FD-395 I
Revised FEDERAL BUREAU OF INVESTIGATION
11-05-2002 ADVICE OF RIGHTS
LOCATION
Place:
-ropx bon Arilpoi2-t- -Dat
Date: /
I it
Time:
tell ° eM.
YOUR RIGHTS
Before we ask you any questions, you must understand your rights.
You have the right to remain silent. '4
Anything you say can be used against you In court.
You have the right to talk to a lawyer for advice before we
ask you any questions.
You have the right to have a lawyer with you during questio
ning.
If you cannot afford a lawyer, one will be appointed for you
before any questioning if you wish.
If you decide to answer questions now without a lawyer presen
t, you have the right to stop answering at any
time.
CONSENT
I have read this statement of my rights and I unders
tand what my rights are. At this time, I am willing to answer
questions without a lawyer present.
Signed:
WITNESS
Witness:
Witness:
Time:
11111111 tol l\prut
FD-395 (Revised 11.05-2002)
Page 1 of 1 FEDERAL BUREAU OF INVESTIGATION
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