Clear Form
PER 18 U.S.C. 3170
DEFENDANT INFORMATION RELATIVE TO A CRIMINAL ACTION - IN U.S. DISTRICT COURT
BY:
INFORMATION
Juvenile
INDICTMENT
Other than Juvenile Defendant Added Charges/Counts Added
CASE NO.
Matter Sealed:
USA vs.
Defendant: Address:
Pre-Indictment Plea
Superseding Indictment Information
Name of District Court, and/or Judge/Magistrate Location (City) UNITED STATES DISTRICT COURT DISTRICT OF NEW MEXICO Name and Office of Person Furnishing Information on THIS FORM Name of Asst. U.S. Attorney (if assigned)
Divisional Office
U.S. Atty Phone No.
Other U.S. Agency
Interpreter Required Birth Date
Dialect: Male Female Alien (if applicable)
PROCEEDING
Name of Complainant Agency, or Person (& Title, if any)
Social Security Number
person is awaiting trial in another Federal or State Court (give name of court)
DEFENDANT
this person/proceeding transferred from another district per (circle one) FRCrP 20, 21 or 40. Show District
Issue:
Warrant
Summons
Location Status:
Arrest Date this is a reprosecution of charges previously dismissed which were dismissed on motion of: U.S. Atty Defense SHOW DOCKET NO. or Date Transferred to Federal Custody
Currently in Federal Custody Currently in State Custody Writ Required Currently on bond Fugitive Defense Counsel (if any): FPD CJA RET'D
this prosecution relates to a pending case involving this same defendant. (Notice of Related Case must still be filed with the Clerk.) prior proceedings or appearance(s) before U.S. Magistrate Judge regarding this defendant were recorded under Place of offense
MAG. JUDGE CASE NO.
Appointed on Target Letter
County
This report amends AO 257 previously submitted
OFFENSE CHARGED - U.S.C. CITATION - STATUTORY MAXIMUM PENALTIES - ADDITIONAL INFORMATION OR COMMENTS
Total # of Counts Set Title & Section/Offense Level
(Petty = 1 / Misdemeanor = 3 / Felony = 4)
Description of Offense Charged
Count(s)