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Form 13.10. Uniform Plea of Guilty--Summary of Facts

Oklahoma Statutes AnnotatedTitle 22. Criminal ProcedureEffective: November 7, 2019

Oklahoma Statutes Annotated
Title 22. Criminal Procedure (Refs & Annos)
Chapter 18.--Appendix. Rules of the Court of Criminal Appeals
Section XIII. Forms
Effective: November 7, 2019
T. 22, Ch. 18, App., Form 13.10
Form 13.10. Uniform Plea of Guilty--Summary of Facts
IN THE DISTRICT COURT OF __________ COUNTY
THE STATE OF OKLAHOMA
STATE OF OKLAHOMA,
)
)
Case No.
 
Plaintiff,
)
)
[NOTE: The trial judge shall
vs.
)
ensure the defendant is
)
sworn either prior to completing the Summary of
 
,
)
Facts or prior to inquiry by
)
the Court on the Plea. If
Defendant.
)
the defendant is entering a
)
nolo contendere, or other
Last four digits of SS# ________
)
type guilty plea, correct
Last four digits of DL#
________
State
 
)
by pen change where term
Year of Birth
________
Place of Birth
 
)
“guilty” used.]
Oklahoma DOC # ____________________
)
 
)
 
(Home Address)
PLEA OF GUILTY
SUMMARY OF FACTS
Part A: Findings of Fact, Acceptance of Plea
CIRCLE
1.
Is the name just read to you your true name?
Yes
No
If no, what is your correct name?
 
I have also been known by the name(s):
 
 
2.
My lawyer's name is:
 
3.
(a) Do you wish to have a record made of these proceedings by a Court Reporter?
Yes
No
(b) Do you wish to waive this right?
Yes
No
4.
Age: _____ Grade completed in school: _____
5.
Can you read and understand this form? (If the answer above is no, Addendum A is to be completed and attached.)
Yes
No
6.
Are you currently taking any medications or substances which affect your ability to understand these proceedings?
Yes
No
7.
Have you been prescribed any medication that you should be taking, but you are not taking?
Yes
No
If so, what kind and for what purpose?
 
 
8.
Have you ever been treated by a doctor or health professional for mental illness or confined in a hospital for mental illness?
Yes
No
If yes, list the doctor or health professional, place, and when occurred:
 
 
9.
Do you understand the nature and consequences of this proceeding?
Yes
No
10.
Have you received a copy of the Information and read its allegations?
Yes
No
11.
Does the State move to dismiss or amend any case(s) or count(s) in the information or on page 2 of the information? If so, set forth the cases/counts dismissed or amended.
Yes
No
12.
A. Do you understand you are charged with:
Crime Statutory Reference
(1)
 
 
O.S.
 
Yes
No
(2)
 
 
O.S.
 
Yes
No
(3)
 
 
O.S.
 
Yes
No
(4)
 
 
O.S.
 
Yes
No
For additional charges: List any additional charges on a separate sheet and label as PLEA OF GUILTY ADDENDUM B.
B. Are you charged after former conviction of a felony?
Yes
No
If yes, list the felony(ies) charged:
 
 
 
13.
Have you previously been convicted of a felony? If so, when, where and for what felony/felonies?
 
 
 
14.
_____ (Check if applicable) Do you understand you are subject to the Delayed Sentencing Program for Young Adults and what that sentencing program involves?
Yes
No
_____ (Check if applicable) Do you understand that upon a conviction on a plea of guilty to the offense(s) of ______________________________________ you will be required to serve a minimum sentence of:
Yes
No
_____ 85% of the sentence of imprisonment imposed before being eligible for parole consideration and are not eligible for earned or other type of credits which will have the effect of reducing the length of sentence to less than 85% of the sentence imposed?
Yes
No
_____ % of the sentence of imprisonment imposed or received prior to becoming eligible for state correctional earned credits toward completion of your sentence or eligibility for parole?
Yes
No
_____ (Check if applicable) Do you understand that a conviction on a plea of guilty to the offense(s) of ______________________________________ will subject you to mandatory compliance with the Oklahoma Sex Offender Registration Act?
Yes
No
_____ (Check if applicable) Do you understand that any person sentenced to imprisonment for two (2) years or more for the offense(s) of ______________________________________, involving sexual abuse, sexual exploitation, or illegal sexual conduct, shall be required to serve a term of post-imprisonment supervision for at least three (3) years under conditions determined by the Department of Corrections in addition to the actual term of imprisonment. There will be no post-imprisonment supervision for a sentence of life or life without the possibility of parole for offenses involving sexual abuse, sexual exploitation, or illegal sexual conduct.
Yes
No
_____ (Check if applicable) Do you understand that a conviction on a plea of guilty to the offense(s) of ______________________________________ will subject you to mandatory compliance with the Oklahoma Methamphetamine Offender Registry Act?
Yes
No
_____ (Check if applicable) Do you understand that a conviction on a plea of guilty to the offense(s) of ______________________________________ will subject you to mandatory compliance with the Mary Rippy Violent Crime Offenders Registration Act?
Yes
No
_____ (Check if applicable) Do you understand that the Court is required to include in the sentence of any person convicted of a felony and sentenced to a term of imprisonment after November 1, 2012, a term of post-imprisonment supervision. The post-imprisonment supervision shall be for a period of not less than nine (9) months nor more than one (1) year following confinement of the person and shall be served under conditions prescribed by the Department of Corrections. There will be no post-imprisonment supervision for a sentence of life without the possibility of parole.
Yes
No
15. What is/are the charge(s) to which the defendant is/are entering a plea today?
 
 
 
16. Do you understand the range of punishment for the crime(s) is/are: (List in same order as in No. 15 above)?
(1)
Minimum of _______ to a maximum of _______ and/or a fine of $ _______
Yes
No
(2)
Minimum of _______ to a maximum of _______ and/or a fine of $ _______
Yes
No
(3)
Minimum of _______ to a maximum of _______ and/or a fine of $ _______
Yes
No
(4)
Minimum of _______ to a maximum of _______ and/or a fine of $ _______
Yes
No
17. Read the following statements: You have the right to a speedy trial before a jury for the determination of whether you are guilty or not guilty and if you request, to determine sentence. (If pleading to capital murder, advise of procedure in 21 O.S. § 701.10(B)). At the trial:
(1) You have the right to have a lawyer represent you, either one you hire yourself or if you are indigent a court appointed attorney.
(2) You are presumed to be innocent of the charges.
(3) You may remain silent or, if you choose, you may testify on your own behalf.
(4) You have the right to see and hear all witnesses called to testify against you and the right to cross-examine them.
(5) You may have your witnesses ordered to appear in court to testify and present evidence of any defense you have to these charges.
(6) The state is required to prove your guilt beyond a reasonable doubt.
(7) The verdict of guilty or not guilty decided by a jury must be unanimous. However, you can waive a jury trial and, if all parties agree, the case could be tried by a Judge alone who would decide if you were guilty or not guilty and if guilty, the appropriate punishment.
Do you understand each of these rights?
Yes
No
18.
Do you understand by entering a plea of guilty you give up these rights?
Yes
No
19.
Do you understand that a conviction on a plea of guilty could increase punishment in any future case committed after this plea?
Yes
No
20.
Have you talked over the charge(s) with your lawyer, advised him/her regarding any defense you may have to the charges and had his/her advice?
Yes
No
21.
Do you believe your lawyer has effectively assisted you in this case and are you satisfied with his/her advice?
Yes
No
22.
Do you wish to change your plea of not guilty to guilty and give up your right to a jury trial and all other previously explained constitutional rights?
Yes
No
23.
Is there a plea agreement?
Yes
No
What is your understanding of the plea agreement?
 
 
 
24.
Do you understand the Court is not bound by any agreement or recommendation and if the Court does not accept the plea agreement, you have the right to withdraw your plea of guilty?
Yes
No
25.
Do you understand that if there is no plea agreement the Court can sentence you within the range of punishment stated in question 16?
Yes
No
26.
Do you understand your plea of guilty to the charge(s) is/are after: (check one)
Yes
No
( ) no prior felony convictions
( ) one (1) prior felony conviction
( ) two (2) or more prior felony convictions
List prior felony convictions to which pleading:
 
 
 
27.
What (is) (are) your plea(s) to the charge(s) (and to each one of them)?
 
 
 
28.
Did you commit the acts as charged in the Information?
Yes
No
State the factual basis for your plea(s) (attach additional page as needed, labeled as ADDENDUM C):
 
 
 
29.
Have you been forced, abused, mistreated, or promised anything by anyone to have you enter your plea(s)?
Yes
No
30.
Do you plead guilty of your own free will and without any coercion or compulsion of any kind?
Yes
No
31.
If you are entering a plea to a felony offense, you have a right to a Pre-Sentence Investigation and Report which would contain the circumstances of the offense, any criminal record, social history and other background information about you. Do you want to have the Report?
Yes
No
32.
(a) Do you have any additional statements to make to the Court?
Yes
No
(b) Is there any legal reason you should not be sentenced now?
Yes
No
HAVING BEEN SWORN, I, the Defendant whose signature appears below, make the following statements under oath:
(1) CHECK ONE:
___ (a) I have read, understood and completed this form.
___ (b) My attorney completed this form and we have gone over the form and I understand its contents and agree with the answers. See Addendum “A”
___ (c) The Court completed this form for me and inserted my answers to the questions.
(2) The answers are true and correct.
(3) I understand that I may be prosecuted for perjury if I have made false statements to this Court.
____________________
DEFENDANT
I Acknowledge this ___ day of __________, 20 ___.
____________________
Notary Public/Deputy Court Clerk/Judge
33.
I, the undersigned attorney for the Defendant, believe the Defendant understands the nature, purpose and consequence of this proceeding. (S)He is able to assist me in formulating any defense to the charge(s). I am satisfied that the Defendant's waivers and plea(s) of guilty are voluntarily given and he/she has been informed of all legal and constitutional rights.
____________________
ATTORNEY FOR DEFENDANT
34.
The sentence recommendation in question 23 is correctly stated. I believe the recommendation is fair to the State of Oklahoma.
35.
Offer of Proof (Nolo contendere plea)
 
 
36.
On entering a plea to a felony offense, the State has a right to a pre-sentence investigation and report. The State waives the right to a pre-sentence investigation?
Yes
No
 
 
ASSISTANT DISTRICT ATTORNEY
THE COURT FINDS AS FOLLOWS:
37.
A. The Defendant was sworn and responded to questions under oath.
B. The Defendant understands the nature, purpose and consequences of this proceeding.
C. The Defendant's plea(s) of __________ is/are knowingly and voluntarily entered and accepted by the Court.
D. The Defendant is competent for the purpose of this hearing.
E. A factual basis exists for the plea(s) (and former conviction(s), if applicable).
F. The Defendant is guilty as charged: (check as appropriate)
( ) after no prior felony convictions.
( ) after one (1) prior felony conviction.
( ) after two (2) or more prior felony convictions.
G. Sentencing or order deferring sentence shall be: imposed instanter ( ); or continued until the ___ day of __________, 20 ___, at ___ ___.m.
If the Pre-Sentence Investigation and Report is requested, it shall be provided to the Court by the ___ day of __________, 20 ___.
H. Defendant is committed to:
___ The RID Program
___ The FORT Program
___ The Delayed Sentencing Program for Young Adults
DONE IN OPEN COURT this ___ day of __________, 20 ___.
 
 
Court Reporter Present
JUDGE OF THE DISTRICT COURT
 
 
Deputy Court Clerk
NAME OF JUDGE TYPED OR PRINTED
Part B: Sentence on Plea
Case No.
 
State v.
 
Date:
 
[NOTE ON USE: Part B to be used with the Summary of Facts if contemporaneous with the entry of plea or may be formatted as a separate sentencing form if sentencing continued to future date.]
THE COURT SENTENCES THE DEFENDANT AS FOLLOWS:
TIME TO SERVE
1. You are sentenced to confinement under the supervision of the Department of Corrections for a term of years as follows: (list in same order as in question No. 15 in Part A)
 
 
 
 
Upon release from such confinement, you shall serve a term of post-imprisonment supervision under conditions prescribed by the Department of Corrections for a period of:
 
 
2. The sentence(s) to run:
__________ (concurrently/consecutively)
(OR)
__________ NOT APPLICABLE
3. Defendant shall receive:
___ Credit for time served
___ No credit for time served
DEFERRED SENTENCE
1. The sentencing date is deferred until __________, ___ 20 ___ at ___ ___.m.
2. You (will/will not) be supervised. The terms set forth in the Rules and Conditions of Probation found in Addendum D shall be the rules you must follow during the period of deferment.
SUSPENDED SENTENCE or SUSPENDED AS TO PART
1. You are sentenced to confinement under the supervision of the Department of Corrections for a term of years as follows:
 
 
 
 
To be suspended as follows:
(a) ALL SUSPENDED YES
___
NO
 
(b) suspended except as to the first __________ (months)(years) of the term(s) during which time you are to be held in the custody of the Department of Corrections, the remainder of the sentence(s) to be suspended under the terms set forth in the Rules and Conditions of Probation found in Addendum D.
___ Said period of incarceration shall be in the custody of the Department of Corrections, to be served in the County Jail, in lieu of the Department of Corrections, pursuant to the Community Service Sentencing Program, 22 O.S. Section 991a--4.1.
___ Defendant's term of incarceration shall be calculated as:
___ Calendar days with credit for good behavior only (57 O.S Section 65)
___ As calculated by the Sheriff with all implemented and allowable credits allowed by law
2. The sentence(s) to run:
__________ (concurrently/consecutively)
(OR)
__________ NOT APPLICABLE
3. Defendant shall receive:
___ Credit for time served
___ No credit for time served
FINES AND COSTS
You are to pay a fine(s), costs, fees and/or restitution to the __________ County District Court Clerk as set out in Addendum E which is attached and made a part of this Order.
[NOTE ON USE: District Courts may develop and utilize schedules for payment of fines and costs as appropriate for each district and attach as Addendum E.]
COURT CLERK'S DUTY
[TRIAL JUDGE TO COMPLETE THIS SECTION]
IT IS FURTHER ORDERED that the Clerk of this Court shall register or report the following circumstances in accordance with the applicable statutory authority:
( ) As to Count(s) __________, the defendant is ineligible to register to vote pursuant to Section 4-101 of Title 26.
( ) Pursuant to Section 985.1 of Title 22, the Court departed from the mandatory minimum sentence of imprisonment as to Count(s) __________.
( ) As to Count(s) __________, the defendant is subject to the Methamphetamine Offender Registry requirements as set forth in Section 2-701 of Title 63.
( ) Defendant is a lawyer and certified copies of this document shall be transmitted to the Chief Justice of the Supreme Court and the General Counsel of the Bar Association within five (5) days as set forth in Rule 7.2 of the Oklahoma Rules of Professional Conduct, 5 O.S.Supp.2014, ch. 1, app. 1-A.
“NOTICE OF RIGHT TO APPEAL”
Sentence to Incarceration, Suspended or Deferred:
To appeal from this conviction, or order deferring sentence, on your plea of guilty, you must file in the District Court Clerk's Office a written Application to Withdraw your Plea of Guilty within ten (10) days from today's date. You must set forth in detail why you are requesting to withdraw your plea. The trial court must hold a hearing and rule upon your Application within thirty (30) days from the date it is filed. If the trial court denies your Application, you have the right to ask the Court of Criminal Appeals to review the District Court's denial by filing a Petition for Writ of Certiorari within ninety (90) days from the date of the denial. Within ten (10) days from the date the application to withdraw plea of guilty is denied, notice of intent to appeal and designation of record must be filed pursuant to Oklahoma Court of Criminal Appeals Rule 4.2(D). If you are indigent, you have the right to be represented on appeal by a court appointed attorney.
Do you understand each of these rights to appeal?
Yes
No
Do you want to remain in the county jail ten (10) days before being taken to the place of confinement?
Yes
No
Have you fully understood the questions that have been asked?
Yes
No
Have your answers been freely and voluntarily given?
Yes
No
I ACKNOWLEDGE UNDERSTANDING OF RIGHTS AND SENTENCE IMPOSED.
____________________
DEFENDANT
I, the undersigned attorney, have advised the Defendant of his appellate rights.
____________________
ATTORNEY FOR DEFENDANT
Done in open court, with all parties present, this ___ day of __________ 20 ___.
 
 
Court Reporter Present
JUDGE OF THE DISTRICT COURT
 
 
Deputy Court Clerk
NAME OF JUDGE TYPED OR PRINTED
ADDENDUM “A”
CERTIFICATE OF DEFENSE COUNSEL
As the attorney for the defendant, __________, I certify that:
1. The Defendant has stated to me that he/she is (able/unable) to read and understand the attached form, and I have: (check appropriate option)
___ Determined the Defendant is able to understand the English language.
___ Determined the Defendant is unable to understand the English language and obtained to interpret.
2. I have read and fully explained to the Defendant the allegations contained in the Information in this case.
3. I have read and fully explained to the Defendant all of the questions in the Plea of Guilty/Summary of Facts and the answers to the questions set out in the Summary of Facts are the Defendant's answers.
4. To the best of my knowledge and belief the statements and declaration made by the Defendant are accurate and true and have been freely and voluntarily made.
Dated this ___ day of __________, 20 ___.
 
 
ATTORNEY FOR DEFENDANT

Credits

Amended effective May 21, 2003; January 31, 2008. Corrected effective February 6, 2008; February 20, 2008. Amended effective July 23, 2013; November 12, 2015; October 5, 2016; November 7, 2019.
Court of Criminal Appeals Form 13.10, 22 O. S. A. Ch. 18, App., OK ST CR A CT Form 13.10
Current with amendments received through April 15, 2024. Some rules may be more current, see credits for details.
End of Document