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 (Complaint or Indictment) 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: Complaint Indictment 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; 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 5. My right to a preliminary examination hearing, if charged by Complaint, before a United States Magistrate Judge and to have counsel present at that hearing, or waive this hearing in writing; 6. My right to a jury trial before a United States District Judge, to be confronted by the United States222 witnesses, and have witnesses attend on my behalf; 7. My right to state in writing a wish to plead guilty or nolo contendre, to waive trial in the district in which the Indictment is pending, and to consent to disposition of this case in this district, subject to the approval of the United States Attorney for the charging district and this district; 8. My right to an identity hearing to ascertain if I am the person named in the charging document or to waive this hearing in writing; 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