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 (Information) 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 Information, 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 jury trial before a federal district court judge, to be confronted by the United States222 witnesses, and have witnesses attend on my behalf; 6. My right to state in writing a wish to plead guilty or nolo contendre, to waive trial in the district in which the Information is pending, and to consent to disposition of this case in this district, subject to the approval of an Assistant United States Attorney for the charging district and this district; 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 7. My right to a hearing on the warrant for removal to ascertain I am the person named in the Information or, if I wish, to waive this hearing in writing; 8. Should the punishment on the charge in the Information exceed one year, my right to be indicted by a grand jury. I have been advised I may waive this right to Indictment in open court after being advised of the nature of the charge; 9. 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; 10. 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