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Administrative Office of the Courts GLENN A. GRANT, J.A.D. Acting Administrative Director of the Courts www.njcourts.com Phone: 6099840275 Fax: 6099846968 [Questions and/or comments may be directed to 6092924638.] To: From: Assignment Judges Criminal Presiding Judges Glenn A. Grant, J.A.D. Directive # 0412 (Supplements and Modifies Directive #1408) Subj: Criminal Judgment of Conviction Amendments to JOC Form to Incorporate Certain Statutory Penalties Date: June 8, 2012 The current Judgment of Conviction (JOC) form was one of a number of forms promulgated by Directive #1408 (the JOC was Attachment 12 to that directive). This Directive amends the judgment of conviction (JOC) form so as to incorporate certain statutory penalties, with the attached revised JOC thus superseding and replacing the JOC appended to Directive #1408 effective July 10, 2012. The delay in implementation until July 10 is necessary in order to complete the programming and testing of the revised automated form. This Directive therefore prospectively supplements and modifies Directive #1408. The Supreme Court previously delegated the authority and responsibility to approve the form of the JOC to the Administrative Director. My approval of these amendments was on the recommendation of the Criminal Practice Committee. Certain statutory penalties are imposed only when a defendant is convicted of the relevant specific offenses. In order to be able to accurately reflect such offensebased penalties, 2 of the JOC has been revised to add a new box entitled OffenseBased Penalties. When the JOC is generated, the OffenseBased Penalties box will display the penalty name, statute number and the amount of the penalty imposed pursuant to any of the following statutes: Drug Abuse Education Fund, N.J.S.A. 2C:433.5; Computer Crime Prevention Fund Penalty, N.J.S.A. 2C:433.8; Insurance Fraud Surcharge, N.J.S.A. 17:33A5.1; AntiMoney Laundering Profiteering Penalty, N.J.S.A. 2C:2127.1 and 27.2; Public Corruption Profiteering Penalty, N.J.S.A. 2C:308; and AntiDrug Profiteering Penalty, N.J.S.A. 2C:35A3 and 4. Whenever a Richard J. Hughes Justice Complex PO Box 037 Trenton, New Jersey 086250037

Directive #0412 Judgment of Conviction June 8, 2012 Page 2 new offensebased statutory penalty is enacted, the JOC will be updated so that the new statutory penalty can be displayed in the OffenseBased Penalties box. If a judge imposes more than one offensebased penalty against a defendant, the first such penalty will display on 2 of the JOC in the Offense Based Penalties box. Any additional offensebased penalties that are imposed will display on an overflow of the JOC. Additionally, the total amount of offensebased penalties that are imposed, as set forth in both the Offense Based Penalties box and the overflow, will be calculated in the Total Financial Obligation on 2 of the JOC. Any questions or comments regarding this Directive or the appended form, should be directed to Assistant Director Joseph J. Barraco, at (609) 2924638. Attachment G.A.G cc: Chief Justice Stuart Rabner Attorney General Jeffrey Chiesa Public Defender Joseph Krakora Criminal Division Judges Stephen J. Taylor, Director, DCJ County Prosecutors Steven D. Bonville, Chief of Staff AOC Directors and Assistant Directors Trial Court Administrators Criminal Division Managers Assistant Criminal Division Managers Gurpreet M. Singh, Special Assistant Susan Callaghan, Chief, Criminal Practice Vance Hagins, Asst. Chief, Criminal Practice Melaney S. Payne, Criminal Practice

ATTACHMENT 1 JUDGMENT OF CONVICTION

Superior Court of New Jersey, State of New Jersey v. Last Name First Name Middle Name Also Known As Date of Birth SBI Number Date(s) of Offense Date of Arrest PROMIS Number Date Ind / Acc / Complt Filed Original Plea Not Guilty Guilty Date of Original Plea Adjudication By Guilty Plea Jury Trial Verdict NonJury Trial Verdict Dismissed / Acquitted Date: Original Charges Ind / Acc / Complt Count Description Statute Degree Final Charges Ind / Acc / Complt Count Description Statute Degree Sentencing Statement It is, therefore, on ORDERED and ADJUDGED that the defendant is sentenced as follows: It is further ORDERED that the sheriff deliver the defendant to the appropriate correctional authority. Total Custodial Term Institution Name Total Probation Term New Jersey Judiciary, Revised Form Promulgated by Directive #0412 (06/08/2012), CN: 10070

State of New Jersey v. DEDR (N.J.S.A. 2C:3515 and 2C:355.11) A mandatory Drug Enforcement and Demand Reduction (DEDR) penalty is imposed for each count. (Write in number of counts for each degree.) DEDR penalty reduction granted (N.J.S.A. 2C:3515a(2)) Standard Doubled 1st Degree @ @ 2nd Degree @ @ 3rd Degree @ @ 4th Degree @ @ DP or Petty DP @ @ Total DEDR Penalty The court further ORDERS that collection of the DEDR penalty be suspended upon defendant's entry into a residential drug program for the term of the program. (N.J.S.A. 2C:3515e) Forensic Laboratory Fee (N.J.S.A. 2C:3520) Total Lab Fee Offenses @ VCCA Assessment (N.J.S.A. 2C:433.1) Counts Number Amount @ @ @ @ Total VCCA Assessment Vehicle Theft / Unlawful Taking Penalty (N.J.S.A. 2C:202.1) Offense Offense Based Penalties Penalty Mandatory Penalty Amount S.B.I. # Additional Conditions Ind / Acc / Complt # The defendant is hereby ordered to provide a DNA sample and ordered to pay the costs for testing of the sample provided (N.J.S.A. 53:120.20). The defendant is hereby sentenced to community supervision for life. (If offense occurred before 1/14/04) (N.J.S.A. 2C:436.4) The defendant is hereby sentenced to parole supervision for life. (If offense occurred on or after 1/14/04) (N.J.S.A. 2C:436.4). The defendant is hereby ordered to serve a year term of parole supervision, which term shall begin as soon as defendant completes the sentence of incarceration. (N.J.S.A. 2C:437.2). The court imposes a restraining order pursuant to DORA. (N.J.S.A. 2C:355.7(h)). Restraining Order expires Findings Per N.J.S.A. 2C:473 The court finds that the defendant's conduct was characterized by a pattern of repetitive and compulsive behavior. The court finds that the defendant is amenable to sex offender treatment. The court finds that the defendant is willing to participate in sex offender treatment. License Suspension CDS / Paraphernalia (N.J.S.A. 2C:3516) Auto Theft / Unlawful Taking (N.J.S.A. 2C:202.1) Eluding (N.J.S.A. 2C:292) Other Waived Other Fees and Penalties Law Enforcement Officers Training and Equipment Fund Penalty (N.J.S.A. 2C:433.3) Probation Supervision Fee (N.J.S.A. 2C:451d) Safe Neighborhood Services Fund Assessment (N.J.S.A. 2C:433.2) Offenses @ Total: Statewide Sexual Assault Nurse Examiner Program Penalty (N.J.S.A. 2C:433.6) Offenses @ Number of Months Start Date Details Driver's License Number Nonresident driving privileges revoked End Date Jurisdiction Transaction Fee (N.J.S.A. 2C:461.1) Domestic Violence Offender Surcharge (N.J.S.A. 2C:2529.4) Total Certain Sexual Offenders Surcharge (N.J.S.A. 2C:433.7) Sex Crime Victim Treatment Fund Penalty (N.J.S.A. 2C:1410) Fine Restitution Total Financial Obligation If the court is unable to collect the license, complete the following: Defendant's Address City State Zip Date of Birth Sex M F Eye Color Details New Jersey Judiciary, Revised Form Promulgated by Directive #0412 (06/08/2012), CN: 10070

State of New Jersey v. Time Credits Time Spent in Custody R. 3:218 To S.B.I. # Gap Time Spent in Custody N.J.S.A. 2C:445b(2) To Rosado Time To Statement of Reasons Include all applicable aggravating and mitigating factors Ind / Acc / Complt # Prior Service Credit To Form Prepared By Preparer Telephone Number Attorney for Defendant at Sentencing Prosecutor at Sentencing Judge at Sentencing Public Defender Yes No Deputy Attorney General Yes No Judge (Signature) Date New Jersey Judiciary, Revised Form Promulgated by Directive #0412 (06/08/2012), CN: 10070

State of New Jersey v. Continuation S.B.I. # Ind / Acc / Complt # New Jersey Judiciary, Revised Form Promulgated by Directive #0412 (06/08/2012), CN: 10070