IT IS ORDERED on this 7th day of May, 2012 that the release ofthe defendant is subject to the followingconditions:

(1) The defendant must not violate any federal, state or local law while on release.(2) The defendant must cooperate in the collection of a DNA sample ifthe collection is authorized by

42 U.S.C. § 14135a.

(3) The defendant must immediately advise the court, defense counsel, and the U.S. attorney in writing before

any change in address and/or telephone number.

(4) The defendant must appear in court as required and must surrender to serve any sentence imposed.

Release on Bond

Bail be fixed at $____________________ and the defendant shall be released upon:

( ) Executing an unsecured appearance bond ( ) with co-signor(s)

( ) Executing a secured appearance bond ( ) with co-signor(s)

and ( ) depositing in cash in the registry ofthe Court

ofthe bail fixed; and/or ( ) execute an

agreement to forfeit designated property located at

Local Criminal Rule 46. 1(d)(3) waived/not waived by the Court.

( ) Executing an appearance bond with approved sureties, or the deposit of cash in the full amount ofthe bail

in lieu thereof

Additional Conditions of Release

Upon finding that release by the above methods will not by themselves reasonably assure the appearance of the defendant

and the safety of other persons and the community, it is further ordered that the release of the defendant is subject to thecondition(s) listed below:

IT IS FURTHER ORDERED that, in addition to the above, the following conditions are imposed:

( ) Report to Pretrial Services (“PTS”) as directed and advise them immediately of any contact with law

enforcement personnel, including but not limited to, any arrest, questioning or traffic stop.

( ) The defendant shall not attempt to influence, intimidate, or injure any juror or judicial officer; not tamper

with any witness, victim, or informant; not retaliate against any witness, victim or informant in this case.

( ) The defendant shall be released into the third party custody of____________________________________

who agrees à) to supervise the defendant in accordance with all the conditions ofrelease, (b) to use every effortto assure the appearance ofthe defendant at all scheduled court proceedings, and (c,) to notijj.; the court

immediately in the event the defendant violates any conditions ofrelease or disappears.

Custodian Signature:

Date:

PAGE 1 OF 3
( ) 

pp

y 

( ) Maintain or actively seek employment and/or commence an education program.( ) No contact with minors unless in the presence of a parent or guardian who is aware of the present offense.

( ) Have no contact with the following individuals:

( ) Defendant is to participate in one ofthe following home confinement program components and abide by

all the requirements ofthe program which ( ) will or ( ) will not include electronic monitoring or other

location verification system. You shall pay all or part of the cost ofthe program based upon your ability to

pay as determined by the pretrial services office or supervising officer.

( ) (i) Curfew. You are restricted to your residence every day ( ) from 

to 

or

( ) as directed by the pretrial services office or supervising officer; or

( ) (ii) Home Detention. You are restricted to your residence at all times except for the following:

education; religious services; medical, substance abuse, or mental health treatment;attorney visits; court appearances; court-ordered obligations; or other activities pre-.

approved by the pretrial services office or supervising officer. Additionally, employment

( ) is permitted ( ) is not permitted.

( ) (iii) Home Incarceration. You are restricted to your residence under 24 hour lock-down except

for medical necessities and court appearances, or other activities specifically approved by

the court.

( ) Defendant is subject to the following computer/internet restrictions which may include manual

inspection and/or the installation of computer monitoring software, as deemed appropriate by

Pretrial Services. The defendant shall pay all or part ofthe cost ofthe monitoring software based

upon their ability to pay, as determined by the pretrial services office or supervising officer.

( ) (i) No Computers - defendant is prohibited from possession and/or use of computers or

connected devices.

( ) (ii) Computer - No Internet Access: defendant is permitted use of computers or connected

devices, but is not permitted access to the Internet (World Wide Web, FTP Sites, IRC

Servers, Instant Messaging, etc);

( ) (iii) Computer With Internet Access: defendant is permitted use of computers or connected

devices, and is permitted access to the Internet (World Wide Web, FTP Sites, IRC Servers,

Instant Messaging, etc.) for legitimate and necessary purposes pre-approved by Pretrial

Services at [ j home [ ] for employment purposes.

( ) (iv) Consent of Other Residents -by consent of other residents in the home, any computers in

the home utilized by other residents shall be approved by Pretrial Services, password

protected by a third party custodian approved by Pretrial Services, and subject to inspection

for compliance by Pretrial Services.

(X Other Defendant shall be removed from electronic monitorijg All other conditions preioushi set shall

remain in effect.

( ) Other:

( ) Other:

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(

, 

) 

y 

y

It is a crime punishable by up to ten years in prison, and a $250,000 fine, or both, to: obstruct a criminal

investigation; tamper with a witness, victim, or informant; retaliate or attempt to retaliate against a witness, victim, orinformant; or intimidate or attempt to intimidate a witness, victim, juror, informant, or officer ofthe court. The penaltiesfor tampering, retaliation, or intimidation are significantly more serious ifthey involve a killing or attempted killing.

If, after release, you knowingly fail to appear as the conditions of release require, or to surrender to serve a

sentence, you may be prosecuted for failing to appear or surrender and additional punishment may be imposed. If you are

convicted of:

(1) an offense punishable by death, life imprisonment, or imprisonment for a term of fifteen years or more — you will be fined not more than $250,000 or imprisoned for not more than 10 years, or both;

(2) an offense punishable by imprisonment for a term offive years or more, but less than fifteen years * you

will be fined not more than $250,000 or imprisoned for not more than five years, or both;

(3) any other felony — you will be fined not more than $250,000 or imprisoned not more than two years, or

both;

(4) a misdemeanor — you will be fined not more than $100,000 or imprisoned not more than one year, or

both.

A term ofimprisonment imposed for failure to appear or surrender will be consecutive to any other sentence

you receive. In addition, a failure to appear or surrender may result in the forfeiture of any bond posted.

Acknowledgment of the Defendant

I acknowledge that I am the defendant in this cas,ançI that I am aware ofthe conditions ofrelease. I promise

to obey all conditions of release, to appear as directed, andlrrender to serve any sentence imposed. I am aware of thepenalties and sanctions set forth above. / j

(\N

/k 9-

Defendant’s Signature

Bensalem Pennsylvania

City and State

Directions to the United States Marshal

(X) The defendant is ORDERED released after processing.( ) The United States marshal is ORDERED to keep the defendant in custody until notified by the clerk or judge

that the defendant has posted bond andJor complied with all other conditions for release, Ifstill in custody, the

defendant must be produced before the appropriate judge at the ti e and place specified.

Date: _Miyi2Q12______

Jz4licial Officer ‘s Signature

FREDA L. WOLFSON, U.S.D.J.

Printed name and title

(REV. 1/09) PAGF 3 OF 3