10th Cir. Crim. Pattern Jury Instr. 2.47

18 U.S.C. § 1005 (THIRD PARAGRAPH)

The defendant is charged in count ————— with a violation

of 18 U.S.C. section 1005.

This law makes it a crime to make a false entry in any [book]

[record] [statement] of a federally insured bank, knowing the entry

is false, and with intent to injure or defraud the bank or to deceive

an officer of that bank.

T o fi n d t h e d e f e n d a n t g u i l t y o f t h i s c r i m e y o u m u s t b e

convinced that the government has proved each of the following

beyond a reasonable doubt:

First: [name bank] was a federally insured bank;

Second: the defendant made a false entry in a [book]

[record] [statement] of [name bank];

Third: the defendant knew the entry was false when he made

it; and

Fourth: the defendant made the false entry with the intent to

[injure] [defraud] [name bank] [to deceive an officer of that bank].