The defendant is charged in [Count _______ of] the indictment with connecting parts of two or more [specify genuine instrument] in violation of Section 484 of Title 18 of the United States Code. For the defendant to be found guilty of that charge, the government must prove each of the following elements beyond a reasonable doubt:
First, the defendant connected together parts of two or more [specify genuine instrument] issued under the authority of [specify issuer]; and
Second, the defendant did so with the intent to defraud.
Comment
For a definition of “intent to defraud,” see Instruction 4.13 (Intent to Defraud).