Form 20 OUTCOME ON WRITTEN PLEA OF GUILTY (INDICTABLE OFFENCE) Magistrates Court of South Australia Summary Procedure Act 1921 Sections 105(1)(a) and Rule 22.07 Registry File No Street Telephone Facsimile Address City/Town/Suburb State Postcode Email Address Defendant DOB Name dd/mm/yyyy Street Telephone Licence Number Address City/Town/Suburb State Postcode Email Address Informant Name Informant’s reference Street Telephone Address City/Town/Suburb State Postcode Email Address You provided a written plea of guilty under s 105(1)(a) of the Summary Procedure Act 1921. The matter has been decided in your absence. The outcome is recorded below. The following convictions and penalties were imposed by the Magistrates Court: You were committed for sentence on the following charge: Court Date Next hearing Address Time am/pm Telephone Facsimile Email Address If you do not attend on that day a warrant may be issued for your arrest. Date REGISTRAR
Form 20 OUTCOME ON WRITTEN PLEA OF GUILTY (INDICTABLE OFFENCE) Magistrates Court of South Australia Summary Procedure Act 1921 Sections 105(1)(a) and Rule 22.07 Registry File No Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Defendant Name DOB dd/mm/yyyy Address Street Telephone Licence Number City/Town/Suburb State Postcode Email Address Informant Name Informant’s reference Address Street Telephone City/Town/Suburb State Postcode Email Address You provided a written plea of guilty under s 105(1)(a) of the Summary Procedure Act 1921. The matter has been decided in your absence. The outcome is recorded below. The following convictions and penalties were imposed by the Magistrates Court: You were committed for sentence on the following charge: Next hearing Court Date Address Time am/pm Telephone Facsimile Email Address If you do not attend on that day a warrant may be issued for your arrest. Date REGISTRAR