File No. Law Enforcement Case No. LID No. SID No. FBI No. MAGISTRATE'S ORDER Offense STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division Name And Address Of Defendant THE STATE OF NORTH CAROLINA VS. I, the undersigned, find that the defendant named above has been arrested without a warrant and the defendant's detention is justified because there is probable cause to believe that on or about the date of offense shown and in the county named above the defendant named above unlawfully, willfully and feloniously did Race Social Security No. Sex Date Of Birth Age Drivers License No. & State Name Of Defendant's Employer Offense Code(s) Offense In Violation Of G.S. Date Of Offense Date Of Arrest & Check Digit No. (As Shown On Fingerprint Card) Arresting Officer (Name, Address Or Department) Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) This act was in violation of the law referred to in this Magistrate's Order. This Magistrate's Order is issued upon information furnished under oath by the arresting officer(s) shown. A copy of this Order has been delivered to the defendant. Signature Location Of Court Court Date Court Time Misdemeanor Offense Which Requires Fingerprinting Per Fingerprint Plan Date Issued Magistrate Assistant CSC Deputy CSC Clerk Of Superior Court (Over) AM PM AOC-CR-116, Rev. 4/14 © 2014 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com District Attorney PLEA: JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above verdict, it is ORDERED that the defendant: pay costs and a fine of $ . be imprisoned for a term of days in the custody of the sheriff. MCP. DA C.* Pretrial credit days served. Work release is recommended. is not recommended. [ is ordered. (use form AOC-CR-602)] The Court finds that a longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary. Execution of the sentence is suspended and the defendant is placed on unsupervised probation* for months, subject to the following conditions: 1. commit no criminal offense in any jurisdiction. 2. possess no firearm, explosive or other deadly weapon listed in G.S. 14-269. 3. remain gainfully and suitably employed or faithfully pursue a course of study or of vocational training, that will equip the defendant for suitable employment, and abide by all rules of the institution. 4. satisfy child support and family obligations, as required by the Court. 5. pay to the Clerk the costs of court and any additional sums shown below. guilty no contest guilty no contest guilty no contest not guilty Waived Not Indigent Denied Attorney For Defendant VERDICT: guilty guilty guilty not guilty Appointed Retained PRIOR CONVICTIONS: No./Level: 0 I (0) M.CL. M.CL. M.CL. II (1-4) A1 1 A1 1 A1 1 III (5+) 2 3 2 3 2 3 Fine Restitution** Attorney's Fee Community Service Fee Other $ $ $ $ $ **Name(s), address(es), and amount(s) for aggrieved party(ies) to receive restitution: NOTE TO CLERK: Record SSN or Tax ID No. of aggrieved party(ies) on AOC-CR-382, "Certification Of Identity (Victims' Restitution)/Certification Of Identity (Witness Attendance)." hours of community service during the first 6. complete judicial services coordinator, and pay the fee prescribed by G.S. 143B-708 within 7. not be found in or on the premises of the complainant or 8. not assault, communicate with or be in the presence of the complainant or 9. provide a DNA sample pursuant to G.S. 15A-266.4. (AOC-CR-319) 10. Other: days of probation, as directed by the days. . . defendant, open court, gives The District in Superior Court. notice of appeal to the current pretrial release order is modified as follows: The APPEAL ENTRIES It is ORDERED that this: Date Signature Of District Court Judge Or Magistrate Date Waived WAIVER OF PROBABLE CAUSE HEARING The undersigned defendant, with the consent of his/her attorney, waives the right to a probable cause hearing. Signature Of Defendant Signature Of Attorney . . COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment to the sheriff and that the sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall have complied with the conditions of release pending appeal. PROBABLE CAUSE: Probable cause is found as to all Counts except , and the defendant is bound over to Superior Court for action by the grand jury. No probable cause is found as to Count(s) of this Magistrate's Order and the Count(s) is dismissed. upon payment Judgment is continuedfor judgment of costs. case be consolidatedthe expiration with sentence in of the sentence is to run at Date Name Of District Court Judge Or Magistrate (Type Or Print) Signature Of District Court Judge Or Magistrate CERTIFICATION I certify that this Judgment is a true and complete copy of the original which is on file in this case. Date Date Delivered To Sheriff Signature Dep. CSC Asst. CSC CSC American LegalNet, Inc. www.FormsWorkFlow.com AOC-CR-116, Side Two, Rev. 4/14 © 2014 Administrative Office of the Courts *NOTE: If DWI, use AOC-CR-342 (active) or AOC-CR-310 (probation). If active sentence to DAC, use AOC-CR-602. If supervised probation, use AOC-CR-604.