Form Ao 245d - Judgment In A Criminal Case For Revocations - United States District Court Page 13
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19AO 245D
(Rev. 09/11) Judgment in a Criminal Case for Revocations
Sheet 5 — Criminal Monetary Penalties
Judgment — Page
of
2
DEFENDANT:
CASE NUMBER:
CRIMINAL MONETARY PENALTIES
The defendant must pay the following total criminal monetary penalties under the schedule of payments set forth on Sheet 6.
Assessment
Fine
Restitution
TOTALS
$
$
$
The determination of restitution is deferred until
. An Amended Judgment in a Criminal Case (AO 245C) will be
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entered after such determination.
The defendant shall make restitution (including community restitution) to the following payees in the amount listed below.
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If the defendant m akes a partial pa yment, each payee shall recei v e an approximately proportioned payment, unless specified othe rwise
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
Restitution amount ordered pursuant to plea agreement $
G
The defendant must pay interest on restitution or a fine more than $2,500, unless the restitution or fine is paid in full before the
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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).
The court determined that the defendant does not have the ability to pay interest and it is ordered that:
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the interest requirement is waived for the
fine
restitution.
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G
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the interest requirement for the
fine
restitution is modified as follows:
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G
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* 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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