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AO 455 (Rev. 01/09) Waiver of an Indictment
UNITED STATES DISTRICT COURT
for the
__________ District of __________
United States of America )
)
)
)
)
v. Case No.
Defendant
WAIVER OF AN INDICTMENT
I understand that I have been accused of one or more offenses punishable by imprisonment for more than one
year. I was advised in open court of my rights and the nature of the proposed charges against me.
After receiving this advice, I waive my right to prosecution by indictment and consent to prosecution by
information.
Date:
Defendant’s signature
Signature of defendant’s attorney
Printed name of defendant’s attorney
Judge’s signature
Judge’s printed name and title
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Waiver of Indictment

  • 1. AO 455 (Rev. 01/09) Waiver of an Indictment UNITED STATES DISTRICT COURT for the __________ District of __________ United States of America ) ) ) ) ) v. Case No. Defendant WAIVER OF AN INDICTMENT I understand that I have been accused of one or more offenses punishable by imprisonment for more than one year. I was advised in open court of my rights and the nature of the proposed charges against me. After receiving this advice, I waive my right to prosecution by indictment and consent to prosecution by information. Date: Defendant’s signature Signature of defendant’s attorney Printed name of defendant’s attorney Judge’s signature Judge’s printed name and title Print Save As... Reset