en-USIN THE COURTen-USCOUNTY OF en-USI, , being advised of my rights under the en-USStatutes of the Commonwealth of Kentucky pertaining to the issuance and service of a Warrant of Extradition, and being en-USfurther advised of my Constitutional Rights to obtain a Writ of Habeas Corpus, AND being charged with having committed en-USthe crime(s) of: en-USen-USen-USen-US;en-USI do hereby, without reservation, and in view of my legal rights in extradition proceedings as explained to me, en-USWAIVE en-USANY AND ALL SUCH LEGAL RIGHTS AND DO FURTHER, BY MY SIGNATURE HERETO AFFIXED, CONSENT TO en-USBE RETURNED TO THE STATE OF , THERE TO STAND TRIAL ON THE CHARGE(S) en-USALLEGED.en-USIn further witness of my VOLUNTARY AND UNCONDITIONAL CONSENT, I state that my SIGNATURE BELOW was en-USSIGNED in the presence of this HONORABLE COURT without any THREATS, PROMISES, DURESS, or AGREEMENTS en-USwhatsoever, and with full KNOWLEDGE of my RIGHTS. , 2 þ en-US Date þ Defendant's Signature en-USAOC-475 Doc. Code:WEXen-USRev. 5-18en-USPage 1 of 1en-USCommonwealth of Kentuckyen-USCourt of Justice en-US www.courts.ky.goven-USKRS 440.400en-USWAIVER OF EXTRADITION lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE Case No. Court þ County þ Division þ en-USThe Defendant signed on , 2, and signed in the presence of: þ , Judge þ Court þ County, Kentucky en-USDistribution:en-USOriginal to: Secretary of Stateen-USCopy to: en-USen-US Demanding Agenten-USen-US Courten-USen-US Defendant American LegalNet, Inc. www.FormsWorkFlow.com