Form 328 (Rev. 02/12) The Family Court of the State of Delaware In and For New Castle Kent Sussex County APPLICATION TO WITHDRAW COMPLAINT Adult Criminal Juvenile Delinquency File Number(s) Complainant Name Street Address (include Apt) P.O. Box Number v. Defendant Name Street Address (include Apt) P.O. Box Number Petition or incident Number(s) City/State/Zip Code D.O.B. Attorney Name City/State/Zip Code D.O.B. Attorney Name Hearing Type/Date Scheduled: Incident/Complaint Type: On I, the above named Complainant in the foregoing action(s) do hereby request permission to withdraw the aforementioned complaint file herein for the following reasons: Date Complainant PLEASE NOTE: OUTSTANDING WARRANT/CAPIAS WHICH REQUIRES NOTIFICATION TO THE WARRANT/CAPIAS CONTROL CLERK FOR CANCELLATION. So ordered this date, __________________ Judge/Commissioner FOR DEPARTMENT OF JUSTICE ONLY So Approved, and a nolle prosequi is hereby entered on the above charge/incidents Disapproved (reason): COURT STAFF ONLY Arrest Date: Name of Arresting Officer Date CC: Complainant Deputy Attorney General Defendant Public Defender/Attorney DAG Department/Agency Criminal Unit Other: ___________________ American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1