Disclosure Statement (Criminal Action) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Disclosure Statement (Criminal Action) Form. This is a West Virginia form and can be use in District Court Federal.
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Tags: Disclosure Statement (Criminal Action), West Virginia Federal, District Court
IN THE UNITED STATES DISTRI CT COURT FOR THE NORTHERN DISTRICT O F WEST VIRGINIA UNITED STAT ES OF AMERI CA, ) ) Plaintiff, ) ) v. ) ) _________________________________ ) Criminal Action No. _________________________________________________ ) _________________________________ ) _________________________________ ) _________________________________,) ) Defendant(s). ) ____________________________________) DISCLOSURE STATEMENT P URSUANT TO Fed. R. Cr. P. 12.4(a)(1) (Criminal Action) Pursuant to Rule 12.4(a)(1) of the Federal Rules of Criminal Procedure, the defendant, whois ________________________________________, makes the following disclosure: (name of party) 1. Is the party a non-governmental corporate party? 9 YES 9 NO2. If the answer to Number 1 is yes, list below any parent corporation or state that there is no such corporation: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________3. If the answer to Number 1 is yes, list below any publically-held corporation that owns 10% or more of the partys stock or state that there is no such corporation: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ The undersigned party understands that under Rule 12.4(a)(1) of the Federal Rules of>>>> 2Criminal Procedure, it will promptly file a supplemental statement upon any change in the informationthat this statement requires. ________________________________ Signature of Counsel for PartyDate: ___________________