Free Acrobat - Tennessee

IN THE CRIMINAL/CIRCUIT COURT OF ________________________________COUNTY, TENNESSEE
Case Number: _______________________________ Count # _________ Attorney for the State: Judicial District: _____________ Judicial Division: ___________________ Counsel for Defendant: ________________________________________ ________________________________________

Retained Appointed Public Defender State of Tennessee Counsel Waived Pro Se vs. Defendant: _____________________________________________________ Alias: ____________________________________________________ Date of Birth: ___________________ Sex: _______ Race: ______________ SSN: ____________________________________________________ Indictment Filing Date: ________________________ TDOC # _________________________ State Control # ________________________________ State ID # ________________________ County Offender ID # __________________________

JUDGMENT
Original Amended Corrected
Comes the District Attorney General for the State and the defendant with counsel of record for entry of judgment.

On the ____________ day of ____________________________, _____________, the defendant: Pled Guilty Dismissed/Nolle Prosequi Nolo Contendere Retired/Unapprehended Defendant Guilty Plea ­ Pursuant to 40-35-313 Is found: Jury Verdict Bench Trial Guilty Not Guilty Not Guilty by Reason of Insanity
Indictment: Class (circle one) 1st A B C D E Felony Misdemeanor

Offense: ________________________________________________________________ Amended Charge: ________________________________________________________ Offense Date: _________________________ County: ___________________________ Conviction Offense: _______________________________________________________ Is this conviction offense methamphetamine related? Yes No TCA #: _______________________ Sentence Imposed Date: _____________________
Conviction: Class (circle one) 1st A B C D E Felony Misdemeanor

After considering the evidence, the entire record, & all factors in T.C.A. Title 40 Chapter 35, all of which are incorporated by reference herein, the Court's findings & rulings are:

Sentence Reform Act of 1989
Offender Status (Check One) Release Eligibility (Check One)

Concurrent with:

Pretrial Jail Credit Period(s):

Mitigated Standard Multiple Persistent Career Repeat Violent

Mitigated 20% Mitigated 30% Standard 30% Multiple 35% Persistent 45% Career 60% Violent 100% TDOC

Multiple Rapist 100% Child Rapist 100% Repeat Violent 100% Child Predator 100% 1st Degree Murder Drug Free Zone Gang Related County Jail

From ____________ to ___________
____________________________________ From ____________ to ___________ Consecutive to:

From ____________ to ___________ From ____________ to ___________
Workhouse Life Life w/out Parole Death

Sentenced To: Sentence Length:

______Years _______Months _______Days _______Hours _______Weekends

Mandatory Minimum Sentence Length: _______39-17-417, 39-13-513, 39-13-514 in Drug Free Zone or _______55-10-401 DUI 4th Offense or _______39-17-1324 Possession/Employment of Firearm Period of incarceration to be served prior to release on probation: _______Months _______Days _______Hours _______Weekends Minimum service prior to eligibility for work release, furlough, trusty status and rehabilitative programs: _______% (Misdemeanor Only) Alternative Sentence: Probation Diversion Drug Court Community Based Alternative - Specify ________________________________ _______Years _______Months _______Days Court Ordered Fees and Fines: $ ___________ Court Costs $ ___________ Fine Assessed $ ___________ Traumatic Brain Injury Fund (Drag Racing) $ ___________ Drug Testing Fund (TN Drug Control Act) $ ___________ CICF $__________ Sex Offender Tax Unpaid Community Service: _____Hours _____Days _____Weeks _____Months $ ___________ Other:__________________________________ Cost to be Paid by Defendant State Effective: __________________________________________________ Restitution: Victim Name

_____________________________________________

Address ________________________________________________ __________________________________________________________ Total Amount $________________ Per Month $_______________

Special Conditions

The Defendant having been found guilty is rendered infamous and ordered to provide a biological specimen for the purpose of DNA analysis. Pursuant to 39-13-521 the defendant is ordered to provide a biological specimen for the purpose of HIV testing. Pursuant to 39-13-524 the defendant is sentenced to community supervision for life following sentence expiration.

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___________________________________________________________

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Judge's Name
_________________________________________________

Judge's Signature

Date of Entry of Judgment Defendant's Attorney/Signature (optional)

____________________________________________________
Pink ­ AOC Goldenrod ­ Jail RDA 1167

Attorney for State/Signature (optional)
CR-3419 (Rev. 9/08) White ­ Criminal Court Clerk Canary ­ TN Dept. of Correction/SMS