Fillable IN THE COURT OF COMMON PLEAS OF ALLEGHENY (Fifth Judicial District of Pennsylvania)

Fill Online, Printable, Fillable, Blank IN THE COURT OF COMMON PLEAS OF ALLEGHENY (Fifth Judicial District of Pennsylvania) Form

Use Fill to complete blank online FIFTH JUDICIAL DISTRICT OF PENNSYLVANIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

IN THE COURT OF COMMON PLEAS OF ALLEGHENY (Fifth Judicial District of Pennsylvania)

On average this form takes 9 minutes to complete

The IN THE COURT OF COMMON PLEAS OF ALLEGHENY (Fifth Judicial District of Pennsylvania) form is 4 pages long and contains:

  • 2 signatures
  • 0 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Fifth Judicial District of Pennsylvania forms online.

BROWSE FIFTH JUDICIAL DISTRICT OF PENNSYLVANIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Crim. Div. Form
Rev. April, 2021
1 ______________
Defendant’s initials
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA : SUMMARY APPEALS DIVISION
vs. :
________________________________ SA No. _____________________ :
GUILTY PLEA
EXPLANATION OF DEFENDANT’S RIGHTS
You or your attorney have indicated to the officers of this Court that you wish to plead guilty to certain
specific criminal charges that the Commonwealth of Pennsylvania has brought against you.
In order to have your plea accepted by this Court here today, you must waive your right to confront the
prosecution witnesses against you and agree to a summary of the prosecution’s evidence to be placed on the
record. Your plea of guilty must be voluntary. If anyone has forced you to plead guilty or promised you
anything other than a plea bargain your plea will be rejected.
If you intend to plead guilty, please answer all the questions on this form. After you have read,
understood, and completed your answers to the questions, you must sign the form at the end.
You should initial each page at the bottom after you have read, understood, and completed your
answers to the questions on that page. When you have finished all of the questions, you must sign the
form at the end.
1. What is your full name? ________________________________________________
2. How old are you today? __________________________
3. What is the highest grade that you have completed in school? _______________________
Answer either "Yes" or "No" to the following questions:
4. Do you read, write, and understand the English language? ____________
5. Do you fully understand the factual basis of each charged offense? __________
6. Do you understa
nd that by pleading guilty, you give up the right to present or assert any defenses
you
may have on your behalf? ________
Crim. Div. Form
Rev. April, 2021
2 ______________
Defendant’s initials
7. Do you understand that you have the right within thirty (30) days after you have been sentenced to file an
appeal with the Superior Court of Pennsylvania? _______
8. If you do not file this motion within the proscribed time limits, you will have given up this right. Do you
fully understand this? ________
9. If there is a mandatory minimum sentence applicable, this Court has no discretion to impose a lesser
sentence and must impose at least the minimum sentence that is required by law. Do you full understand
this? ______
10. Has anybody forced you to enter this plea? _____
11. Are you doing this of your own free will? _____
12. Do you have any physical or mental illness that would affect your ability to understand these rights or the
voluntary nature of your plea? _____
13. Are you presently taking any medication that might affect your thinking or free will? _____
14. Have you had any drugs or alcohol in the past forty-eight (48) hours? _____
15. By pleading guilty, you are admitting you committed the crimes charged. You are stating that you do not
challenge or dispute the charges against you. Do you fully understand this? ___________
I AFFIRM THAT I HAVE READ THE ABOVE DOCUMENT IN ITS ENTIRETY, I UNDERSTAND
ITS FULL MEANING, AND I AM STILL NEVERTHELESS WILLING TO ENTER A PLEA TO THE
OFFENSES SPECIFIED. I FURTHER AFFIRM THAT MY SIGNATURE AND INITIALS ON EACH
PAGE OF THIS DOCUMENT ARE TRUE AND CORRECT.
DATE: ________________________ ____________________________________
Signature of Defendant
click to sign
signature
click to edit
Crim. Div. Form
Rev. April, 2021
3 ______________
Defendant’s initials
CERTIFICATION OF DEFENSE COUNSEL
I certify that:
(1) I am an attorney admitted to the Supreme Court of Pennsylvania.
(2) I represent the defendant herein.
(3) I know no reason why the defendant does not fully understand everything that is being said and done
here today.
(4) The defendant read the above form in my presence and fully understands it; I have gone over the form
completely with the defendant. I have explained all of the items on the form and answered any
questions he or she had.
(5) I see no reason why the defendant cannot and is not knowingly, intelligently, and voluntarily giving up
his or her rights to a hearing and pleading guilty.
(6) I made no promises to the defendant other than any that appear of record in this case.
DATE: ________________________
______________________________________________
Attorney for Defendant
Crim. Div. Form
Rev. April, 2021
4 ______________
Defendant’s initials
CERTIFICATE OF COMPLIANCE
I certify that this filing complies with the provisions of the Public Access Policy of the Unified Judicial
System of Pennsylvania: Case Records of the Appellate and Trial Courts that require filing confidential
information and documents differently that non-confidential information and documents.
Submitted by: _________________________
Signature: ____________________________
Name: _______________________________
Attorney No. (if applicable): _____________
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

IN THE COURT OF COMMON PLEAS OF ALLEGHENY (Fifth Judicial District of Pennsylvania)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 May 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document