IN THE COUNTY COURT IN AND FOR OKALOOSA COUNTY, FLORIDA

STATE OF FLORIDA,

Plaintiff,

V.

__________________________________________

Defendant.

Clerk No: __________________________________

WRITTEN PLEA AGREEMENT

The Defendant enters a plea of _______ Guilty _______ No Contest (Nolo Contendere) to the following crimes:

1) _____________________________ 2) _____________________________ 3) _________________________

4) _____________________________ 5) _____________________________ 6) _________________________

The Defendant hereby acknowledges that this plea is the Defendant's voluntary act, that there is a factual basis for the entry of this plea and the Defendant further understands:

1.	The nature of the charge to which this plea is offered;

2.	That the defendant has the right to be represented by an attorney and, if necessary, one will be appointed to represent him or her.

3.	That the defendant has the right to plead not guilty, the right to be tried by a jury and at that trial has the right to assistance of counsel, the right to compel attendance of witnesses on his or her behalf, the right to confront and cross-examine witnesses against him or her, and the right to not be compelled to incriminate himself or herself;

4.	That if the defendant pleads guilty, or nolo contendere without express reservation of the right to appeal, he or she gives up the right to appeal all matters relating to the judgment, including the issue of guilt or innocence;

5.	That if the defendant pleads guilty or is adjudged guilty after a plea of nolo contendere there will not be a further trial of any kind;

6.	The complete terms of any plea agreement; and

7.	That if he or she is not a U.S. citizen, the plea may subject him or her to deportation.

The Defendant by signing this Written Plea Agreement gives up the above mentioned rights and hereby enters this plea freely and voluntarily without threat or promise.

The Defendant by entering a plea of guilty hereby acknowledges his or her guilt or; by entering a plea of nolo contendere acknowledges that he or she feels the plea to be in his or her best interest, while maintaining his or her innocence.

The Defendant by signing this Written Plea Agreement waives his or her right to be present when sentenced and if represented by an attorney acknowledges his or her satisfaction with the attorney's representation.

The Defendant by signing this Written Plea Agreement represents that he or she has read and understands this Agreement; or if unable to read has had the Agreement read to him or her and understands it and all statements contained in this Agreement are true.

_______________________________	_________________________________________________

Defendant	Date

Assistant State Attorney

Florida Bar No.:

_________________________________________________

Defense Attorney Florida Bar No.

ORDER

THIS CAUSE came before the Court and the Court was fully advised in the premises, and finds this plea freely and voluntarily entered. The Court accepts this plea of No Contest to:

1)_________________________________ 2)___________________________________3)________________________________

4)_________________________________ 5)___________________________________6)________________________________

THE COURT

______Withholds Adjudication Count(s) _____ _____ Adjudicates Guilty Count(s) ____________ [mandatory: weapons/DUI)

AND SENTENCES THE DEFENDANT TO

1.	County Jail for ______ days (concurrent or consecutive); Suspend _____ days; CFTS ______ days.

House Arrest with court programs _________ days ________ alcohol monitor

2.	Pay fines in the amount of 1.	$_________ 2. $_______ 3. $______ Rape Crisis Trust Fund ________

and costs in the amount of 1.	$_________ 2. $_______ 3. $______

surcharge in the amount of 1.	$_________

X $50 Cost of Prosecution _____ $50 Indigent Defendant Application Fee _____ $50 Court Appointed Counsel Cost

__________ APPLY CASH BOND TOWARD FINE & COSTS AND/OR RESTITUTION & REFUND BALANCE IF ANY.

2.1 Or Perform _______ hours of Community Service work instead of fines and costs.

2.2 Perform ______ hours of Community Service within ____ days or ______ during probation. _____No Trespass on Property _____ Write a Letter of Apology to Victim/Officer

2.3 Fines, costs, proof of restitution and/or Community Service hours must be furnished to the Clerk of Court by __________ or within ________ days or ________during probation with Bridgeway Center.

3.	Placed on probation for _____ months with Bridgeway Center, _____ Max Level _____Med. Level ____ Adm. Level _____ may term. early

____Probation ____ extended _____ reinstated for ____ months to complete original requirements.

____Probation reinstated to original termination date to complete original requirements.

____Probation terminated and revoked ______waive non-monetary requirements ______monetary requirements to collection

SUPERVISION and FEES: ___ $70 first month and $50 each month thereafter. ____Administrative ($50 one time)

3.1 Report to Bridgeway Center, Inc. within fifteen (15) days from the date of this agreement.

3.2	Comply with conditions of probation pre-approved by the Court and directed by Bridgeway Center, Inc.

3.3	___NO contact with the victim or property, personally or by agent, without approval of Bridgeway Center, Inc., or the Court ____No Violent Contact with victim.

3.4	Pay restitution to the victim in the amount set by the Court. ____ Court retains Jurisdiction on amount of restitution. Payment is to be made by ___________________ and show proof to the Clerk of Court within _____ days or ____ during probation.

4.	DUI: Complete the Bridgeway Center, Inc. Substance Abuse Course (DUI School) within the first ninety (90) days of probation.

_____	1st Offender DUI School; ______ Multi-Offender DUI School.

_____	Attend and complete Victim Impact Panel ______Driver Improvement Course

_____	Show proof of valid DL/eligibility/tag/insurance

_____	Vehicle Impounded _____10 days; _____30 days; ______90 days; _____Waived

_____	Interlock Ignition Device ______ 6 months ______ 12 months _______ 24 months ______ Waived

5.	DUI: Driver's license is suspended for ____6 months; ____12 months; _____ 24 months; ____5 years; ____10 years; ____Permanently

6.	DRUG: _____ Driver's license is revoked for 24 months; or until condition #4 is fulfilled.

7.	Obtain psychological/drug/alcohol evaluation at BIC and treatment, if needed. ____Chemical Awareness Class

8.	BATTERY/DOMV: Attend and complete ____Anger Management Course; _____Batterer's Intervention Program

9.	THEFT: ____Shoplifter's Awareness Course _____Publish ad in newspaper _____No trespass on victim's property

____Write a letter of apology to victim

10.	WORTHLESS CHECKS: _____Pay amount of check(s) to the victim(s) plus service charge.

11.	If defendant fails to comply with the conditions of this sentence, or fails to obtain a driver's license as directed, or drives without a valid driver's license, defendant will be adjudicated guilty of this offense and will pay $241.00 or $162.25 fines and court costs and/or serve ____ days in county jail.

12.	Other _________________________________________________________________________________________________

______________________________________________________________________________________________________

ORDERED this ________ day of ________________________________.

___________________________________________

COUNTY JUDGE

CONFORMED COPIES TO:

____x____	Office of State Attorney, 1B 9TH Avenue, Shalimar, Florida 32579

_________	Defense Attorney, ___________________________________________________________________________

_________	Probation Officer, BCI (Bridgeway Center, Inc.), 151 NE E Eglin Parkway, Ft. Walton Beach, FL 32548 - 833-7484

____x____	Defendant _________________________________________________________________________________

_________	Okaloosa County Jail, P.O. Box 1620, Crestview, FL 32536

_________	Office of the Public Defender, 1A 9th Avenue, Shalimar, FL 32579