| FO-395     |
|------------|
| Revised    |
| 11-05-2002 |

### FEDERAL BUREAU OF INVESTIGATION ADVICE OF RIGHTS

| Place:   |                                        | LOCATION                               |                                           |         |
|----------|----------------------------------------|----------------------------------------|-------------------------------------------|---------|
| --r      | lx<br>bon                              | mrpott<br>                             | Date:<br>/                                | Time:   |
|          |                                        | YOUR RIGHTS                            |                                           | 1O FAA. |
|          | Before we ask you any questions,       | you must understand your rights.       |                                           |         |
|          | You have the right to remain           | silent                                 |                                           |         |
|          | 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 questioning   |                                           |         |
|          | 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 present, you have | the right to stop answering at any        | time.   |
|          |                                        | CONSENT                                |                                           | •       |
|          |                                        |                                        |                                           |         |
|          | I have read this statement of my       |                                        |                                           |         |
|          | questions without a lawyer present.    | rights and I understand what my rights | are. At this time, I am willing to answer |         |
|          |                                        |                                        |                                           |         |
|          |                                        | Signed:                                |                                           |         |
|          |                                        | WITNESS                                |                                           |         |
| Witness: |                                        |                                        |                                           |         |
| Witness: |                                        |                                        |                                           |         |