Free Motion to Appoint Counsel - District Court of Arizona - Arizona

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PERSON REPRESENTED (snow your mu DBMS) 1,] Dd_,mdm_ Mun Maggggg NUMBERS
A \E`/A ¥\\ \€‘C>\~Pv SVI- °?$°'°`-Ibccb 21] Dofendent—Juvenilra
3 [I Appellant District Court 2
4-lil Pmbauonwoiaior }02>CQDO382~ /
{ c1~tAnoe1oPt=enss (describe rr applicable it cheek rmx -> 96 F‘?'°‘"V 5 D PWS Vl°'°*°' C°°“ °I *°'°°°'°
( D M¤¤¤¤m¤¤¤¤r 22 :1¤1¤¤esPe1z11or.o
3 I I/(SC, Cgi-(IO 11:1 zzsspeiruow
{ / a D Materiel Witness
- 9 Cl Other (Specify)
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Are y0u now employed? Q’%1s [I No E} Am Self Employed _
Name and address of employer; ·{, g KY; gb QQBSH 3 3 Q I Q hl j gt I~ ,Q M ; _ Q y_ va;
IF YES, how much do you _ IF ND, give month and year of last employment SQOS
ENIFI-OY- earn per month? $ How much did you earn per month? $
WENT It married is your Spouse employed? ¢Q*t‘es El No
IF YES, how much does your lf a minor under age 21, what is your Parents or
Spouse earn per month? S og;&e;Guardian’s approximate monthly income'? s 1;,; wg ge e.»
Have you received Wl‘II1il‘l the pest I2 lTIOI'l'II'IS Etfly lI'ICOm€ from Aa business, profession or other form of self-ontploymerit, or in (hg
form of rent payments, interest, dlvldends, retirement or annurty payments, or other sources? Q Yee Q No
ER REC EIV ru ggugc ES
INCOME IF YES, GIVE THE AMOUNT
ASSETS rteoetveo & IDENTIFY ss . . _. · I .
, THE SOURCES 4 t_r/»
CASH Have you any cash on hand or money in savings or checklng accountlzl Yes El No IF YES, state total amount $ I
Do you own any reel estate, stocks, bonds tes, automobiles, or other valuable property (excluding ordinary household
furnishings and clothing)'? [I Yes No
VALUE Dsscmpnou
PHDP— `
Emry IFYES, GIVE THE VALUE AND$r i _
DESCFIIBE IT

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MARITAL STATUS List persons you sctuslty support wid ypur rglgfjorghip rg them
t__l SINGLE Dependents
DEPENDENTS MARRIED
I WIDOWED Q_ ,
i SEPARATED on
OBLIGATIONS oivoaceo _/~·
S DEBTS masts a. g%A§gm%ljl`l C*’€dlI¤•‘¤ rmi Deo Mmm, pta
MONTHLY ` $ S
BILLS ._..._E 1*..7-e
rusmdcasorrons, ———-—··-—--·-·--·--—. EB S
INCLUDING BANKS, T"`T"""`°""" `”j_;;
tom companies $ ‘¤T»£___ _
E ACCOUNTS. . 5- R
l certify under penalty of perjury that the foregoing is true and correct. Executed on (date) §· " Z · Og ,4
SIGNATURE OF DEFENDANT /2 - , ji),
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Case 2:03-cr-00882-SIVIIVI Document 249-2 Filed O3/18/2008 Page 1 of 1

Case 2:03-cr-00882-SMM

Document 249-2

Filed 03/18/2008

Page 1 of 1