Cause No. __________

STATE OF TEXAS				§			IN THE _______________ COURT
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V.						§			COURT DESIGNATION
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***						§		________________ COUNTY, TEXAS

DEFENDANT’S APPLICATION FOR COMMUNITY SUPERVISION

TO THE HONORABLE JUDGE OF SAID COURT:

	COMES NOW ***, the Defendant in the above styled and numbered cause, prior to the commencement of trial in this case and states that he/she has never before been convicted of a felony offense in this State, any other state or in any court of the United States, and that he/she is not otherwise disqualified from consideration for community supervision.  

The Defendant prays that in the event of a conviction in this case that the imposition of sentence be suspended and that he/she be placed on community supervision as provided by Article 42.12, Section 3, of the Texas Code of Criminal Procedure.

Respectfully Submitted,

						____________________________________
						Attorney Name
State Bar Number
Address
City, State, Zip
Phone
Fax

Attorney for Defendant
***

VERIFICATION

STATE OF TEXAS		§
				§
COUNTY OF __________	§

	Before me, the undersigned authority, on this day personally appeared 
______________________, who being by me first duly sworn deposes and on his/her oath states that he/she is the defendant in the above cause, that he/she has read the contents of the foregoing Defendant’s Application for Community Supervision and that the statements in the foregoing application for community supervision are true and correct.  

___________________________
Defendant

SUBSCRIBED AND SWORN TO before me, this _____ day of ___________________, 
200___.
                             
Name                             
____________ District/County Clerk
____________ County, Texas

By: 	______________________________
Deputy District/County Clerk