Fill and Sign the Cr 205 Request for Appointed Attorney Criminal Forms

CR -205 (3/ 16) (st.2) AS 18.85 REQUEST FOR APPOINTED ATTORNEY Crim. R. 39 & Admin. R. 12(e)(1) IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA ) ) ) Plaintiff, ) vs. ) ) CASE NO. CR Defendant. ) ) REQUEST FOR APPOINTED ATTORNEY I wish to have an attorney and cannot afford to pay for one. I request that the court appoint a n attorney to represent me. I understand that: 1. I must provide to the court all financial information requested by the court so the court can decide if I qualify for an appointed attorney. 2. Financial information I give may be made available to the Attorney General at the end of this case. Any false information I give may be used to prosecute me for perjury under AS11.56.200 . 3. If my financial situation changes and I do not tell the court, the law requires my appointed attorney to do so. 4. If I am convicted, the court will enter a judgment against me and require me to pay part of the cost of my appointed attorney. In most cases the court will use the schedule below to decide how much I will be required to pay. However, before the court decides, I will have a chance to ask the judge to lower the amount. After the judgment is entered, I may ask the court to reduce the judgment amount if payment would cause manifest hardship to me or my family. GENERAL WAIVER I authorize anyone to release to the Alaska Court System all information concerning my assets, liabilities, account balances and any income source I have had for the past three years. This includes but is not limited to all current and past employers, banks, credit and depository institutions, accountants, brokers and credit bureaus. Date: Defendant's Signature: Defendant’s Mailing Address: Street Address City State Zip Defendant’s Date of Birth: Daytime Phone: Schedule of Costs for Court-Appointed Attorney [ Criminal Rule 39(d) ] Stage of the Case When the Case Ends Offense the Defendant is Convicted of Misdemeanor Class B or C Felony Class A or Unclassified Felony Murder in the 1 st or 2nd Degree Trial 500 1 , 500 2 , 500 5 , 000 Misdemeanor change of plea 200 Felony change of plea after substantive motion work and hearing but before trial starts 1 , 000 1 , 500 2 , 500 Felony change of plea after indictment but before substantive motion work and hearing 500 1 , 000 2 , 000 Felony change of plea before indictment 250 500 750 Post - conviction relief or probation revocation proceeding in trial court 250 250 500 750 For more information about the benefits and costs of a court-appointed attorney, go to www.courtrecords.alaska.gov/webdocs/forms/cr-204.pdf .