Free Counsel.PDF - Massachusetts

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

UNITED STATES OF AMERICA V. CRIMINAL NO.

WAIVER OF COUNSEL BY DEFENDANT

I, the above named defendant, hereby acknowledge that the Court has informed and advised me of my rights under the Constitution of the United States to have the assistance of counsel for my defense. I hereby waive this constitutional right and elect to proceed without the assistance of counsel.

Defendant

Witness Date:

(Waiver of Counsel.wpd - 09/92)

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