Defendant CONSENT TO PROCEED BEFORE A MAGISTRATE JUDGE IN A MISDEMEANOR CASE Defendant's signature Waiver of a Right to Trial by Jury Defendant's signature Government representative's signature Government representative's printed name and title Waiver of a Right to Have 30 Days to Prepare for Trial Defendant's signature Printed name of defendant's attorney (if any) Signature of defendant's attorney (if any) Magistrate Judge's signature American LegalNet, Inc. www.FormsWorkflow.com