AFFIDAVIT AND WARRANT _______________AFFIDAVIT _______________ IN THE JUVENILE COURT OF __________________ COUNTY, GEORGIA CASE NUMBER _____________________ SEX _______________________________ D.O.B. _______________ AGE _________ In the interest of ______________________ address _________________________________________________ A child personally comes to a duly authorized officer of this Court and, on oath, says that to the best of ____________________ knowledge and belief the above-named child did on the ______ day of _____________________, 20____, commit the offense of ______________________________ in that said child ________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ and this deponent makes this affidavit so that a warrant may issue for ______________________ ________________ arrest. (Deponent Sign)______________________________ Sworn to and subscribed before me, this _______ day of ______________________, 20______. __________________________________ Court Designee _______________WARRANT _______________ To any Sheriff, Deputy Sheriff, or any peace officer of this State or any duly authorized officer of this Court: Greetings: _______________________________________ having made oath before this Court that on the ______ day of ___________________, 20____, ____________________________ did commit the offense as stated in the above affidavit, You are therefore commanded to take into custody said child and bring ___________________ before me to be dealt with as the law directs. Witness my hand an official signature, as Judge, this _____ day of _______________, 20_____. _______________________________________ Judge/Associate Judge of _______________________ County Juvenile Court Executed by _____________ Date ____________________________________ Rev. 01/2001 JUV-12