Free AO 245D - Judgement in a Criminal Case - For Revocation of Probation or Supervised Release - Federal

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OAO 245D
(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 1

UNITED STATES DISTRICT COURT
UNITED STATES OF AMERICA v. Judgment in a Criminal Case
(For Revocation of Probation or Supervised Release)

Case No. USM No. THE DEFENDANT:
G admitted guilt to violation of condition(s) G was found in violation of condition(s)
The defendant is adjudicated guilty of these violations: Violation Number Nature of Violation Violation Ended
Defendant's Attorney

of the term of supervision. after denial of guilt.

The defendant is sentenced as provided in pages 2 through the Sentencing Reform Act of 1984.

2

of this judgment. The sentence is imposed pursuant to

G The defendant has not violated condition(s)

and is discharged as to such violation(s) condition.

It is ordered that the defendant must notify the United States attorney for this district within 30 days of any change of name, residence, or mailing address until all fines, restitution, costs, and special assessments imposed by this judgment are fully paid. If ordered to pay restitution, the defendant must notify the court and United States attorney of material changes in economic circumstances. Last Four Digits of Defendant's Soc. Sec. No.:
Date of Imposition of Judgment

Defendant's Year of Birth: City and State of Defendant's Residence:
Signature of Judge

Name and Title of Judge

Date

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 1A Judgment--Page

of

2

DEFENDANT: CASE NUMBER: ADDITIONAL VIOLATIONS
Violation Concluded

Violation Number

Nature of Violation

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 2-- Imprisonment Judgment -- Page

2

of

2

DEFENDANT: CASE NUMBER: IMPRISONMENT
The defendant is hereby committed to the custody of the United States Bureau of Prisons to be imprisoned for a total total term of :

G The court makes the following recommendations to the Bureau of Prisons:

G The defendant is remanded to the custody of the United States Marshal. G The defendant shall surrender to the United States Marshal for this district: G G
at

G a.m.

G p.m.

on

.

as notified by the United States Marshal.

G The defendant shall surrender for service of sentence at the institution designated by the Bureau of Prisons: G G G
before 2 p.m. on as notified by the United States Marshal. as notified by the Probation or Pretrial Services Office. RETURN I have executed this judgment as follows: .

Defendant delivered on at

to with a certified copy of this judgment.

UNITED STATES MARSHAL

By
DEPUTY UNITED STATES MARSHAL

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 2A -- Imprisonment Judgment--Page of

2

DEFENDANT: CASE NUMBER: ADDITIONAL IMPRISONMENT TERMS

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 3 -- Supervised Release Judgment--Page of

2

DEFENDANT: CASE NUMBER: SUPERVISED RELEASE
Upon release from imprisonment, the defendant shall be on supervised release for a term of :

The defendant must report to the probation office in the district to which the defendant is released within 72 hours of release from the custody of the Bureau of Prisons. The defendant shall not commit another federal, state or local crime. The defendant shall not unlawfully possess a controlled substance. The defendant shall refrain from any unlawful use of a controlled substance. The defendant shall submit to one drug test within 15 days of release from imprisonment and at least two periodic drug tests thereafter as determined by the court.

G G G G G

The above drug testing condition is suspended, based on the court's determination that the defendant poses a low risk of future substance abuse. (Check, if applicable.) The defendant shall not possess a firearm, ammunition, destructive device, or any other dangerous weapon. (Check, if The defendant shall cooperate in the collection of DNA as directed by the probation officer. (Check, if applicable.) The defendant shall register with the state sex offender registration agency in the state where the defendant resides, works, or is a student, as directed by the probation officer. (Check, if applicable.) The defendant shall participate in an approved program for domestic violence. (Check, if applicable.)

If this judgment imposes a fine or restitution, it is be a condition of supervised release that the defendant pay in accordance with the Schedule of Payments sheet of this judgment. The defendant must comply with the standard conditions that have been adopted by this court as well as with any additional conditions on the attached page.

STANDARD CONDITIONS OF SUPERVISION
1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) the defendant shall not leave the judicial district without the permission of the court or probation officer; the defendant shall report to the probation officer and shall submit a truthful and complete written report within the first five days of each month; the defendant shall answer truthfully all inquiries by the probation officer and follow the instructions of the probation officer; the defendant shall support his or her dependents and meet other family responsibilities; the defendant shall work regularly at a lawful occupation, unless excused by the probation officer for schooling, training, or other acceptable reasons; the defendant shall notify the probation officer at least ten days prior to any change in residence or employment; the defendant shall refrain from excessive use of alcohol and shall not purchase, possess, use, distribute, or administer any controlled substance or any paraphernalia related to any controlled substances, except as prescribed by a physician; the defendant shall not frequent places where controlled substances are illegally sold, used, distributed, or administered; the defendant shall not associate with any persons engaged in criminal activity and shall not associate with any person convicted of a felony, unless granted permission to do so by the probation officer; the defendant shall permit a probation officer to visit him or her at any time at home or elsewhere and shall permit confiscation of any contraband observed in plain view of the probation officer; the defendant shall notify the probation officer within seventy-two hours of being arrested or questioned by a law enforcement officer; the defendant shall not enter into any agreement to act as an informer or a special agent of a law enforcement agency without the permission of the court; and as directed by the probation officer, the defendant shall notify third parties of risks that may be occasioned by the defendant's criminal record or personal history or characteristics and shall permit the probation officer to make such notifications and to confirm the defendant's compliance with such notification requirement.

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AO 245D

(Rev. 1207) Judgment in a Criminal Case for Revocations Sheet 3A -- Supervised Release Judgment--Page of

DEFENDANT: CASE NUMBER:

2

ADDITIONAL SUPERVISED RELEASE TERMS

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 3B -- Supervised Release Judgment--Page of

DEFENDANT: CASE NUMBER:

2

ADDITIONAL STANDARD CONDITIONS OF SUPERVISION

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 3C -- Supervised Release Judgment--Page of

2

DEFENDANT: CASE NUMBER: SPECIAL CONDITIONS OF SUPERVISION

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 4-- Probation Judgment--Page of

DEFENDANT: CASE NUMBER: PROBATION
The defendant is hereby sentenced to probation for a term of :

2

The defendant shall not commit another federal, state, or local crime. The defendant shall not unlawfully possess a controlled substance. The defendant shall refrain from any unlawful use of a controlled substance. The defendant shall submit to one drug test within 15 days of placement on probation and at least two periodic drug tests thereafter as determined by the court.

G G G G G

The above drug testing condition is suspended, based on the court's determination that the defendant poses a low risk of future substance abuse. (Check, if applicable.) The defendant shall not possess a firearm, ammunition, destructive device, or any other dangerous weapon. (Check, if applicable.) The defendant shall cooperate in the collection of DNA as directed by the probation officer. (Check, if applicable.) The defendant shall register with the state sex offender registration agency in the state where the defendant resides, works, or is a student, as directed by the probation officer. (Check, if applicable.) The defendant shall participate in an approved program for domestic violence. (Check, if applicable.)

If this judgment imposes a fine or restitution, it is be a condition of probation that the defendant pay in accordance with the Schedule of Payments sheet of this judgment. The defendant shall comply with the standard conditions that have been adopted by this court as well as with any additional conditions on the attached page.

STANDARD CONDITIONS OF SUPERVISION
1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) the defendant shall not leave the judicial district without the permission of the court or probation officer; the defendant shall report to the probation officer and shall submit a truthful and complete written report within the first five days of each month; the defendant shall answer truthfully all inquiries by the probation officer and follow the instructions of the probation officer; the defendant shall support his or her dependents and meet other family responsibilities; the defendant shall work regularly at a lawful occupation, unless excused by the probation officer for schooling, training, or other acceptable reasons; the defendant shall notify the probation officer at least ten days prior to any change in residence or employment; the defendant shall refrain from excessive use of alcohol and shall not purchase, possess, use, distribute, or administer any controlled substance or any paraphernalia related to any controlled substances, except as prescribed by a physician; the defendant shall not frequent places where controlled substances are illegally sold, used, distributed, or administered; the defendant shall not associate with any persons engaged in criminal activity and shall not associate with any person convicted of a felony, unless granted permission to do so by the probation officer; the defendant shall permit a probation officer to visit him or her at any time at home or elsewhere and shall permit confiscation of any contraband observed in plain view of the probation officer; the defendant shall notify the probation officer within seventy-two hours of being arrested or questioned by a law enforcement officer; the defendant shall not enter into any agreement to act as an informer or a special agent of a law enforcement agency without the permission of the court; and as directed by the probation officer, the defendant shall notify third parties of risks that may be occasioned by the defendant's criminal record or personal history or characteristics and shall permit the probation officer to make such notifications and to confirm the defendant's compliance with such notification requirement.

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 4A -- Probation Judgment--Page of

DEFENDANT: CASE NUMBER: ADDITIONAL PROBATION TERMS

2

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 4B -- Probation Judgment--Page of

DEFENDANT: CASE NUMBER:

2

ADDITIONAL STANDARD CONDITIONS OF SUPERVISION

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 4C -- Probation Judgment--Page of

DEFENDANT: CASE NUMBER: SPECIAL CONDITIONS OF SUPERVISION

2

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 5 -- Criminal Monetary Penalties Judgment -- Page of

DEFENDANT: CASE NUMBER: CRIMINAL MONETARY PENALTIES

2

The defendant must pay the following total criminal monetary penalties under the schedule of payments set forth on Sheet 6. Assessment TOTALS $ $ Fine $ Restitution

G The determination of restitution is deferred until
entered after such determination.

. An Amended Judgment in a Criminal Case (AO 245C) will be

G The defendant shall make restitution (including community restitution) to the following payees in the amount listed below.
If the defendant makes a partial payment, each payee shall receive an approximately proportioned payment, unless specified otherwise in the priority order or percentage payment column below. However, pursuant to 18 U.S.C. § 3664(i), all nonfederal victims must be paid before the United States is paid. Name of Payee Total Loss* Restitution Ordered Priority or Percentage

TOTALS

$

0.00

$

0.00

G G

Restitution amount ordered pursuant to plea agreement $ The defendant must pay interest on restitution or a fine more than $2,500, unless the restitution or fine is paid in full before the fifteenth day after the date of the judgment, pursuant to 18 U.S.C. § 3612(f). All of the payment options on Sheet 6 may be subject to penalties for delinquency and default, pursuant to 18 U.S.C. § 3612(g). The court determined that the defendant does not have the ability to pay interest and it is ordered that:

G

G the interest requirement is waived for the G the interest requirement for the G fine

G fine

G restitution.

G restitution is modified as follows:

* Findings for the total amount of losses are required under Chapters 109A, 110, 110A, and 113A of Title 18 for offenses committed on or after September 13, 1994, but before April 23, 1996.
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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 5A -- Criminal Monetary Penalties Judgment--Page of

DEFENDANT: CASE NUMBER:

2

ADDITIONAL TERMS FOR CRIMINAL MONETARY PENALTIES

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 5B -- Criminal Monetary Penalties Judgment--Page of

DEFENDANT: CASE NUMBER:

2

ADDITIONAL TERMS FOR CRIMINAL MONETARY PENALTIES
Priority or Percentage

Name of Payee

Total Loss*

Restitution Ordered

* Findings for the total amount of losses are required by Chapters 109A, 110, 110A, and 113A of Title 18 for offenses committed on or after September 13, 1994, but before April 23, 1996.

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 6 -- Schedule of Payments Judgment -- Page of

2

DEFENDANT: CASE NUMBER: SCHEDULE OF PAYMENTS

Having assessed the defendant's ability to pay, payment of the total criminal monetary penalties shall be due as follows: A

G Lump sum payment of $ G not later than G in accordance with G C, G D,

due immediately, balance due , or

G E, or

G F below); or G C, G D, or G F below); or

B C D

G Payment to begin immediately (may be combined with G Payment in equal G Payment in equal

(e.g., weekly, monthly, quarterly) installments of $ over a period of (e.g., months or years), to commence (e.g., 30 or 60 days) after the date of this judgment; or

(e.g., weekly, monthly, quarterly) installments of $ over a period of (e.g., months or years), to commence (e.g., 30 or 60 days) after release from imprisonment to a term of supervision; or (e.g., 30 or 60 days) after release from imprisonment. The court will set the payment plan based on an assessment of the defendant's ability to pay.

E F

G Payment during the term of supervised release will commence within

G Special instructions regarding the payment of criminal monetary penalties:

Unless the court has expressly ordered otherwise in the special instruction above, if this judgment imposes imprisonment, payment of criminal monetary penalties is due during the period of imprisonment. All criminal monetary penalties, except those payments made through the Federal Bureau of Prisons' Inmate Financial Responsibility Program, are made to the clerk of the court. The defendant shall receive credit for all payments previously made toward any criminal monetary penalties imposed.

G Joint and Several
Defendant and Co-Defendant Names and Case Numbers (including defendant number), Joint and Several Amount and corresponding payee, if appropriate.

G The defendant shall pay the cost of prosecution. G The defendant shall pay the following court cost(s): G The defendant shall forfeit the defendant's interest in the following property to the United States:

Payments shall be applied in the following order: (1) assessment, (2) restitution principal, (3) restitution interest, (4) fine principal, (5) fine interest, (6) community restitution, (7) penalties, and (8) costs, including cost of prosecution and court costs.
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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 6A -- Schedule of Payments Judgment--Page of

DEFENDANT: CASE NUMBER:

2

ADDITIONAL DEFENDANTS HELD JOINT AND SEVERAL
Case Number Defendant and Co-Defendant Names (including defendant numbers) Joint and Several Amount Corresponding Payee, if appropriate

Total Amount

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AO 245D

(Rev. 12/07) Judgment in a Criminal Case for Revocations Sheet 6B -- Schedule of Payments Judgment--Page of

DEFENDANT: CASE NUMBER: ADDITIONAL FORFEITED PROPERTY

2

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AO 245D (Rev. 12/07) Judgment in a Criminal Case Personal Identification Attachment

DEFENDANT: CASE NUMBER: DISTRICT: Judgment in a Criminal Case Personal Identification Attachment (Not for Public Disclosure)
The following unredacted personal identifiers are included with the judgment transmitted to the Attorney General per 18 U.S.C. § 3612(b). A copy of this attachment shall also be provided to the attorney for the defendant, the Probation and Pretrial Services Office, and the U.S. Sentencing Commission. Pursuant to Rule 49.1 of the Federal Rules of Criminal Procedure, however, the personal data in this attachment are not for public disclosure and must not be filed with the Clerk of the Court unless redacted or under seal, as provided in the rule.

Defendant's Soc. Sec. No.: Defendant's Date of Birth: Defendant's Residential Address:

Defendant's Mailing Address: (if different)

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