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Form 5(b). Motion for Appointment of Counsel

Arizona Revised Statutes AnnotatedRules of Criminal Procedure

Arizona Revised Statutes Annotated
Rules of Criminal Procedure (Refs & Annos)
IX. Miscellaneous
Rule 41. Forms
Forms
16A A.R.S. Rules Crim.Proc., Form 5(b)
Form 5(b). Motion for Appointment of Counsel
___________________COURT
[Precinct _____]
____________County, Arizona
 
 
 
STATE OF ARIZONA Plaintiff
[CASE/COMPLAINT NO.]
-vs-
MOTION FOR
APPOINTMENT
OF COUNSEL
 
Defendant (FIRST, MI, LAST)
 
 
 
MOTION FOR APPOINTMENT OF COUNSEL
Defendant moves for the appointment of Counsel and declares that Defendant's financial circumstances will not allow the hiring of a private attorney in this case.
Signature
 
Date
 
Phone No.
 
Address
 
 
ORDER
[ ]
Motion for Court Appointed Counsel is granted.
(Check if applicable)
[ ] A financial assessment is ordered for a recommendation to the Court as to defendant's eligibility and any contribution amount to the cost of the court appointed attorney.
[ ] $ __________ for financial assessment.
[ ] $ __________ for contribution to the cost of the court appointed attorney.
[ ] Legal Services to be provided by
 
Phone No.
 
[ ]
Motion for court appointed attorney is denied.
Judicial Officer
 
Date
 
Courtroom
 
Form 5(b)

Credits

Added Sept. 5, 2007, effective Jan. 1, 2008.
16A A. R. S. Rules Crim. Proc., Form 5(b), AZ ST RCRP Form 5(b)
State Court Rules are current with amendments received and effective through 4/1/22. The Code of Judicial Administration is current with amendments received through 4/1/22.
End of Document