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Statement Of Facts In Support OF Application For Criminal Complaint Form. This is a Massachusetts form and can be use in State District Court Statewide.
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Tags: Statement Of Facts In Support OF Application For Criminal Complaint, DC-CR-34, Massachusetts Statewide, State District Court
APPLICATION NO. (court use only)
STATEMENT OF FACTS
IN SUPPORT OF
APPLICATION FOR CRIMINAL COMPLAINT
PAGE
___ OF ___
9
9
Trial Court of Massachusetts
District Court Department
COURT DIVISION
The undersigned alleges the following as a
full or
partial statement
of the factual basis for the offense(s) for which a criminal complaint is sought.
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(Use additional sheets if necessary)
PRINTED NAME
SIGNATURE
X
I AM A:
DATE SIGNED
9 LAW ENFORCEMENT OFFICER
9 CIVILIAN COMPLAINANT OR WITNESS
ADDITIONAL FACTS FOUND BY CLERK-MAGISTRATE / ASST. CLERK / JUDGE BASED ON ORAL TESTIMONY
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REMARKS
SIGNATURE OF CLERK-MAGISTRATE / ASST.CLERK / JUDGE
DATE SIGNED
X
DC-CR-34 (7/04)
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