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 - FED.R.CRIM.P. 5 (Petition) 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 the: Petition for Warrant or Summons for Offender Under Supervision Petition for Action on Conditions of Pretrial Release which specifically sets forth the allegations; 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 district and the requesting district; 5. My right to a probable cause hearing, if applicable, before this magistrate judge, or a waiver of this hearing in writing; 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 6. My right to a hearing before a United States District Judge in the district where the supervised release was granted, to be confronted by the government222s witnesses, and present witnesses on my behalf; 7. My right to an identity hearing to ascertain whether I am the person named in the Petition, or waiver of this hearing in writing; 8. My right to a detention hearing within three business days, if the United States moves for detention, and to be represented by counsel at that hearing; 9. 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 arrest or detention. Date: Interpreter Signature Interpreter Printed Name Defendant Signature Defendant Printed Name American LegalNet, Inc. www.FormsWorkFlow.com