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UNITED STATES DISTRICT COURT
FOR THE
_______ DISTRICT OF ________
IN THE MATTER OF
THE EXTRADITION OF Misc. No.
_________________
COMPLAINT FOR PROVISIONAL ARREST
WITH A VIEW TOWARDS EXTRADITION
(18 U.S.C. sec. 3184)
I, the undersigned Assistant United States Attorney, being duly
sworn,
state on information and belief that the following is true and correct:
- In this matter I act for and on behalf of the Government of
_________________;
- There is an Extradition Treaty in force between the United States and
______________________, ________[cite]___________;
- The treaty provides in Article ____ for the provisional arrest and
detention of fugitives pending the submission of a formal request and
supporting
documents;
- In accordance with Article __ of the treaty, the Government of ____
has
asked the United States for the provisional arrest of ____[name of
fugitive]____ with a view towards his/her extradition;
- According to the information provided by the requesting state in the
form
authorized by the treaty, ___[name of fugitive]____ was charged with ____
count(s) of ___[offense___], in violation of Section ___ of the Criminal
Code of
_______, committed within the jurisdiction of __________ and a warrant for
his
arrest was issued on __[date]__ by ________, a ___[judge/magistrate___] of
__________;
- The warrant was issued on the basis of the following facts:
- The offense with which ___[name of fugitive___] is charged is provided
for
in Article ___ of the Extradition Treaty cited above;
- __[Name of fugitive]___ may be found within the jurisdiction of this
court
___[give location]___,
- The requesting state has represented that it will submit a formal
request
for extradition, supported by the documents specified in the treaty, within
___days, as required by Article ___of the Extradition Treaty.
WHEREFORE, the undersigned complainant requests that a warrant for
the
arrest of the a forenamed person be issued in accordance with Title 18,
United
States Code, Section 3184, and the Extradition Treaty between the United
States
and ______.
_________________________________
ASSISTANT UNITED STATES ATTORNEY
Sworn to before me and subscribed in my presence this ___ day of
_________,
199_, at ___[city, state___].
___________________________________
UNITED STATES MAGISTRATE
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