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`THE STATE OF TEXAS
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`§
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`§
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`IN THE COUNTY CRIMINAL
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`COURT AT LAW NO.
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`;
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`HARRIS COUNTY, TEXAS
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`REQUEST AND ORDER FOR APPOINTMENT OR WAIVER OF COUNSEL
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`. I am 0 Elthe defendant CI [la witness in this case. Today the judge presiding advised me of
`My name is
`my right to be represented by a lawyer, either one that I hire, or if I 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
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`D I understand my right I
`myself
`Signature of Defendant:
`Swom to before me on
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`R
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`resources.
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`MU
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`D I believe that I am indigent and I am requesting the Court appoint counsel to represent me. I understand that if there 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 and financial circumstances. I understand this information may not be used for any purpose except to determine my indigency or to
`impeach anyfuture testimony I may give in this case.
`I received assistance in completing this requestfromm
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`CI a court services officer, D a court clerkAther” » - u A
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`clhfls Daniel
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`D atrlct Clerk
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`OCT 17 2018
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`Personal BondTOffIce Employee/Deputy DiSInchlerkz‘“Flaflis County, Texas
`'
`ORDERDE? MINING RIGHI TO APPOINTMENT:_OF”WOUNSEEEHS5°”"W-T9'M
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`Today Defendant'5 request for apng“ tmen
`fagfirmg-EW
`CI The Court FINDS CI Defenda ttindi’gein El appomtment of’clounselfin the interestslofjustice.E legaB
`The Court FURTHER FINDUS
`It‘
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`legal‘serv:Ices and related expenses.
`CI The Court FURTHER lNDS there CI [8 [3 IS NO conflict preventing the Public Defen.
`representmg Defendant.
`The Court APPOINTS the
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`El Attorney
`35
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`Public Defender
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`named below re
`sent Defenda"
`redismissed, the defendantIs acquitted,Judgment15 en ered and sentence pronounced, or
`the attorney is elieve ofMd
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`Attorney
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`Address
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`City
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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 after this hearing.
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`CI 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 the judge of mv right to representation by counsel in the case pending
`against me. I have been further advised that If I am unable to afford counsel one will be appomtedfor mefree ofcharge Understanding my
`right to have counsel appomtea'for me free of charge if I am not fnanCIally able to employ counsel I wish to waive that right and request
`the court to proceed with my case without an attorney being appomtedfor me. I hetebv waive my right to counsel
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`Date:
`Defendant Signature:
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`CI Defendant refuse to 'gn the waiver.
`Thereafier, l informe Defen-n1 ofthe nature ofthe charge contained in the infomtation and permitted him to speak with a prosecutor.
`Cl Defendan-
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`Judge Presiding:
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`CCL Form 3
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`CLERK
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`05-13-2011
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