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IN THE MAGISTRATE COURT OF WASHINGTON COUNTY STATE OF GEORGIA Case No. AFFIDAVIT/APPLICATION FOR ARREST WARRANT/GOOD BEHAVIOR BOND I hereby swear or affirm that the following information consisting of two pages is true and correct to the best of my knowledge and belief. I am making this Affidavit so that an arrest warrant or good behavior bond may be issued for the accused. *What are you applying for today? GOOD BEHAVIOR BOND WARRANT APPLICATION* COMPLETE THIS FORM WITH AS MUCH INFORMATION AS YOU HAVE. Applicant: Street Address: City: State: Zip: Phone Numbers: I WANT A WARRANT/GOOD BEHAVIOR BOND TO BE ISSUED FOR THE FOLLOWING PERSON: Accused: Street Address: City: State: Zip: Phone Numbers: Date of Birth: Employer: Race: Sex: Age: Height: Weight: Hair Color: Eye Color: Describe any scars, tattoos, or other distinctive marks: Vehicle: Driver’s License Tag Police Report? Yes No Medical Treatment? Yes No at: Other Has a warrant or another action been taken against you involving this incident? Yes No Do you have any other lawsuits pending with the Accused of any type? Yes No Did this incident happen in Washington County? Yes No PLEASE READ AND SIGN THE ATTACHED “IMPORTANT NOTICE TO APPLICANT” PRIOR TO FILING THIS APPLICATION. DISPOSITION: (DO NOT WRITE IN THIS SPACE – JUDGES USE ONLY) ---PAGE BREAK--- APPLICATION FOR ARREST WARRANT/GOOD BEHAVIOR BOND Case Number (if applicable): Applicant Accused I AM ASKING FOR A WARRANT TO BE ISSUED FOR THE ARREST OF THE ACCUSED, OR THAT A GOOD BEHAVIOR BOND BE ISSUED, BASED ON THE FOLLOWING FACTS: If property was damaged, what was the value or amount of damages? **WARNING: False statement made on this application may subject you to criminal and/or civil liabilities.** Sworn and subscribed before me DO NOT SIGN UNTIL SWORN This day of IN BY JUDGE OR CLERK. Magistrate/Clerk Signature of Applicant ---PAGE BREAK--- Printed Name IMPORTANT NOTICE TO ARREST WARRANT APPLICANTS PLEASE READ CAREFULLY You are seeking to have a warrant issued for the arrest of another individual. Georgia Law sets the procedure that the court must follow when someone who is not a police officer applies for the arrest of another person. The court must schedule the application for a hearing. The person whose arrest is sought is entitled to notice of the hearing, the right to be present at the hearing, to present evidence and to be represented by an attorney. A copy of your application will be provided to the accused. You will be provided with a court date. Georgia Law sets the filing fee of $20.00 for each arrest warrant application you file. The fee is NON-REFUNDABLE. The applicant must fill out a separate application for each person whose arrest is sought. You must complete the application form with as much information as you have available to you that is relevant to the application. You must provide the full name, complete current address, and a physical description of the person whose arrest is sought and, if known, also provide the person’s date of birth and/or social security number. If you file an application without this information, the Judge will deny your application. The alleged crime must have occurred in Washington County, Georgia. If the alleged crime did not occur in Washington County, the Judge must deny your application. The court may dismiss your application without a hearing if the information you provide does not demonstrate probable cause for the court to issue a warrant. This application can only result in the arrest and detention of another person. It will not cause property or children to be returned to you, and you will not receive money damages. This court cannot issue a Restraining Order or a Protective Order. Any such actions, including Family Violence Petitions, must be filed in Superior Court. At the hearing, the court may find probable cause to issue a warrant for the arrest of the alleged defendant and/or a warrant for your arrest, as Affiant, if probable cause is shown that either party may have committed a crime. If you have been charged with a crime, you cannot apply to arrest the victim of the crime. If the person has already been criminally charged or a previous warrant application has been denied or dismissed, you may not file a warrant application based on the same set of facts. The warrant application form must be signed under oath. Therefore, do not sign the form until you have returned the completed form to the clerk. WARNING: FALSE STATEMENTS CAN SUBJECT YOU TO CRIMINAL AND/OR CIVIL LIABILITY. If you desire to dismiss the case after filing, you must appear in court to request the court to dismiss the case. Only the court can dismiss the case once it has been filed. Employees in the Clerk’s Office and the Magistrate Judges themselves are prohibited by state laws and regulations from providing legal advice. If you have questions about your legal rights, legal remedies available to you, or what legal documents to file and where to file them, you must contact an attorney. I have read and understand the above information regarding arrest warrant applications. ---PAGE BREAK--- Signature of Applicant Date