STATE OF NEBRASKA FORM NO. CC 6:8 1/91 NEW
CASE NUMBER
WAIVER OF EXTRADITION
IN THE COUNTY COURT OF ________________________________________ COUNTY, NEBRASKA
Plaintiff vs. Defendant
I, of my own free will and accord voluntarily agree and consent to return to the State of as a prisoner to answer to the criminal charge of pending against me. I certify that Judge 1. 2. 3. 4. of County, Nebraska, fully advised me of:
WAIVER OF EXTRADITION
The demand for my surrender by the State of , The crime with which I am charged, My right to an attorney and the right to have an attorney appointed, My right to contest the legality of my arrest and to apply for a writ of habeus corpus. , who is the authorized
I waive all rights to contest extradition and consent to accompany representative of the State of Dated: Defendant
and hereby release that representative from any and all liability.
I certify that the foregoing waiver of extradition was signed in my presence by , who after being informed of his/her rights, stated that he/she is the individual named in the above charge and that this waiver is executed freely, voluntarily, without compulsion and with full knowledge of his/her rights as provided by law. IT IS SO ORDERED. DATE: BY THE COURT (Judge/Magistrate) (Seal)