COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : JUDICIAL SUBPOENA Plaintiff(s) IN THE UNITED STATES DISTRICT COURT -against: FOR THE NORTHERN DISTRICT OF IOWA _____________________ DIVISION : : UNITED STATES OF AMERICA, Defendant(s) : No. . . . . . . . . . . . . . . . .Plaintiff, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CR __________________ ......... vs. _________________________________, THE PEOPLE OF THE STATE OF NEW YORK CONSENT TO PROCEED BEFORE UNITED STATES MAGISTRATE JUDGE FOR JURY SELECTION Defendant. TO ____________________ GREETINGS: The United States Magistrate Judge has explained to me the nature of the offense(s) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before with which , the Honorable I am charged and the fact that thethe at offense(s) is a felony. The Magistrate Judge Court located at County of has further informed me of my right to have a United States District Judge preside over in room , on the day of , 20 , at o'clock in the noon, and at any recessed orthe jury selection process give evidence on afelony charges. adjourned date, to testify and of my trial as witness in this action on the part of the I HEREBY: Waive (give up) my right to having my jury selection process presided Your failure comply with this subpoena is punishable as to having the Magistrate Judge over by a UnitedtoStates District Judge, and I consent a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. preside over the jury selection portion of my trial on felony charges. I understand that all proceedings thereafter related to the trial, including opening statements, the government’s Witness, Honorable , one of the Justices of the Court in day of , 20 case-in-chief, the County, case-in-chief, rebuttal and closing statements, will be presided defense over by a United States District Court Judge. (Attorney must sign above and type name below) X_________________________________ Defendant Approved by Defense Counsel: X__________________________ Defense Counsel Consented to by United States: X_________________________________ Assistant U.S. Attorney Approved by: Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: __________________________E-Mail Address: Date:_______________ Mobile Tel. No.: United States Magistrate Judge American LegalNet, Inc. www.USCourtForms.com