UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA UNITED STATES OF AMERICA, PLAINTIFF, v. CASE NUMBER AFFIDAVIT OF THIRD-PARTY CUSTODIAN DEFENDANT/MATERIAL WITNESS, Having been ordered by the Court on I, to take third-party custody of agree to (a) supervise the defendant/material witness, (b) use every effort to assure the defendant's/material witness' appearance at all court proceedings, and (c) notify Pretrial Services immediately if the defendant/material witness violates a condition of release or is no longer in the custodian's custody. I understand that if I fail to discharge my obligations under this agreement I may be held in contempt of court. Signature of Third-Party Custodian (Person or Organization) Relationship to Defendant/Material Witness Address (only if the above is an organization) City and State only Date: Telephone Number CR-31 (03/15) AFFIDAVIT OF THIRD-PARTY CUSTODIAN