SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
DOMESTIC VIOLENCE MISDEMEANOR GUILTY PLEA FORM
CASE NO.
PEOPLE vs.
L-1268 10/11/2019 Page 1 of 4
1. My true full name is
2. I understand that I am pleading GUILTY / NOLO CONTENDERE and admitting
the following offenses, prior convictions and special punishment allegations, with the
maximum punishment indicated below:
CT
CHARGE
PRIORS (Date)
ALLEGATIONS
MAX SENTENCE
JAIL/FINES
3.
4. I understand I am also charged with a violation of probation in case number
.
4.
RIGHTS AND WAIVERS
and, if applicable, by my admission of a probation violation:
5.
5a.
I have the right to be represented by an attorney at all stages of the proceedings until the case is
completed. If I cannot afford an attorney, one will be appointed to represent me. (For defendants
without an attorney: I am aware that there are dangers and disadvantages of representing myself
and there may be a value in obtaining advice from an attorney in this matter but I knowingly and
voluntarily waive and give up my right to an attorney and choose to represent myself.)
5a.
5b.
I have the right to a speedy and public trial by a jury or a judge, and if charged with a probation
violation, the right to a hearing before a judge. I waive and give up this right.
5b.
5c.
I have the right to confront the witnesses against me and to cross examine them. I waive and give
up this right.
5c.
5d.
I have the right to testify on my own behalf but I cannot be compelled to be a witness against myself
and may remain silent if I choose. I waive and give up this right.
5d.
5e.
I have the right to present evidence and have the Court issue subpoenas to bring into Court all
witnesses and evidence favorable to me, at no cost to me. I waive and give up this right.
5e.
5f.
Under the Fourth and Fourteenth Amendments to the United States Constitution, I have a right to be
free from unreasonable searches and seizures. If I am granted probation, I waive and give up this
right. I agree to submit my person and property, including any residence, premises, container, or
vehicle under my control which may include electronic devices, to search and seizure at any time of
the day or night by any law enforcement or probation officer, with or without a warrant, and with or
without reasonable cause or reasonable suspicion.
5f.
motion. I waive and give up this right.
6.
and not more than five days after my plea. I waive and give up this right and agree to be sentenced at this
time.
7.
For Court Use Only
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
DOMESTIC VIOLENCE MISDEMEANOR GUILTY PLEA FORM
CASE NO.
PEOPLE vs.
L-1268 10/11/2019 Page 2 of 4
and give up this right.
8.
pursuant to this plea agreement.
9.
hereby waive and give up that right.
10.
probation on the terms and conditions as imposed by the Court, or as contained in the attached
Sentence Recommendation form.
11.
11a.
If the judge does not wish to follow the prosecutor’s sentence recommendation, I may withdraw my
plea.
11a.
11b.
If I violate any of the terms of probation, I may be returned to court and sentenced up to the maximum
punishment as indicated on page 1.
11b.
11c.
I understand that I have the right to a hearing before a judicial officer to determine whether I violated
the conditions of my court-ordered supervision and to determine the appropriate sanction for the
violations. I hereby waive and give up this right for all violations for which the county probation
department orders me to serve a “flash incarceration”, which can be a period of one to ten consecutive
days in the county jail. However, if I do not agree with the imposition of flash incarceration, I am
preserving my right to demand a hearing. I understand the Court may not deny me probation if I elect
not to sign this waiver.
11c.
CONSEQUENCES
12. I understand some possible consequences of my plea and admissions are as follows:
12a.
There will be state penalty assessments added to any fines imposed by the Court.
12a.
12b.
I will be ordered to pay a minimum of $150 and a maximum of $1,000 to the State Restitution Fund
unless the Court makes a finding of “compelling and extraordinary reasons” for waiving this fine.
12b.
12c.
I will be ordered to pay a minimum of $150 and a maximum of $1,000 Probation Revocation
Restitution fine pursuant to Penal Code section 1202.44. The restitution fine will be stayed but will
be payable upon revocation of probation.
12c.
12d.
I will be ordered to pay restitution on count(s) , and dismissed count(s) ______________
pursuant to Harvey Waiver, as part of the plea agreement, in the amount of $ ,
or in an amount to be determined by the Court or the Probation Department. If I disagree with the
amount of restitution determined by the Court or Probation Department, I may request a Court hearing
to determine the amount of restitution
.
12d.
12e.
Immigration Consequences: I understand if I am not a citizen of the United States, the plea or my
conviction for the offense(s) charged will have the consequence of deportation, exclusion from
admission to the United States, and denial of naturalization pursuant to the laws of the United States.
12e.
12f.
If I am charged and convicted of a similar offense in the future, my plea today may be used to increase
my punishment for the new offense.
12f.
12g.
If I am presently on probation or parole for any previous conviction, my plea today may cause me to
be in violation of that probation or parole and result in additional penalties and/or punishment.
12g.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
DOMESTIC VIOLENCE MISDEMEANOR GUILTY PLEA FORM
CASE NO.
PEOPLE vs.
L-1268 10/11/2019 Page 3 of 4
12h.
There may be additional consequences to my plea, including the following:
12h.
I may be required to register as a sex offender as required by Penal Code section 290.
I may be required to register internet identifiers pursuant to Penal Code section 290.024.
I may be required to register as a drug offender as required by Health and Safety section 11590.
I understand I will be required to register with the local police agency or sheriff’s department in the
city or county in which I reside and that if I willfully fail to register or to keep my registration current,
new criminal charges may be filed against me.
12i.
Firearms Advisement: I am now prohibited from owning, purchasing, receiving, possessing, or
having under my custody or control any firearms, ammunition, and ammunition feeding devices,
including but not limited to magazines. I am ordered to relinquish all firearms and complete a
relinquishment form pursuant to Penal Code section 29810.
12i.
12j.
Child Custody Consequences: I understand that a conviction in this case may result in a rebuttable
presumption that an award of sole or joint physical or legal custody of a child is detrimental to the
best interest of the child under Family Code section 3044.
12j.
12k.
I understand I may be required to attend and complete an AIDS education program and submit to
AIDS blood testing (Penal Code 1202.1).
12k.
this right and agree to enter my plea before, and be sentenced by, a Commissioner or Temporary Judge:
__________________________________________(Enter name of Commissioner or Temporary Judge).
13.
PLEA
threats, used any force against me or my family or loved ones, and no one has made any promises to me
other than as on the Sentence Recommendation form.
14.
form. I have read, understood, personally initialed each item herein, and I understand that the signing and
filing of this form is conclusive evidence that I have pleaded
GUILTY / NOLO CONTENDERE to the
charges set forth.
15.
entering this plea, I have had a full opportunity to discuss with my attorney the facts of the case, the elements
of the charged offenses and prior convictions (if any), any defenses that I may have, my constitutional and
statutory rights and waiver of those rights, the consequences of this plea, and anything else I think is
important to my case.
16.
17. I offer the following as a factual basis for my plea:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
DOMESTIC VIOLENCE MISDEMEANOR GUILTY PLEA FORM
CASE NO.
PEOPLE vs.
L-1268 10/11/2019 Page 4 of 4
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
DATED:
SIGNED:
(Defendant)
DEFENSE ATTORNEY’S STATEMENT: I am the attorney of record for the defendant. I have explained to defendant
each of the rights set forth on this form. I have discussed the charges and the facts with the defendant. I have studied the
possible defenses to the charges and discussed those possible defenses with the defendant. I have discussed the possible
sentence ranges with the defendant. I have advised the defendant of immigration consequences and have complied with
the requirements of California Penal Code 1016.3(a). I also have discussed the contents of this form with the defendant.
I concur with the defendant’s decision to waive the rights set forth on this form and to plead guilty. No promises of a
particular sentence or sentence recommendation have been made to the defendant by me, or to my knowledge by the
prosecuting attorney or the court, which have not been fully disclosed on this form. I agree that this form may be received
by the court as evidence of defendant’s advisement and voluntary, intelligent, knowing, and express waiver of the rights
set forth on this form.
DATED:
SIGNED:
(Attorney of Record)
INTERPRETER’S STATEMENT:
I, __________________________________, having been duly sworn as a court
certified/registered/provisionally qualified interpreter, state that I am fluent in the _________________________ language.
I translated the contents of this form to defendant in that language.
DATED:
SIGNED:
(Court Interpreter)
FOR THE PEOPLE: I am the prosecuting attorney in this case. I certify that I have complied with the requirements of
California Penal Code 1016.3(b).
DATED:
SIGNED:
Plea to the Court:
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