City Of Salem Plea Petition Form Page 4

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CERTIFICATE OF COUNSEL
I am the attorney for the defendant in this proceeding and I certify that:
1. I have fully explained to my client the named offenses and lesser-included offenses contained in the
charging instrument, and the possible defenses that may apply in this case.
2. I have personally examined the attached Petition to Plead Guilty/No Contest, explained all its provisions
to my client, and discussed fully with my client all the matters described and referred to in the petition.
3. I have explained to my client the maximum penalty and other consequences of entering a guilty or no
contest plea, including possible immigration consequences.
4. To the best of my knowledge and belief, my client’s decision to enter this plea is made voluntarily,
intelligently, and knowingly.
5. I have told my client that if he or she is eligible for court-appointed counsel and wishes to pursue an
appeal, I will transmit the information necessary to perfect the appeal to the Circuit Court..
___________________ __________________________________ ____________________
Date
Attorney’s Signature
OSB No.
Case No. ___________________________________
FINDINGS
The court makes the following findings regarding the defendant’s plea of
Guilty
No contest:
Defendant’s plea is made voluntarily, intelligently, and knowingly.
Other: _________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
ORDER
DEFENDANT’S PLEA PETITION IS HEREBY ACCEPTED.
___________________ __________________________________
Date
Municipal Court Judge

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