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2. IN THE 21ST JUDICIAL CIRCUIT COURT OF ST. LOUIS COUNTY, MISSOURI MANCHESTER MUNICIPAL DIVISION
4. 200 Highlands Blvd. Drive Manchester, MO 63011 Phone (636) 207-2832 / Fax (636) 207-2826
8. IN THE CIRCUIT COURT OF ST. LOUIS COUNTY MANCHESTER MUNICIPAL DIVISION
10. CITY OF MANCHESTER VS
12. Defendant's Name*
13. Case Number(s) / Charges*
15. Address*
16. City*
17. State*
18. Zip Code*
20. Phone Number
21. Email Address
23. PLEA OF GUILTY AND WAIVER OF COUNSEL
25. I, the undersigned defendant, enter a plea of guilty to the charge(s) pending against me. By pleading guilty, I admit that I committed the offense(s) with which I am charged and that I have been advised of the following rights:
    1.) To a trial, to be present at my trial and question witnesses against me; to secure a court document offering witnesses to appear in my defense and testify at my trial; to not testify at my trial and not have my silence be held against me. 2.) To be represented by an attorney; to have an attorney appointed for me if I am found by the Judge to be indigent. 3.) To be fully advised of the charge(s) to which I plead guilty. 4.) To be fully advised of the minimum penalty by law and the maximum penalty provided by law. 5.) To be fully advised that by pleading guilty, I waive my right to a trial.
27. I now have been advised of, and understand, that my plea of guilty will result in my giving up all of the above rights, and that I freely and voluntarily give up those rights, and I plead guilty to the above charge(s).
    If you are not a citizen, you are hereby advised that a plea of guilty or a conviction of the offense for which you have been charged may result in deportation, inadmissibility from admission to the United States, or a denial of naturalization pursuant to the laws of the United States. Si Usted no es ciudadano estadounidense, la Corte le informa por medio de este presente que una declaración de culpabilidad o una condena por el delito del cual se le ha acusado puede resultar en la deportación, la inadmisibilidad de admisión a los Estados Unidos, o la denegación de naturalización conforme a las leyes de los Estados Unidos de América.
29. I voluntarily and without the result of force or threats or promises, waive my right to counsel.
31. DEFENDANT'S SIGNATURE*
32. DATE*
    DATE
34. Signature Aknowledgement*

    By clicking below, you agree and acknowledge that 1) this form will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
36. The Court finds that the defendant has been fully informed of the forementioned rights, understands them and knowingly, intelligently and voluntarily waived these rights, and the defendant pleads guilty to the above charges(s).
38. Judge's Signature: ______________________________________________________
39. Date: ________________
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41. 1. Receive an email copy of this form.
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