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APPLICATION FOR CRIMINAL ARREST WARRANT case # Today’s date PLEASE PRINT PLAINLY. FILL IN ALL MARKED * BLANKS. *Charge(s) requested: *Full name of person Warrant is for: *His/Her mailing address: _ *Phone _ *Nickname(s): Age: _ *What did person do? (For additional space, use the reverse side of this application) *When did this take place? Date Time *Your full name: *Mailing address: _ _ *Phone I hereby certify that all the information given on this application is true to the best of my knowledge and belief: * Prosecutor Signature (this is person filing application) ~~By signing the above, I acknowledge that I understand that the $20.00 application fee I am paying to file this action is nonrefundable, even when a hearing or warrant is denied. Please be aware that this Court does not subpoena witnesses. They must be willing to appear voluntarily.~~ Sworn to and Subscribed by: Do not write below this line: Court use only Warrant issued: yes ( ) no ( ) Crime: Already arrested: yes ( ) no ( ) Remarks: _ Code section: Warrant (Magistrate Judge) AM PM