Forms provided here are for reference purposes. To download forms to fill out please visit the
Minnesota Courts website.
| 1. | My full name is ________________________. I am ___ years old, and my date of birth is ______________. The last grade that I went through in school is _______ or I am currently attending the _______ grade in school. |
| 2. | I have received and read a copy of the charging document, and discussed it with my attorney. |
| 3. | I understand the charge(s) made against me in this case. |
| 4. | I understand that I have been charged with the offense(s) of: |
| _ |
| committed on or about _ in County, Minnesota._ |
| 5. | I am represented by an attorney, whose name is _ and: |
| a. | I feel that I have had sufficient time to discuss my case with my attorney. |
| b. | I am satisfied that my attorney is fully informed as to the facts of this case. |
| c. | My attorney has discussed possible defenses that I may have. |
| d. | I am satisfied that my attorney has represented my interests and has fully advised me. |
| 6. | I understand I have the right to a trial before a judge, and at that trial I have the following rights: |
| a. | The right to be presumed innocent unless and until the prosecutor proves me guilty beyond a reasonable doubt. |
| b. | The right to be present and ask questions of all witnesses brought by the prosecutor. |
| c. | The right to subpoena and bring in my own witnesses. |
| d. | The right to testify on my behalf or remain silent. I understand if I choose to remain silent the court cannot use my silence against me. |
| 7. | I understand that if I plead guilty to an offense, I give up my right to a trial in this case, including the rights stated in #6. |
| 8. | I understand that the judge will not accept a plea from someone who says they are innocent. I am not saying that I am innocent of the charge(s) to which I am pleading guilty. |
| 9. | I am entering my plea of guilty freely and voluntarily. |
| □ | No promise of any agreement has been made to me. |
| □ | The following agreement has been reached in exchange for my plea: |
| 10. | If the court does not accept my guilty plea: |
| a. | I have the right to withdraw my guilty plea and have a trial. |
| b. | Anything I said in court about my plea cannot be used against me. |
| 11. | I understand that if the court accepts my guilty plea, there will be a disposition or sentencing. |
| 12. | I understand that the court could place me on probation until my 19th birthday. During that time, the court may change the disposition. |
| 13. | I understand that the court can: |
| a. | Place me out of home; |
| b. | Require me to participate in education and/or treatment programs; |
| c. | Require me to do community work service and/or pay a fine; |
| d. | Require me to pay restitution; |
| e. | Order cancellation, revocation, or suspension of my driver's license; and/or |
| f. | Require me to meet school graduation requirements. |
| 14. | If I violate the conditions of probation or commit a new offense, I could be arrested and placed in detention. |
| 15. | If the court adjudicates me for the offense I am admitting, I will have a juvenile court record. |
| 16. | I understand this offense could be used against me if I commit a future felony-level offense and the prosecutor in that case wishes to move for extended jurisdiction juvenile or certify me to adult court. |
| 17. | If I am admitting a felony offense today, and the offense was committed after my 14th birthday, I understand it will be used to compute my adult criminal history score. |
| 18. | If I plead guilty and I am adjudicated for a "crime of violence," it may be illegal for me to possess any firearm. |
| 19. | If I plead guilty to a felony, I may be required to submit a DNA sample. |
| 20. | If I plead guilty to a sexual offense or predatory offense, I may be required to have a psychosexual evaluation, register as a predatory offender, and submit a DNA sample. |
| 21. | I understand that if I am not a citizen of the United States, my guilty plea may result in deportation, exclusion from admission to the United States, or denial of naturalization as a United States citizen. |
| 22. | I understand that my probation or parole could be revoked because of the guilty plea to this offense. |
| 23. | I understand that my plea may result in increasing the level of a future offense to a gross misdemeanor or felony. |
| 24. | I (have) (have not) been a patient in a mental hospital. |
| 25. | I (have) (have not) talked with or been treated by a psychiatrist or other person for a nervous or mental condition. |
| 26. | I (have) (have not) been ill recently. |
| 28. | I (have) (have not) recently taken pills or medicine. |
| 29. | I have read this petition to plead guilty and I understand it. I am waiving or giving up my rights freely and voluntarily. I have had sufficient time to discuss my rights and options with my attorney. |
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