Fill and Sign the Name of Defendants Attorney Form

District Court Judge Assistant CSC Superior Court Judge Clerk Of Superior Court I understand that I have been arrested in this State under criminal process alleging that I committed the crime(s) shown above on the date and in the demanding state and county named above. I understand that I have been arrested in this State under criminal process alleging that I was convicted of the crime(s) shown above, which was committed on the date of offense and in the demanding state and county named above, and further alleging that I have escaped from confinement or broken the terms of my bail, probation or parole. a. b. STATE OF NORTH CAROLINA Original-File Copy-Sheriff Copy-Governor Copy-Defendant Signature Name Of Defendant I, the undersigned, in open court state that: File No. County STATE VERSUS WAIVER OF EXTRADITION FINDINGS AND ORDER In The General Court Of Justice District Superior Court Division G.S. 15A-746 Crime(s) In Demanding State Date Of Crime Name Of Demanding State And County Of Crime AOC-CR-912M, Rev. 7/2000 2000 Administrative Office of the Courts 1. I am a Judge or Clerk of Superior Court of the General Court of Justice of North Carolina, a court of record. The defendant named above appeared before me this day. I informed the defendant of the right to the issuance and service of a Governor's Warrant and to obtain a writ of habeas corpus as provided for in N. C. G.S. 15A-730. The defendant then freely, voluntarily and understandingly executed the above Waiver in my presence. WAIVER OF DEFENDANT A Judge or a Clerk of Superior Court has informed me that I am not required to sign this Waiver and that I have a right to be represented by an attorney before signing it and at all other stages of extradition. This judicial official also informed me that if I do not sign this Waiver, I cannot be extradited to the demanding state until a Governor's Warrant has been issued and served on me and if a Governor's Warrant is served on me, I will have a right to apply for a writ of habeas corpus. I freely and voluntarily waive the issuance and service of a Governor's Warrant and all other procedure incidental to extradition proceedings. I freely and voluntarily consent to return to the demanding state shown above upon the arrival of a duly accredited agent of that state. 2. 3. 4. Date Signature Of Defendant FINDINGS AND ORDER To any officer having the defendant named above in custody: You are DIRECTED to deliver the defendant together with a copy of this document, to the duly accredited agent(s) of the demanding state upon their presentation of evidence of their accreditation. Date Name (Type Or Print) Name Of Defendant's Attorney Name Of Prosecutor Waived