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Application For Issuance Of Criminal Warrant (For Bad Check) Form. This is a Georgia form and can be use in Houston Local County.
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Tags: Application For Issuance Of Criminal Warrant (For Bad Check), Georgia Local County, Houston
COURT
APPLICATION FOR ISSUANCE OF CRIMINAL WARRANT
COUNTY OF
......................................................
:
Index No.
In order to apply for a criminal warrant for the issuance of a bad check, you must complete the following application in its
:
entirety. If the case goes to trial or hearing, you should bring with you any evidence required by Georgia Law, including a copy
Calendar No.
of the statutory letter that you sent to the offender, if the same was required. If a warrant is issued and you later decide to drop
:
the case, or you accept payment (partial, or full) you will be charged court cost of up JUDICIAL SUBPOENA
to $215.00.
Plaintiff(s)
-against-
:
APPLICANT’S INFORMATION
MERCHANT/VICTIM’S INFORMATION
:
___________________________________________ __________________________________________________
:
NAME
NAME
:
____________________________________________.Defendant(s) . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .__________________________________________________
.........
DAYTIME TELEPHONE NUMBER
DAYTIME TELEPHONE NUMBER
____________________________________________ __________________________________________________
STREET ADDRESS
STREET ADDRESS
THE PEOPLE OF THE STATE OF NEW YORK
____________________________________________ __________________________________________________
CITY, STATE & ZIP
CITY, STATE & ZIP
TO
____________________________________________ __________________________________________________
GREETINGS:
CHECK WRITERS NAME
DAYTIME TELEPHONE NUMBER
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
____________________________________________ __________________________________________________ ,
the Honorable
at the
Court
located at DATE OF BIRTH
County of
STREET ADDRESS
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence __________________________________________________
as a witness in this action on the part of the
____________________________________________
CITY, STATE & ZIP
S.S.N. OR DRIVERS LICENSE NO.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Check Number__________________ Check Amount___________________ Date Written_______________________
result of your failure to comply.
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
Court in
Witness, Honorable
County,
, one of the Justices of the
day of
, 20
Bank charges________________________(copy of bank records showing charges must be attached)
(additional checks may be listed on back)
Reason Check Returned:
1.
2.
3.
4.
5.
6.
9 NSF
9 No Account
9 Closed Account
(Attorney must sign above and type name below)
Was this check, draft or order for payment of money given for:
9 Wages 9 Rent 9 Child Support; or 9 Current Consideration, if so what was purchased or exchanged?
Attorney(s) for
__________________________________________________________________________________________
9 Yes 9 No Was this instrument given in Houston County, Georgia, within the previous 2 years?
9 Yes 9 No Was this instrument given on the date which appears on its face?
9 Yes 9 No Was there an agreement to hold the check before presentingand P.O. Address
Office for payment?
9 Yes 9 No Was the check presented for payment within thirty days of receipt?
9 Yes 9 No Was proper legal notice sent within 90 days of dishonor?
Telephone No.:
WARNING: False statements made on the application may subject you to criminal and civil liability.
Facsimile No.:
Date:_____________________________
E-Mail Address:
Mobile Tel. No.:
Your Signature ______________________________________________
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COURT
Check Number__________________ Check Amount___________________ Date Written_______________________
COUNTY OF
......................................................
:
Index No.
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
:
Calendar No.
Bank charges________________________(copy of bank records showing charges must be attached)
:
JUDICIAL SUBPOENA
________________________________________________________________________________________________
Plaintiff(s)
-against-
:
Check Number__________________ Check Amount___________________ Date Written_______________________
:
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
:
Bank charges________________________(copy of bankDefendant(s)
records showing charges must be attached)
:
......................................................
________________________________________________________________________________________________
Check Number__________________ Check Amount___________________ Date Written_______________________
THE PEOPLE OF THE STATE OF NEW YORK
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
TO
Bank charges________________________(copy of bank records showing charges must be attached)
________________________________________________________________________________________________
GREETINGS:
Check Number__________________ Check Amount___________________ Date Written_______________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorable
at the
Court
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________ ,
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Bank charges________________________(copy evidencerecords showing charges on thebe attached)
or adjourned date, to testify and give of bank as a witness in this action must part of the
________________________________________________________________________________________________
Check Number__________________ Check Amount___________________ Date Written_______________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
result of your failure to comply.
Bank charges________________________(copy of bank records showing charges mustone of the Justices of the
Witness, Honorable
, be attached)
________________________________________________________________________________________________
Court in
County,
day of
, 20
Check Number__________________ Check Amount___________________ Date Written_______________________
(Attorney must sign above and type name below)
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
Bank charges________________________(copy of bank records showing Attorney(s) for be attached)
charges must
________________________________________________________________________________________________
Check Number__________________ Check Amount___________________ Date Written_______________________
Office and P.O. Address
Account Number____________________ Bank Name________________________________ Svc. Chg. ___________
Bank charges________________________(copy of bank records showing Telephone No.:be attached)
charges must
Facsimile No.:
________________________________________________________________________________________________
E-Mail Address:
Mobile Tel. No.:
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