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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 226 CLASS A MISDEMEANOR 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 Class A Misdemeanor Information; 2. 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 matter; 5. My right to a jury trial before a United States District Judge, to be confronted by the United States222 witnesses and to have witnesses attend on my behalf; 6. My right to a bail hearing, if I am in custody; 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, 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