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Home: ‘Advisements Given Yes No Violent Felony No Ye Registered Sex Offender ‘On Formal Probation Strike Priors No Yes: No_Yes No Yes Police Reports Preliminary Hearing Transcripts Affidavit Other: Police Reports Preliminary Hearing Transcripts Affidavit Other: Police Reports Preliminary Hearing Transcripts Affidavit Other: Police Reports Preliminary Hearing Transcripts Affidavit Other” So ee 5 PC 5666 Petty Theft With Pricr. H&S 611350 Unlawful Drug Possession C 6476a Writing Bad Checks. Cumulative value is <$950 PC'§470/473 Forgery, Valueis< 5950 H&S $11357(2) Unlawful Drug Possession P PC §487 Grand Theft. Value < $950 Eignrine es DECLARATION OF DEFENDANT Woo declare the following: [Name] lam the defendant in the above-entitied action and make this declaration based upon my ‘own personal knowledge and to the best of my recollection. That the total value of the money, labor, real or personal property taken in the above- entitled matter did not exceed nine hundred fifty dollars ($950) and consisted essentially of the following: [Describe property] I declare under the penalty of perjury that the foregoing is true and correct. Dated this day of 20__, in the City of California. Signature

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