1 First-Middle: Last

c/o 1234 Your Address Street

2 City / Town, State Republic
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FIRST MIDDLE LAST, IN PRO PER
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IN THE SUPERIOR COURT FOR THE COUNTY OF COUNTY
6 STATE OF STATE, CRIMINAL DIVISION
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8 STATE OF STATE )
) Case No.: Case Number
9 )
10 Plaintiff, ) Entry of Plea.
)
11 vs. )
12 ) Date: Appearance Date
FIRST MIDDLE LAST ) Time: Appearance Time
13 )
14 )
Defendant, )
15 _________________________________ ) _______________________________
16 TO THE HONORABLE JUDGE PRESIDING IN THE SUPERIOR COURT OF
THE STATE OF STATE FOR THE COUNTY OF COUNTY.
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18 PLEASE TAKE NOTICE that on Court Date, 2018 of the above-entitled court at

19 the hour of 1 P.M., or as soon thereafter as defendant can be heard, while preserving

20 all rights and waiving no rights in the above-titled action enters the following plea:

21 DEFENDANT DOES NOT PLEAD.

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Respectfully submitted,
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26 ______FIRST MIDDLE LAST______ Dated:___________________________
FIRST MIDDLE LAST, Defendant
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In Pro Per,
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By:
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____________________________________
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(authorized representative)
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