UNITED STATES DISTRICT COURT EASTERN DISTRICT OF VIRGINIA ___________________ DIVISION UNITED STATES OF AMERICA v. CONSENT TO PROCEED BEFORE UNITED STATES MAGISTRATE JUDGE IN A MISDEMEANOR CASE ____________________________ CASE NUMBER: The United States magistrate judge has informed me of the nature of the offense(s) with which I am charged and the maximum possible penalties which might be imposed if I am found guilty. The magistrate judge has informed me of my right to the assistance of legal counsel. The magistrate judge has informed me of my right to trial, judgment, and sentencing before a United States district judge. I hereby waive (give up) my right to trial, judgment, and sentencing before a United States district judge, and consent to trial, judgment and sentencing before a United States magistrate judge. _____________________ X________________________________ Date Defendant WAIVER OF RIGHT TO TRIAL BY JURY The magistrate judge has informed me of my right to trial by jury. I hereby waive (give up) my right to trial by jury. X________________________________ Defendant Consented to by the United States:________________________________ Signature of Ass’ U.S. Attorney t. Approved By: ________________________________ U.S. Magistrate Judge WAIVER OF RIGHT TO COUNSEL The magistrate judge has informed me of my right to the assignment of counsel if I am unable to obtain counsel. I hereby waive (give up) my right to counsel and choose to proceed without a lawyer. X________________________________ Defendant WAIVER OF RIGHT TO HAVE THIRTY DAYS TO PREPARE FOR TRIAL The magistrate judge has informed me of my right to have at least thirty days to prepare for trial before the magistrate judge. I hereby waive (give up) my right to have at least thirty days to prepare for trial. X________________________________ Defendant 2002 © American LegalNet, Inc.