Judgment In A Criminal Case (For A Petty Offense)-Short Form
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Judgment In A Criminal Case (For A Petty Offense)-Short Form. This is a Official Federal Forms form and can be use in Administrative Office - Criminal Federal District.
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Tags: Judgment In A Criminal Case (For A Petty Offense)-Short Form, AO 245H, Official Federal Forms Federal District, Administrative Office - Criminal
OAO 245H
(Rev. 12/03) Judgment in a Criminal Case for a Petty Offense (Short Form)
Sheet 1
UNITED STATES DISTRICT COURT
District of
UNITED STATES OF AMERICA
V.
JUDGMENT IN A CRIMINAL CASE
(For a Petty Offense) — Short Form
CASE NUMBER:
USM NUMBER:
Defendant’s Attorney
THE DEFENDANT:
G THE DEFENDANT pleaded guilty to count(s)
The defendant is adjudicated guilty of these offenses:
Title & Section
Nature of Offense
G Count(s)
Offense Ended
Count
G is G are dismissed on the motion of the United States.
CRIMINAL MONETARY PENALTIES
All criminal monetary penalty payments are to be made as directed by the court.
Fine
Assessment
Total:
$
$
Defendant’s Soc. Sec. No.:
Date of Imposition of Judgment
Defendant’s Date of Birth:
Defendant’s Residence Address:
Signature of Judge
Name of Judge
Defendant’s Mailing Address:
Title of Judge
Date
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