Free Acknowledgment of Notice of Rights - Petition Re Violation - Washington

1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 EASTERN DISTRICT OF WASHINGTON 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ACKNOWLEDGMENT OF NOTICE OF RIGHTS - 1 Defendant. v. , UNITED STATES OF AMERICA, Plaintiff, ) ) ) ) ) ) ) ) ) ) No. ACKNOWLEDGMENT OF NOTICE OF RIGHTS (PETITION)

The undersigned Defendant does acknowledge: I appeared on this date and was advised as follows: 1) Of the charge or charges acknowledge receipt of a copy of the: placed against me, and I

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2)

Petition for Warrant or Summons for Offender Under Supervision Petition for Action on Conditions of Pretrial Release,

which specifically sets forth the allegations; 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) If Petition for Warrant for Offender Under Supervision: If in custody, my right to preliminary hearing and detention hearing before a magistrate judge, or to waive these hearings in open court; My right to a plenary hearing before the Judicial officer who authorized the supervised release, to be confronted by the witnesses, and have witnesses attend on my behalf;

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6) If Petition for Action on Conditions of Pretrial Release: My right to a detention hearing before a magistrate judge, or to waive a hearing in open court; 7) My right, if I am not a United States citizen, to have my country's consulate informed of my arrest and detention.

___________________________ Date

__________________________________ Defendant

Interpreted by (if applicable): 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ACKNOWLEDGMENT OF NOTICE OF RIGHTS - 2 ________________________________ (Sign and Print Name)