crime for which could be put in jail - specifically, i am charged with 1 . which carries a maximum penalty of (l3 y; I understand that the judge is not bound to follow the recommendation of either the State or my defense counsel, but is free to impose any penalty up to the maximum. It the Judge were to exceed the State's recommendation, it is not grounds to Withdraw this plea, I know that I am giving up the following important rights by entering a plea of guilty: . The right to a trial by a judge or a jury of 12 citizens selected at random from the voter and motor vehicle rolls of Baltimore County. All 12 would have to agree on a verdict of guilty or not guilty. The right to require proof of guilt beyond a reasonable doubt -- either by Judge ori'ury. The right to face and crossiexamine the witnesses against me. The right to call witnesses of my own The right to testify in my own defense. The right to remain silent and not have that silence considered as evidence of guilt. i know that if I was on parole or probation at the time of this offense. this plea could violate that probation, - know that if I am not a citizen of the United States, this plea could affect my immigration status in this country, and that there may be additional consequences such as deportation. detention or ineligibility for citizenship due to my guilty plea. understand that ifl am pleading guilty to a traffic offense, there may be consequences Imposed by the Motor Vehicle Administration. in addition to any penalty. which may be imposed by this Court. My plea today is free and voluntary and is my decision, Wan CIRCUIT COURT DISTRICT COURT or MARYLAND FOR 0 Ft iumcwar Locatzd at . STATE OF MARYLAND Ne (IF AVAILABLE, PLACE LABEL HERE Tracking Number-- OR AT TOP OF PAGE.) Convicled Counl(s ,fi gm m" some U, Mo hm; Saar/s Suspended Halonce 09 zemenee suonended upon pursuznl lo HQ 507 Fan of Eienutud: 7 Credit fur Tim: Served: ORDER El Probuhon before Judynenl lo. Pay fines, cosls, restitution, and fees as ordered by the coun or as drrecicd by your supervising agent through a paymenl schedule. El Fine(s) on 7 7_ poid Lhmugh El Pamle and Probation DClerk'sOflice Sherifl's Office Conn cosls of $7 7 7 paid Ihrough Parole and Probation El Clerk's Office fiSupervision fee orsso/nronlh lhrough Parole and Probation fee waived DRestitutionof$ .. Jam. 7-, A pardihrough DFamleand Probation Usuie-sAilorney's Umeeb 3 Public Defender fees MS 7 7 7 7_ |l1e Office ofthe Public Defender for counsel fees. Pay the following fees Ihrcugh Parole and Prohanon or victims oanme Fund 8 CICF cosvs 3 El Oiher cosls (Speclfy) 57 The Division ofPamle and Probation ls hereby granted ihe discrelion '0 refer ll-le of funds it ls aurhorlzed lo wllecr to the Slale's Central Collecllon Unir without [he need of further Donn approval, E. Special Condllions: ll. El rrouule DNA sample as required by low by_ 7 (Dale) l2. Suhrnu ro and pay for random as direcled hy Supervising Agem. llSubmll lo, successfully com lens, and pay required cosus for alcohol Ddrug/Bficohol and drug cvalunlionfizhesnng resimcnl Eluduconon. ES by your supervising sgeru, 14 7 modified by your supervising ageni afier 15 El Attend and successfully cornnleic El alcohol drug Cl alcohol and drug El ircolmenl educallon program self-help youp meeu'ngs per week [or ,7 7 weeks. DAncndanee may be weeks. 16. ETclolly uhsisin from alcohol, suhsiauces, and abusive use ofony nrercripllon drug. l7. :1 Apply for alcohol resu-icnon on driver's license wiihrn i0 days ofrricl dare ror 13. Refrain from driving and/or uoenrnung to drive afier consumlng olcoliol, 19. El Auenil Vicum Impacr Panel meefings when nourred 20. Atlend and successfully compleie MVA Driycr ImprovemEanrogl-am. 7. months and pay cools, Employment vehicle 21. Have Ignition lnicrlock for 7 exempled, 22 Submit eyaluanon sun mend and successfully complele rnenral hesllh trew'nenl as drrecled by your agent. 23 Amend and successfully eomplele Special Heath Educanon Progmm . Project SASOE 24. Anend and successfully complere parenting class. CC-DC 26 (Rev. 6/2011) Page 2 0" Print Dare 04/2015 Case No 25. Complete t, hours ofcoinniuurtyservioe by" (Date). under the direction of and pay required fees. 26. Enroll in. pay any required costs for, and successfully complete treatment at 27. Attend and successfully complete domestic violence counseling i117, by (Date) pay manned costs. ZB?Have no contact with 29 Kim not enter or be found near 30 um o, for El Special conditions (eg doctor's appointments, attending classes. etc.) 31. Regjsler as sexual oflender With the supervising authority under the provisions of Criminal Procedure Aniclc, Title 1 l. Suhtitle 7: (I) A Tier I Sex offender: (2) A Tier ll Sex Offender; (3) A Tier Sex Offender; (4) A sexually violent predator, (5) A Tier Sex Offender who, before moving intothis State, was required to register in another State; A Tier ll Sex Offender, Tier Sex offender, or sexually violent predamr who, before moving into this State, was required to register in another State; (7) A Tier l, Tier ll, Tier Sex Offender, or a Sex Offender who is required register in another State. Jurisdiction. a federal, military, or tribal euiin, or a foreign government, who is not a resident urthis State, and who enters this State: To reside or habitually live. in) To carry on employment or vacation that is full-time or part-time for a period exceeding 14 days or for an aggregate period exceeding 30 days dunng a calendar year, whether financially compensated volunteered, or for the purpose of govenuiient or educational benefit; or - To attend a public or private educational institution, including a secondaiy school, trade or professional institution, or institution ofhigher education, as a full-time or pan-time (iv) As a transient with the intent to he in the Suite for a period exceeding 14 days or an aggregate period exceeding 30 days during the calendar year. 32, CC-DC 26 (Rev, 5/2011) Page 3 0H Date 04fl015 mm! 33. Comply conditions ofllfelime see #cc-nucn |35, D. Recommendaliom lo the Supeersmg Agency 34. El Transfer to [j ofMuryland El . 35 CI shall for HG 5 3.505 evalunuon and shall lmmedlzlely enter me progmn upon El shall emu program lmmedmlely upon admisslon El shall uumpletc trealmcm pragram and comply Ierms of aficrcare 36 Dual Judge CONSENT lhnve read, ur had mad fl) me, above I undersland these and agree tollow lhcm. I mm in do nol follow Ihcse condmons, cnuld be mnmed lo coun charged Mm a vinlatlon cl proballun, If] {all zhlde by Ihe above conditions, cnuld enler ludgrnem agalnsl mc and proceed as had not been placed under pmballon have been nullfied and mm by lo and rccelving sla, ofjudgmenl under (:nmlnal Procedure Amclc 67220, I mp |u Appeal from 3 Judgment by the mm cas>> mm my Mum comply 10 may result In my cm to Slate's admnonnl colleuulm as pmmued by law Centm 26 (Rev 6/2011) Page 4 0H Prim Da|e 04/2015