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THE STATE OF TEXAS
`

`
`IN THE COUNTY CRIMINAL
`
`W
`
`
`
`vs. W l

`COURT AT LAWNO.
`l

`HARRIS COUNTY, TEXAS
`
`N ORDER FOR APPOINTMENT OR WAIVER OF COUNSEL
`
`. .a witness in this case. Today the judge presiding advised me of
`. I am D i Ithe defendant CI
`_
`my right to be represented by a lawyer. ei 1er one that I hire, or ifI am indigent or the interests ofjustice require, a lawyer appointed by thejudge
`as well as the procedurefor making this re uest; and the right to represent myself.
`
`D I believe that I am indigent and I am requesting the Court appoint counsel to represent me. I understand that ifthere is a material change in my
`financial circumstances after a determination of my indigence is made, that I, my counsel, or the Assistant District Attorney representing the
`State may ask the judge to reconsider the judge 's decision. In support of this request I am giving sworn testimony before the judge about my
`personal andfinancial circumstances. I understand this information may not be usedfor any purpose except to determine my indigency or to
`impeach anyfuture testimony I may give in this case.
`
`I received assistance in completing this requestfrom
`El a court services officer. CI a court clerk,
`CI other
`
`U I understand my right to counsel and the procedure or hiring or requesting appointed counsel and I choose to waive counsel and represent
`
`Signature of Defendan
`
`myself V :-
` Swom to before me n
`
`Personal Bond Office Employee/Deputy District Clerk. Harris County, Texas
`
`Today Defendant's request for appointment of counsel was heardIn open court and e
`resources.
`
`ORDER DETERMINING RIGHT TO APPflmfioMouusEL
`gggdeoncemmg the defendant's financial
`e‘ Lita . '-
`
`
`The Court FURTHER F
`The Court APPOINTS the
`CI Attorney
`CI
`Public Defender
`
`’ there CI 15 CI [5 N0 conflict preveWfiefind’er fromrepresenting Defendant.
`/":_.'
`BY
`I
`
`named below to represent Defendant until charges are dismissed, the defendant is acquitted, judgment is entered a
`the attorney is elieved of his d t
`by the court or replaced by other counsel
`SPN/State Bar#
`
`sentence pronounced, or
`
` ftte cost oflegalsew-ices and related expenses
`
`
`The Court FINDS Defendant has the financial resources to employ counsel and the appointment of counsel in the interests of justice is not
`necessary; accordingly, the request is DENIED. The Court immediately advised Defendant of the right to a reasonable opportunity to hire a
`lawyer, or that Defendant could waive that right and speak with a prosecutor immediately after this hearing.
`
`El Defendant knowingly and voluntarily waived a reasonable opportunity to hire a lawyer and after reading the following, and having it
`explained to him by the Court, Sign his name. I have been advised by thejudge ofmy right to representation by counsel in the case pending
`against me. I have beenfurther advised that if] am unable to aflord counsel, one will be appomtedfor mefree ofcharge Understanding my
`right to have counsel appomtedfor ,
`. .
`. charge if] . r not financially able to employ counsel, 1 wish to waive that right and request
`the court to proceed with my cl. without an a orney ; ng appomtedfor me. I hereby waive my right to counsel.
`
`CI Defendant refused to si_
`Thereafler, l informed Defend
`
`Cl Defendant's request for =
`
`Judge Presiding:
`
`CCL Form 3
`
`05-13-2011
`
`

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