Revised 05/2020, CN: 10715
COURT I.D.
PREFIX
TICKET / COMPLAINT NO
Municipal Court
PLEA BY MAIL (R. 7:12-3 and R. 7:6-3)
Charge:
NOTE: This form may only be used to enter a plea for one charge, i.e., one charge per form.
Please complete all sections of this form and return it to the court. If you fail to return the enclosed form by the date listed on your court
notice or complaint/ticket, you may be required to appear at your scheduled hearing.
State of New Jersey
vs.
Defendant’s Name: First
M.I.
Last
Defendant’s Address: Street
Defendant’s Telephone Number
City
State
Zip Code
Defendant’s Email
Section 1. Advisement and Plea Instructions
This form may only be used to plead not guilty or guilty in certain traffic or parking cases or guilty in certain non-traffic
cases. R. 7:12-3; R. 7:6-3. Please contact the municipal court for any questions on whether your charge is eligible.
I have been fully informed of my right to a reasonable postponement. I give up my right to have an attorney, to apply for a public
defender, and to remain silent. I also give up my right to be present at the trial and to cross-examine any witnesses.
I understand that if I plead guilty or the judge finds me guilty for an offense, other than parking, a record of the conviction may be
sent to the New Jersey Motor Vehicle Commission and, if my license was not issued by New Jersey, to the motor vehicle agency of the
state that issued my drivers license.
I understand that the judgment of the court will be sent to me by ordinary mail at the above address and that if I plead guilty or am
found guilty, I must pay all fines, penalties and costs imposed by the court. If I plead not guilty and I am found guilty or if I disagree with the
sentence, I may appeal my case or I may appeal the sentence within 20 days of the date of the decision or sentence. Information on how
to appeal the municipal courts decision may be obtained from the municipal court or the Judiciarys website at www.njcourts.gov.
If I plead “Not Guilty,” the judge will hear the testimony of the complaining witness or other witnesses, review the facts I present
below in my defense, and decide the case based on the testimony and facts presented.
If I plead “Guilty,” the judge will consider the facts I present below to explain what happened before imposing any penalty against
me.
Before determining the penalty, the judge may consider comments from the complaining witness, other witnesses or from the
prosecutor.
Section 2. Plea
FOR TRAFFIC OR PARKING CASES ONLY (please check one):
FOR NON-TRAFFIC CASES ONLY (please check):
I plead “Not Guilty” to the above charge
I plead “Guilty” to the above charge
I plead “Guilty” to the above charge
I present the following facts in defense or explanation:
(Continue on the back of this form, or use additional sheets, if necessary. You must date and sign each additional sheet.)
Section 3. Certification
I have read and acknowledged the above. I agree and certify that the foregoing statements made by me are true.
I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment.
Date
Defendants Signature
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