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BELGRADE POLICE DEPARTMENT PHONE: 388-4262 VOLUNTARY STATEMENT FAX: 388-4708 WORK NAME & PERSONS MIRANDA WARNING 1. YOU HAVE THE RIGHT TO REMAIN SILENT 2. ANYTHING YOU SAY CAN AND WILL BE USED AGAINST YOU IN A COURT OF LAW. 3. YOU HAVE THE RIGHT TO TALK TO A LAWYER AND HAVE HIM PRESENT WITH YOU WHILE YOU ARE BEING QUESTIONED. 4. IF YOU CANNOT AFFORD TO HIRE A LAWYER, ONE WILL BE APPOINTED TO REPRESENT YOU BEFORE ANY QUESTIONING IF YOU WISH. 5. YOU CAN DECIDE AT ANY TIME TO EXERCISE THESE RIGHTS AND NOT ANSWER ANY QUESTIONS OR MAKE ANY STATEMENTS. WAIVER OF RIGHTS I HAVE READ/HEARD THE STATEMENT OF MY RIGHTS AND I UNDERSTAND EACH OF THOSE RIGHTS, AND HAVING THESE RIGHTS IN MIND, I WAIVE THEM AND WILLINGLY GIVE THIS STATEMENT TO THE BELGRADE POLICE DEPARTMENT. WRITTEN STATEMENT I HAVE READ THIS STATEMENT, CONSISTING OF ____PAGE(S), EACH PAGE OF WHICH BEARS MY SIGNATURE. I DO AFFIRM THAT ALL FACTS AND STATEMENTS CONTAINED HEREIN ARE TRUE AND CORRECT. SIGNATURE OF PERSON MAKING STATEMENT DATE & TIME WITNESS