tate of Alabama  

Unified Judicial System  

orm CR-3                  Rev. 4/99 

APPLICATION TO PLEAD GUILTY ON 
INFORMATION  

 

Case Number 

 

N THE ____________________________________COURT OF ______________________________________, ALABAMA 
 

                             (Name of County)  

   (Circuit, District)  

 

 

 

TATE OF ALABAMA v._________________________________________________________________________________ 

 

 

 

 

      Defendant  

 

 

Comes the defendant in the above-styled cause and informs the Court that the defendant:  
1.  Was arrested for the offense of _______________________________________________________________ on 

________________________________; 

        date  

2.  Has been bound over to the Circuit Court to await action of the Grand Jury, is confined in jail awaiting a preliminary 

hearing, or is confined in jail having waived presentation to the Grand Jury.  

3.  desires to plead guilty in this case;  
4.  (cid:133) is represented by _______________________________________________________________________, an 

attorney; OR 
(cid:133) Is unable to obtain counsel and desires that this Court appoint counsel to represent him/her in this cause; and  
Is  charged  with_______________________________________________________________________,  which  is 
a non-capital felony offense.  

5. 

          Wherefore,  after  obtaining  the  advise  of  counsel,  defendant  asks  that  the  Court  take  jurisdiction  of  this  cause 

and  direct  the  District  Attorney  of  this  circuit  to  prefer  and  file  an  information  against  the  defendant  under  the   

provisions of Section 15-15-20.1, Ala. Code 1975.  

___________________________   
 

        Date  

 

__________________________________________________________ 
Defendant  

Name of Defendant  

Telephone Number  

IDENTIFICATION OF DEFENDANT  

Address 

City 

State 

Zip Code  

Social Security Number 

Date of Birth 

Age 

Race 

Sex 

Height  

Weight  

Hair  

Eyes  

Other  

Name of Employer  

Employer’s Telephone Number 

City 

State 

Zip Code  

  S

  F

  I

  S

 

 

       

   

              _

  

Address