Free Acknowledgment of Notice of Rights - Class B Misdemeanor Information - Washington

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) ___________________________ Date __________________________________ Defendant Defendant. v. , UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON UNITED STATES OF AMERICA, Plaintiff, ) ) ) ) ) ) ) ) ) )

No. POACKNOWLEDGMENT OF NOTICE OF RIGHTS (CLASS B MISDEMEANOR INFORMATION)

The undersigned Defendant does hereby acknowledge: on this date and was advised as follows:

I appeared

1) Of the charge or charges placed against me, and I acknowledge receipt of a copy of the Class B 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;

5) My right to a bench trial before a United States Magistrate 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):

ACKNOWLEDGMENT OF NOTICE OF RIGHTS