Fill and Sign the Statement Guilty Form

SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT STATE OF WASHINGTON v. , Respondent NO : STATEMENT ON PLEA OF GUILTY (STJOPG) 1. My true name is: _______________________________________________________________. I am also known as: ___________________________________________________________. 2. My age is ____________. Date of Birth: _______________________________. 3. I have been informed and fully understand that I have the right to a lawyer, and that if I cannot afford to pay for a lawyer, the judge will provide me with one at no cost. I understand that a lawyer can look at the social and legal files in my case, talk to the police, probation counselor, and prosecuting attorney, tell me about the law, help me understand my rights, and help me at trial. 4. I understand that I am charged with Count 1 , the elements of which are ; Count 2 , the elements of which are . And I have been given a copy of the charge(s). STATEMENT ON PLEA OF GUILTY (STJOPG) - Page 1 of 7 JuCR 7.7 (08/2017) JuCR7.7; RCW 13.04.033, 13.40.130, .140 5. I UNDERSTAND I HAVE THE FOLLOWING IMPORTANT RIGHTS, AND I GIVE THEM ALL UP BY PLEADING GUILTY : a. I have the right to a speedy and public trial in the county where the offense(s) allegedly occurred. b. I have the right to remain silent before and during trial, and I need not testify against myself. c. I have the right to hear and question witnesses who might testify against me. d. I have the right to testify and to have witnesses testify for me. These witnesses may be required to appear at no cost to me. e. I am presumed innocent unless the charge is proven beyond a reasonable doubt or I enter a plea of guilty. f. I have the right to appeal a finding of guilt after trial. 6. I have been informed that in order to determine an appropriate sentence regarding the charges to which I plead guilty in this matter, the judge will take into consideration my criminal history, which is as follows: a. b. c. d. e. f. 7. The Standard Sentencing Range, which was calculated using my criminal history as referenced in Paragraph 6, above, is as follows: LOCAL SANCTIONS: COUNT SUPERVISION COMMUNITY RESTITUTION FINE DETENTION RESTITUTION [ ] 1 0 to 12 months 0 to 150 hours $0 to $500 0 to 30 Days [ ] As required [ ] [ ] 2 0 to 12 months 0 to 150 hours $0 to $500 0 to 30 Days [ ] As required [ ] [ ] 3 0 to 12 months 0 to 150 hours $0 to $500 0 to 30 Days [ ] As required [ ] I understand that, if community supervision is imposed, I will be required to comply with various rules, which could include school attendance, curfew, law abiding behavior, associational restrictions, counseling, treatment, urinalysis, and/or other conditions deemed appropriate by the judge. Failure to comply with the conditions of supervision could result in a violation being found and further confinement imposed for the violation up to 30 days. In addition to these conditions, the court will order me to perform up to seven hours of community restitution per offense involving a victim who suffered bodily injury or death and that is not a most serious offense as defined by RCW 9.94A.030, or a sex offense under chapter 9.44 RCW. I must perform this community restitution consecutively to any other community restitution imposed for the offense. RCW 7.68.035, .020. JUVENILE REHABILITATION ADMINISTRATION (JRA) COMMITMENT: COUNT WEEKS AT JUVENILE REHABILITATION ADMINISTRATION (JRA) FACILITY RESTITUTION STATEMENT ON PLEA OF GUILTY (STJOPG) - Page 2 of 7 JuCR 7.7 (08/2017) JuCR7.7; RCW 13.04.033, 13.40.130, .140 [ ] 1 [ ] 15 - 36 [ ] 30 - 40 [ ] 52 - 65 [ ] 80 - 100 [ ] 103 - 129 [ ] 180 - Age 21 [ ] As required [ ] [ ] 2 [ ] 15 - 36 [ ] 30 - 40 [ ] 52 - 65 [ ] 80 - 100 [ ] 103 - 129 [ ] 180 - Age 21 [ ] As required [ ] [ ] 3 [ ] 15 - 36 [ ] 30 - 40 [ ] 52 - 65 [ ] 80 - 100 [ ] 103 - 129 [ ] 180 - Age 21 [ ] As required [ ] I understand that, if I am committed to a Juvenile Rehabilitation Administration (JRA) facility, following my release I may be required to comply with a program of parole for a number of months. I understand that if placed on parole, I will be under the supervision of a parole officer. The conditions of parole will restrict my actions and may require me to participate in activities and programs including, but not limited to, evaluation, treatment, education, employment, community restitution, electronic monitoring, urinalysis, and, if I am adjudicated of certain offenses, a program applicable to juvenile firearm offenders. Failure to comply with the conditions of parole may result in parole revocation and further confinement. If the offense to which I am pleading guilty is a sex offense, failure to comply with the conditions of parole may result in further confinement of up to 24 weeks. In addition to these conditions, the court will order me to perform up to seven hours of community restitution per offense involving a victim who suffered bodily injury or death and that is not a most serious offense as defined by RCW 9.94A.030, or a sex offense under chapter 9.44 RCW. I must perform this community restitution consecutively to any other community restitution imposed for the offense. RCW 7.68.035, .020. I understand that if I am pleading guilty to two or more offenses, the disposition terms shall run consecutively (one term after the other) subject to the limitations in RCW 13.40.180. I understand that if any additional criminal history is discovered, both the standard sentence range and the prosecuting attorney’s recommendation may increase. Even so, my plea of guilty to this charge is binding. 8. RIGHT TO APPEAL SENTENCE: I understand that the judge must impose a sentence within the standard range, unless the judge finds by clear and convincing evidence that the standard range sentence would amount to a manifest injustice. If the judge goes outside the standard range, either the state or I can appeal that sentence. If the sentence is within the standard range, no one can appeal the sentence. 9. MAXIMUM PUNISHMENT: I have been informed, and fully understand, that the maximum punishment I can receive is commitment until I am 21 years old, but that I may be incarcerated for no longer than the adult maximum sentence for this offense. 10. COUNTS AS CRIMINAL HISTORY: I understand that my plea of guilty and the judge’s acceptance of my plea will become part of my criminal history. I understand that if I am pleading guilty to two or more offenses that arise out of the same course of conduct, only the most serious offense will count as an offense in my criminal history. I understand that my guilty plea will remain part of my criminal history when I am an adult and may affect my ability to remain in the Juvenile Justice System should I re-offend. I understand that the judge will consider my criminal history when sentencing me for any offense that I commit in the future as an adult or juvenile. 11. GROUNDS FOR DEPORTATION: If I am not a citizen of the United States, a plea of guilty to an offense punishable as a crime under state law may be grounds for deportation, exclusion from admission to the United States, or denial of naturalization pursuant to the laws of the United States. 12. NOTIFICATION RELATING TO SPECIFIC CRIMES: IF ANY OF THE FOLLOWING PARAGRAPHS DO NOT APPLY, THEY SHOULD BE STRICKEN AND INITIALED BY THE DEFENDANT AND THE JUDGE. STATEMENT ON PLEA OF GUILTY (STJOPG) - Page 3 of 7 JuCR 7.7 (08/2017) JuCR7.7; RCW 13.04.033, 13.40.130, .140 [A] SUSPENSION/REVOCATION OF DRIVING PRIVILEGE: I have been informed that the Department of Licensing will be notified and my privilege to drive suspended or revoked: Over 13 & Alcohol, Drugs, Unlawful Possession of a Firearm (UPFA)