1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ________________________________ (Sign and Print Name) ACKNOWLEDGMENT OF NOTICE OF RIGHTS ___________________________ Date __________________________________ Defendant Defendant. v. , UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON UNITED STATES OF AMERICA, Plaintiff, ) ) ) ) ) ) ) ) ) )
CRACKNOWLEDGMENT OF NOTICE OF RIGHTS (CLASS A MISDEMEANOR INFORMATION) I appeared
The undersigned Defendant does hereby acknowledge: on this date and was advised as follows:
1) Of the charge or charges placed against me, and I acknowledge receipt of a copy of the Class A Misdemeanor Information, which specifically sets forth the allegations; 2) Of the maximum penalty provided by law;
3) My right to remain silent at all times and if I make a statement the fact it can be used against me; 4) My right to retain my own counsel, and if I am without funds, to have counsel appointed to represent me in this matter; 5) My right to a jury trial before a United States District Judge, to be confronted by the United States' witnesses, and to have witnesses attend on my behalf. 6) My right, if I am not a United States citizen, to have my country's consulate informed of my arrest and detention.
Interpreted by (if applicable):