Fill and Sign the I in Open Court Do Hereby Freely and Voluntarily State Form

9-803. [Section 31-4-22 NMSA 1978] STATE OF NEW MEXICO COUNTY OF ___________________________________________ COURT STATE OF NEW MEXICO, v. No. _____________ _______________________________, Defendant WAIVER OF EXTRADITION I, ________________________, in open court do hereby freely and voluntarily state that I am the identical _________________, against whom a criminal proceeding charging me with ______________ has been initiated in the county of _____________, State of ___________, and I further hereby freel y, voluntarily without threats or promises of reward agree to return to that county and state, without legal process. I further acknowledge that I will be held without bond while awaiting the agent of the State of ___________________ to take me into custody. I further acknowledge that I have been informed of my rights to legal counsel, to require the issuance and service of a warrant of extradition as provided in Section 31-4-22 NMSA 1978 and my right to contest said warrant of extradition through a writ of habeascorpus as provided in Section 31-4-10 NMSA 1978. This waiver is not an admission of guilt. I agree to return to the State of ________________, with any peace officer who may be sent to take me to that state for trial. This statement and waiver (mad e in quadruplicate), done at __________________ County, New Mexico, this ____ day of __________________, _____, in the presence of a judge of the ________________ Court of that county. ___________________________ __________________________ Attorney for Defendant Defendant ______________________________ Assistant District Attorney I hereby certify that the foregoing was execu ted in my presence and that I informed the defendant of his rights to require the issu ance and service of a warrant of extradition as provided by the laws of New Mexico, and his ri ght to contest said warrant of extradition 2 through a writ of habeas corpus. I do hereby di rect the officer having such person in custody to deliver forthwith such person to the duly accredited agent of the demanding state, together with a copy of this waiver, and that the original hereof shall forthwith be forwarded to the office of the governor of the State of New Mexico for filing. ________________________________ Judge Original - Governor2nd & 3rd - Agent4th - File [Approved, effective July 1, 1982.]