AO 245B
(Rev. 09/11) Judgment in a Criminal Case
Sheet 5 — Criminal Monetary Penalties
1
Judgment — Page
of
DEFENDANT:
CASE NUMBER:
CRIMINAL MONETARY PENALTIES
The defendant must pay the total criminal monetary penalties under the schedule of payments on Sheet 6.
Assessment
Fine
Restitution
$
$
$
TOTALS
G
The determination of restitution is deferred until
. An Amended Judgment in a Criminal Case
will be entered
(AO 245C)
after such determination.
G
The defendant must make restitution (including community restitution) to the following payees in the amount listed below.
If the defendant makes a partial payment, each payee shall receive an approximately proportioned payment, unless specified otherwise in
the priority order or percentage payment column below. However, pursuant to 18 U.S.C. § 3664(i), all nonfederal victims must be paid
before the United States is paid.
Name of Payee
Total Loss*
Restitution Ordered Priority or Percentage
0.00
0.00
TOTALS
$
$
G
Restitution amount ordered pursuant to plea agreement $
G
The defendant must pay interest on restitution and a fine of more than $2,500, unless the restitution or fine is paid in full before the
fifteenth day after the date of the judgment, pursuant to 18 U.S.C. § 3612(f). All of the payment options on Sheet 6 may be subject
to penalties for delinquency and default, pursuant to 18 U.S.C. § 3612(g).
G
The court determined that the defendant does not have the ability to pay interest and it is ordered that:
G
G
G
the interest requirement is waived for the
fine
restitution.
G
G
G
the interest requirement for the
fine
restitution is modified as follows:
* Findings for the total amount of losses are required under Chapters 109A, 110, 110A, and 113A of Title 18 for offenses committed on or after
September 13, 1994, but before April 23, 1996.
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