You have the right to remain silent or refuse to answer any questions. Do you understand this? If you do, just put yes and then your initials. Anything you say can and will be used in a court of law. Do you understand this? You have the right to consult with an attorney at any time and have him present before and during questioning. Do you understand this? If you cannot afford an attorney, one will be provided prior to any questioning if you wish. Do you understand this? A decision to waive these rights is not final and you may withdraw your waiver at any time. Do you understand this? Then on the bottom, I acknowledge that I have been advised of my constitutional rights, understand them, and I'm willing to answer any questions you may wish to ask.