COMMONWEALTH OF PENNSYLVANIA 
COUNTY OF 

कमनवेल्थ अफ PENNSYLVANIA
काउन्टी

WAIVER OF STAY OF EXECUTION 
OF SENTENCE 

सजाय कायायान्वयन गनया रोकनने छुट

Mag. Dist. No: 
मजिस्ट्े् डिजस्ट्क् 
नम्बर:
MDJ Name: 
MDJ को नाम:

Address: 
ेगाना:
ठ

Telephone: 
लिफोन:
े
्

Commonwealth of Pennsylvania 
कमनवेल्थ अफ Pennsylvania
v.
ववरुद्ध

Docket No: 
िके् नं:
Case Filed: 
दायर गररएको मुददा:

, understand that in all 

I, 
summary cases in which a sentence of imprisonment has 
been imposed, execution of the sentence shall be stayed 
until the time for appeal expires pursuant to  
Pa.R.Crim.P.461(A).

I, 
, understand that in any 
summary cases in which a notice of appeal is filed, the  
execution of sentence shall be stayed pursuant to 
Pa.R.Crim.P.461(B).
I, 
counsel as provided for in Pa.R.Crim.P.121.

, have waived my right to 

, Pa.R.Crim.P.461(A) को 
म,  
वयवस््था अनुसार िेि सिाय सुनाइएका स्बै सारांश मुददाहरूमा 
पुनरावेदनको अवध्ध नसककउनिेिसममका िाधग सिाय कायायानवयन 
गनया रोक िगाइने छ भनने कु रा ्बुझछु  ।

म,  
, Pa.R.Crim.P.461(B) को 
वयवस््थाअनुसार पुनरावेदन पेस गररएका स्बै सारांश मुददाहरूमा 
कायायानवयन गनया सिायमा रोक िगाइने छ भनने कु रा ्बुझछु  ।

म,  
आफू िाई प्ाप्त हुने वककि राख्न पाउने अध्धकार तयागछु  ।

, Pa.R.Crim.P.121 अनुसार 

I knowingly, voluntarily, and intelligently waive the stay of 
execution of sentence provided for in Pa.R.Crim.P.461.

म सुझ्बुझका सा्थ, स्वैज्छक रूपिे Pa.R.Crim.P.461 अनुसार 
आफू िाई प्ाप्त हुने सिाय रोकका गनने अध्धकार तयागछु  ।

I certify that this filing complies with the provisions of the 
Case Records Public Access Policy of the Unified Judicial 
System of Pennsylvania that require filing confidential 
information and documents differently than non-confidential 
information and documents.

 
म यो पेसी गोपय र अगोपनीय िानकारटी फरक फरक ्तररकािे पेस गनु
पनने वयवस््था भएको पेजनसलभेननयाको एकीकृ ्त नयानयक प्णािटीको 
मुददा अलभिेखमाध्थको सावयािननक पहु

ँच नीन्त अनुसारको छ ।

(Signature of Defendant)
(प्न्तवादटीको हस््ताक्षर)

(Date) 
(लमन्त)

MDJS 9133
Waive of Stay of Execution (English-Nepali): Translated on 12/09/2021

1

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