WARRANT APPLICATION (Must be 18 Years of Age to Apply) If Plaintiff wishes to dismiss warrant application ­ fees are per application $50.00 Dismissal Fee - Misdemeanors $100.00 Dismissal Fee - Felony Uniform Magistrate Rule 24.3 (After applying for a Warrant, do not take matters into your own hands or you will be responsible for dismissal fees). INFORMATION ABOUT YOU: Name Address City Where do you work? Home Phone Number Work Phone Number Cel Phone Number State Zip I AM MAKING A COMPLAINT AGAINST THIS PERSON: Name Address City Social Security No. OTHER ADDRESS City This person lives in Works for Work Address Type of Job Vehicle? Car Tag# Home Phone Number Work Phone Number Cel Phone Number State Zip State Zip County Truck Other State Work days? Work hours? Nick Names? Race Sex Height Beard? Yes Mustache? Eye Color Scars, Tattoos, etc. Monday thru Friday Age Weight No Yes Hair Color No HOW DO YOU KNOW THIS PERSON? WHAT DID THIS PERSON DO? (Be specific ­ use back if you need more room) WHEN? Date? Time? Where? Yes Yes Yes Yes No No No No Have you ever applied for a warrant before against this person? Has this person ever taken out a warrant against you? Have you ever applied for a warrant against anyone else? Have you ever asked for a warrant to be dismissed? WITNESSES Name Address Home Phone Cel Phone Name Address Home Phone Cel Phone I DO SOLEMLY SWEAR (OR AFFIRM) THAT ALL INFORMATION CONTAINED IN THIS APPLICATION FOR A CRIMINAL WARRANT IS TRUE AND CORRECT. ______________________________________________ Signature of Applicant (must be 18 years of age) Date American LegalNet, Inc. www.FormsWorkFlow.com