Waiver Of Extradition {MC 271}

Distribution: Original - Governor 3rd copy - Sheriff/DOC 1st copy - Court 4th copy - Defendant (Fugitive)Approved, SCAO 2nd copy - Prosecutor 5th copy - Agent of demanding state STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT WAIVER OF EXTRADITION JUDICIAL CIRCUIT Court address Court telephone no. Defendants (Fugitives) name, address, and telephone no. The State of Michigan THE PEOPLE OF v DLN DOB WAIVER I, , am the person wanted by Name County, on a pending arrest warrant charging the crime of: State I waive the issuance and service of a Michigan Governors Warrant and all other procedures incidental to extradition proceedingsincluding the right to an attorney unless I have already retained one. I voluntarily return to the demanding state in the custody ofthe agent of that state. Date Signature CERTIFICATION BY JUDGE The above named defendant personally appeared before me on this date and was advised of his/her legal rights as provided by law.The defendant freely and voluntarily executed this waiver of extradition in my presence. The sheriff of County, Michigan Michigan Department of Corrections shall hold the defendant in custody without bail and shall deliver the defendant to the agents of . State Date Judge This waiver must be sealed with the seal of the court. Send Governors copy to: Governors Office Attention: Extradition Officer Legal Division Olds Plaza 111 S. Capitol Lansing, Michigan 48933 MC 271 (10/99) WAIVER OF EXTRADITION MCL 780.25; MSA 27.1285(25)