ACKNOWLEDGMENT OF NOTICE OF RIGHTS - Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON UNITED STATES OF AMERICA, Plaintiff, vs. Defendant222s Printed Name. No. ACKNOWLEDGMENT OF NOTICE OF RIGHTS 226 PETITION 226 PRETRIAL RELEASE The undersigned defendant does hereby acknowledge: I appeared on this date and was advised as follows: 1. Of the charge or charges placed against me, and I acknowledge receipt of a copy of Petition for Action on Conditions of Pretrial Release; 2. That I have been advised of the maximum penalty provided by law; 3. My right to remain silent at all times and if I make a statement it can be used against me; 4. My right to retain my own counsel; and if I am without funds, to have counsel appointed to represent me in this matter; 5. My right to a bail hearing, if I am in custody; 6. My right, if I am not a United States citizen, to request a Government attorney or law enforcement official notify my country222s consulate of my American LegalNet, Inc. www.FormsWorkFlow.com ACKNOWLEDGMENT OF NOTICE OF RIGHTS - Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 arrest or detention. Date: Interpreter Signature Interpreter Printed Name Defendant Signature Defendant Printed Name American LegalNet, Inc. www.FormsWorkFlow.com