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CAUSENO. 28 3430
`
`THE STATE OF TEXAS
`vs
`
`ANDxCE
`

`IN THE COUNTY CRIMINAL

`COURT AT LAW NO.
`$111).
`’05

`HARRIS COUNTY, TEXAS
`REQUEST AND ORDER FoyOINTMENT OR WAIVER OF COUNSEL
`My name is Mimer {k6
`. I am
`; the defendant D Cla witness in this case. Today thejudgepresiding advised me of
`my right to be represented by a lawyer, either one that I hire, or if1 am indigent or the interests ofjustice require, a lawyer appointed by thejudge
`as well as the procedurefor making this request; and the right to represent myself
`
`3
`
`U I believe that I am indigent and 1 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 requestfi'om
`CI a court services oflicer, CI a court clerk, D other
`
`
`
`D I understand my right to counsel and t
`
`ocedure for hiring or requesting appointed counsel and I choose to wa'vg counsel and represent
`myself
`
`f
`«9' “
`Signature of Defendant:
`
`—————W0’5 ’7fé’b‘
`
`Sworntobeforemeon
`
`Te
`:- '5
`Personal Bond Office Employee/Deputy Dietrictéilperk,
`ORDER DETERMINING RIGHT To APPOINTMENT o o > EL”;
`Today Defendant's request for appointment of counsel was heard in open court and evidence presented conee
`'
`-
`resources.
`
`9., .I0
`’9»?
`
`9'
`is in the interests ofjustice.
`tment ofcounsel
`'4 app '
`The Court FURTHER FINDS Defendant C! Is
`IS NOT financially able to pay all or part of the cost of legal services .
`
`~
`
`El The Court FURTHER FINDS there Cl IS El IS NO conflict preventing the Public Defender from representing
`The Court APPOINTS the
`'
`
`CI Attorney
`CI
`Public Defender
`
`named below to represent Defendant until charges are dismissed, the defendant is acquitted, judgment is entered and sentence pronounced, or
`the attorney is elieved of his duti
`
` CI The Court FINDS 0 Defendant indigent
`Date Signed:
`
`Phone 1‘ E
`
`Z
`
`Texas (Zip Code)3%
`
`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 after reading the following, and having it
`explained to him by the Court, sign his name. 1 have been advised by thejudge ofmy right to representation by counsel in the case pending
`against me. I have beenfurther advised that ifI am unable to aflord counsel, one will be appointedfor mefree ofcharge. Understanding my
`right to have counsel appointedfor me free ofcharge ifI am not financially 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:
`CI 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.
`El Defendant's request or a re to’navle opportunity to hire a lawyer was GRANTED.
`
`Judge Presiding:
`
`CCL Form 3
`
`, .,._
`ChzfiK
`
`05-13-2011
`
`

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