Opinion
1:12-cr-00058-PB
05-10-2012
_______________
(Petitioner's name)
REQUEST FOR APPOINTMENT OF COUNSEL
I, _______________(name) respectfully request appointment of counsel to represent me as a
[] grand jury target [] criminal defendant
[] grand jury witness [] trial witness
[] other: _______________
I am financially unable to hire counsel. A completed Financial Affidavit is attached.
I declare under penalty of perjury that the toregoing is true and correct.
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Signature of Petitioner
NOTE FOR GRAND JURY OR WITNESS REPRESENTATION REQUESTS: In order for a request for counsel to be considered by the court, the petitioner must attach either a 1) grand jury target letter, or 2) witness subpoena.
RULING BY JUDICIAL OFFICER
[v] Request Approved. Appoint counsel.
[] Request Denied.
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U.S. Magistrate Judge