Case 1 :07-po-00001-IVIPT Document 4 Filed 01/16/2007 Page 1 of 1
UNITED STATES DISTRICT COURT
DISTRICT OF _
UNITED STATES OF AMERICA
V. CONSENT TO PROCEED BEFORE
.... ,-— UNITED STATES MAGISTRATE JUDGE
l" E.•‘?»rda·~i'Dx> p">*v¤ €fL0— l'-=·.r~\5€<;.¤{ . IN A MISDEMEANOR CASE
Case Number: ···
The United States magistratejudge has explained to me the nature ofthe offenSe(s) with which I am charged
and the maximum possible penalties which might be imposed ifl am found guilty. The magistrate judge has
informed me of my right to the assistance of legal counsel. The magistrate judge has informed me of my right to
trial, judgment, and sentencing before a United States districtjudge or a United States magistrate judge.
I HEREBY: Waive (give up) my right to trial, judgment, and sentencing before a United States district
judge, and I consent to trial, judgment and sentencing before a United States magistrate
judge. _____
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Defendant
WAIVER OF RIGHT TO TRIAL BY IURY
The magistrate judge has advised me of my right to trial by jury.
I HEREBY: waive (give up) my right to trial by jury. _
F----.- - · --- —— · Defendant
Q _ _ Consented to by United States _
E i ·, . ' Signature
i {
] ` " " j ` Name and Title
WAIVER OF RIGHT TO HAVE THIRTY DAYS TO PREPARE F OR TRIAL
The magistratejudge has also advised me of my right to have at least thirty days to prepare for trial before
the magistrate judge.
I HEREBY: Waive (give up) my right to have at least thirty days to prepare for trial.
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ff] /jy Defendant
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° Approved By:
Defen ant’s Attomey (ifany) U.S. Magistrate Judge
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Date