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`CAUSENO. 9a 275131 )
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`§
`THE STATE OF TEXAS
`vs. mm §
`
`§
`
`IN THE COUNTY CRIMINAL
`COURT AT LAW NO.
`
`HARRIS COUNTY, TEXAS
`
`I
`
`REQUEST ANI DRIER FOR APPOINTMENT 0R WAIVER OF COUNSEL
`
`'Zthe defendant D :a witness in this case. Today thejudge presiding advised me of
`. I am C'l
`My name is
`my right to be represented by a lawyer, either one that I hire, or if] am indigent or the interests ofjustice require, a lawyer appointed by the judge
`as well as the procedurefor making this request; 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 anyfixture testimony I may give in this case.
`
`I received assistance in completing this requestfrom
`D a court services officer, CI a court clerk, Cl other
`
`
`
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`CI I understand my right to counsel and the procedure for hiring or requesting appointed counsel and I choose to waive counsel and represent
`myself
`-
`'
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`Signature of Defendant:
`
`Swom to before me on
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`_
`
`
`“t
`Personal Bond Office Employee/Deputy District Clerk,HaI:ns County, Texas
`.-
`©RIER IE‘TERMHNHNG REGENT T© APPOINTMENT ©E©§Efilfi$EL
`Today Defendant's request for appointment of counsel was heard in open court and evidence presente I
`,' . the defendant's financial
`resources.
`'
`'
`.
`"'
`' g"
`'_
`The Court FINDS El Defendant indigent Cl appointment ofcounsel
`is in the interests ofjustice5'! It"? Bu
`'
`'
`3
`{géaqflgjsfssand related expenses.
`The Court FURTHER FINDS Defendant D [5 CI Is NOT financially able to pay all or part ofthe ct§tfiof
`CI The Court FURTHER FINDS there CI IS El IS NO conflict preventing the E3016; Defer}: er btfiIZfljysenting Defendant.
`The Court APPOINTS the
`-
`_'
`
`
`
`'y
`\
`sentered and se
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`ce pronounced, or
`
`Public Defender
`
`
`CI Attorney
`Cl
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`the attomey is relieved ofhis duties by the court or replaced bygfifiounsel
`Attorney
`'Q—
`PN/State Bar#
`Address
`
`City
`Phone
`
`2% ggo i ' E iig 2
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`Fax
`
`.
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`_
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`-
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`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 afier this hearing.
`
`El Defendant knowingly and voluntarily waived a reasonable opportunity to hire a lawyer and afier 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. 1 have beenfurther advised that ifI am unable to aflord counsel, one will be appointedfor mefree ofcharge. Understanding my
`right to have counsel appointedfor me fiee ofcharge if I am notfinancially able to employ counsel, 1 wish to waive that right and request
`the court to proceed with my case without an attorney being appointedfor me. I hereby waive my right to counsel.
`Date:
`Defendant Signature:
`
`D Defendant refused to sign the waiver.
`Thereafier, l informed Defendant of the nature of the charge contained in the information and permitted him to speak with a prosecutor.
`
`Judge Presiding:
`CCL Form 3 / '
`
`,
`
`Date Signed:
`CLERK
`
`05-13-2011
`
`