Free Commonwealth's Offer on a Plea of Guilty - Kentucky

AOC-491.1 Rev. 9-03 Page 1 of 2

Doc. Code: COPG
01/9/2007 11:41 am

Case No.
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Ver. 1.01

Court COMMONWEALTH'S OFFER ON A PLEA OF GUILTY County PLAINTIFF DEFENDANT

Commonwealth of Kentucky Court of Justice www.kycourts.net COMMONWEALTH OF KENTUCKY VS.

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Charges and Penalties: Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________ Charge ____________________________________________________UOR Code_______________________ Penalty _______________________________________________________________________________________

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Amended Charges (if any): Amended Charge ___________________________________________UOR Code_______________________ Penalty Penalty Penalty Penalty Penalty Penalty ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________ Amended Charge ___________________________________________UOR Code_______________________

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AOC-491.1 Rev. 9-03 Page 2 of 2 3. Reason(s) for amended charge(s) and UOR Code(s) (if applicable):

_______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 4. Facts of the Case:

_______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 5. Recommendations on a Plea of Guilty (Plea Agreement):

_______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 6. Offered this _____ day of ________________, 2______. ____________________________________________ Commonwealth's Attorney or Assistant Commonwealth's Attorney ____________________________________________ Defendant ____________________________________________ Prosecuting Witness ____________________________________________ Prosecuting Witness ____________________________________________ Defense Attorney ____________________________________________ Police Officer ____________________________________________ Police Officer

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