Rule 2.37 -- Form 5 August 2002 IN THE IOWA DISTRICT COURT FOR _______________________ COUNTY STATE OF IOWA, vs. A _____________ B _____________. Criminal Case No. _____________ The grand jurors of the county of __________ accuse A _____________ B _____________ of (here state the offense and whether felony or misdemeanor) in violation of (here state by number the statutory section violated) and charge that the said A ____________________ B _____________________ on or about the ________________________ day of __________________, _____, in the county of ____________________________________ and State of Iowa, (here briefly insert any particulars of the offense, such as the name of the victim in a criminal homicide case). A true bill. /s/__________________________________ Foreman or forewoman of grand jury INDICTMENT Names of witnesses: ____________________________________ ____________________________________ ____________________________________ American LegalNet, Inc. www.FormsWorkflow.com