REPORTING FORM FOR DEFENSE-RELATED DISPOSITIONS [See Administrative Order Number 8, Section III (a)] IN THE __________________ COURT OF ________________ COUNTY, ARKANSAS _______________ DIVISION State of Arkansas v. _____________________________ Defendant's Full Name) Arrest Tracking #: ____________ CASE NUMBER _____________ ENTRY DATE _____________ SID # ________________________ ___________________ ___________________________ (Date of Arrest) (Date Information Filed) ==================================================================== Count # _________ _________ _________ _________ A.C.A. � ___________________________ ___________________________ ___________________________ ___________________________ [WHEN MULTIPLE COUNTS ARE INVOLVED, PLACE THE COUNT # (NOT "X" OR "_") ON THE LINE BELOW THAT APPLIES TO EACH COUNT] Non-Trial Acquitted _____ _____ Bench Trial _____ Jury Trial _____ _____ _____ _____ _____ Acquitted because of Mental Defect Transferred to Juvenile Court Transferred _____ Dismissed with prejudice because of speedy-trial rule Nolle prossed because of speedy-trial rule This Form was submitted by: __________________________________ (Signature of Prosecuting Attorney) __________________________________ (Circuit Judge) I certify this is a true and correct record of this Court. Date: __________ Circuit Clerk/Deputy: _________________________ American LegalNet, Inc. www.FormsWorkFlow.com