Free criminalcoversheet.PDF - New Mexico

Clear Form

PER 18 U.S.C. 3170
DEFENDANT INFORMATION RELATIVE TO A CRIMINAL ACTION - IN U.S. DISTRICT COURT

BY:

INFORMATION
Juvenile

INDICTMENT
Other than Juvenile Defendant Added Charges/Counts Added

CASE NO.

Matter Sealed:

USA vs.
Defendant: Address:

Pre-Indictment Plea

Superseding Indictment Information

Name of District Court, and/or Judge/Magistrate Location (City) UNITED STATES DISTRICT COURT DISTRICT OF NEW MEXICO Name and Office of Person Furnishing Information on THIS FORM Name of Asst. U.S. Attorney (if assigned)

Divisional Office

U.S. Atty Phone No.

Other U.S. Agency

Interpreter Required Birth Date

Dialect: Male Female Alien (if applicable)

PROCEEDING
Name of Complainant Agency, or Person (& Title, if any)

Social Security Number
person is awaiting trial in another Federal or State Court (give name of court)

DEFENDANT

this person/proceeding transferred from another district per (circle one) FRCrP 20, 21 or 40. Show District

Issue:

Warrant

Summons

Location Status:
Arrest Date this is a reprosecution of charges previously dismissed which were dismissed on motion of: U.S. Atty Defense SHOW DOCKET NO. or Date Transferred to Federal Custody

Currently in Federal Custody Currently in State Custody Writ Required Currently on bond Fugitive Defense Counsel (if any): FPD CJA RET'D

this prosecution relates to a pending case involving this same defendant. (Notice of Related Case must still be filed with the Clerk.) prior proceedings or appearance(s) before U.S. Magistrate Judge regarding this defendant were recorded under Place of offense

MAG. JUDGE CASE NO.

Appointed on Target Letter
County

This report amends AO 257 previously submitted
OFFENSE CHARGED - U.S.C. CITATION - STATUTORY MAXIMUM PENALTIES - ADDITIONAL INFORMATION OR COMMENTS

Total # of Counts Set Title & Section/Offense Level
(Petty = 1 / Misdemeanor = 3 / Felony = 4)

Description of Offense Charged

Count(s)