Affidavit of extradition agent.

Affidavit

State of _________ [asylum state]

County of _________

_________[Extradition agent], being first duly sworn on oath, deposes and says:

1. _________[He or She] is the same _________[name] who was duly appointed extradition agent in the matter of the extradition of _________[name of fugitive] by the governor of the State of _________[demanding state] on _________.

2. _________[He or She] found the same _________[name of fugitive] on _________ in the custody of _________[name], _________[office], County of _________, State of _________[asylum state].

3. _________[Name of fugitive] has been positively identified as the same _________[name of fugitive] named in the requisition order of the Governor of the State of _________[demanding state] by _________[admission or the personal knowledge of affiant or indicate other foundation of positive identification, for example, photographs and fingerprints accompanying extradition papers].

4. This requisition order has not been revoked or withdrawn, and it remains of full force and effect.

5. _________[Name of fugitive] has been arrested, detained, and _________[delivered into _________ (his or her) custody after execution by _________ (name of fugitive) of a written waiver of extradition or surrendered] in full conformity with the laws of the United States and the State of _________[asylum state].

Dated: _________.

[Signature]

[Jurat]