Free Waiver of Extradition - Kentucky

AOC-475 Rev. 3-04 Page 1 of 1

Doc. Code: WEX
01/9/2007 11:41 am

Case No.
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Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 440.400 WAIVER OF EXTRADITION

Ver. 1.01

Court County

IN THE __________________________________ COURT COUNTY OF ____________________________________ I, _____________________________________________________________________________________________, being advised of my rights under the Statutes of the Commonwealth of Kentucky pertaining to the issuance and service of a Warrant of Extradition, and being further advised of my Constitutional Rights to obtain a Writ of Habeas Corpus, AND being charged with having committed the crime(s) of: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________; I do hereby, without reservation, and in view of my legal rights in extradition proceedings as explained to me, WAIVE ANY AND ALL SUCH LEGAL RIGHTS AND DO FURTHER, BY MY SIGNATURE HERETO AFFIXED, CONSENT TO BE RETURNED TO THE STATE OF _________________________, THERE TO STAND TRIAL ON THE CHARGE(S) ALLEGED. In further witness of my VOLUNTARY AND UNCONDITIONAL CONSENT, I state that my SIGNATURE BELOW was SIGNED in the presence of this HONORABLE COURT without any THREATS, PROMISES, DURESS, or AGREEMENTS whatsoever, and with full KNOWLEDGE of my RIGHTS.

DATE:___________________, 2_______

____________________________________________ Defendants Signature

The Defendant signed on ___________________, 2_____, and signed in the presence of:

______________________________________________, Judge ______________________________________________ Court

Distribution:

Original to Secretary of State Copy to: Demanding Agent Court Defendant

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