NO. [Cause Number] THE STATE OF TEXAS VS. [DEFENDANT NAME] DEFENDANT ) ) ) ) ) ) ) IN THE DISTRICT COURT [ TH] JUDICIAL DISTRICT [SUIT COUNTY] COUNTY, TEXAS
WAIVER OF RIGHT TO COUNSEL On _________________, [Defendant Name], Defendant, waived the right to counsel in this cause. This waiver is made in writing pursuant to Tex. Code Crim. Proc. art. 1.051(f). "I have been advised this 1st day of _________________ by the Court of my right to representation and I have been further advised that if I am unable to afford counsel, one will be appointed for me free of charge. Understanding my right to have counsel appointed for me free of charge, I wish to waive that right and request the court to proceed with my case without an attorney being appointed for me. I hereby waive my right to counsel." Dated:____________________
________________________ [Defendant Name], Defendant