PS 40A (Rev. 01/10) Notice Regarding Foreign Passport for Criminal Defendant UNITED STATES DISTRICT COURT For the Eastern District of Wisconsin NOTICE REGARDING FOREIGN PASSPORT FOR CRIMINAL DEFENDANT T O: Immigration and Customs Enforcement - DRO Chicago Field Office 101 W Congress Pkwy ­ Ste. 4000 Chicago, IL 60605 FRO M : United States District Court Eastern District of Wisconsin Office of the Clerk 517 E Wisconsin Ave, Rm. 362 Milwaukee, WI 53202 Date: By: Defendant: Date of Birth: SSN: Notice of Court Order (Order Date: Case Number: Place of Birth: Alien ("A") Number: ) (Issuing . The above-named defendant surrendered Passport Number Country ) to the custody of the U.S. District Court on NOTICE OF DISPOSITION The above case has been disposed of, and the above order of the court is no longer in effect. Defendant not convicted ­ Document enclosed for further investigation due to evidence that the document may have been issued in a false name. Defendant convicted ­ Document and copy of judgment enclosed. Distribution: U.S. Probation Immigration and Customs Enforcement Defendant (or representative) Clerk of Court - Financial American LegalNet, Inc. www.FormsWorkFlow.com