Misdemeanor Criminal Summons
Misdemeanor Criminal Summons Form. This is a North Carolina form and can be use in Criminal Statewide.
Tags: Misdemeanor Criminal Summons, CR-113, North Carolina Statewide, Criminal
File No. LID No. Law Enforcement Case No. MISDEMEANOR CRIMINAL SUMMONS Offense STATE OF NORTH CAROLINA County SID No. FBI No. In The General Court Of Justice District Court Division To the defendant: THE STATE OF NORTH CAROLINA VS. Name And Address Of Defendant Race Sex Social Security No. Date Of Birth I, the undersigned, find that there is probable cause to believe that on or about the date of offense shown and in the county named above you unlawfully and willfully did 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) Complainant (Name, Address Or Department) Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) This act was in violation of the law referred to in this Criminal Summons. This Summons is issued upon information furnished under oath by the complainant listed. You are ORDERED to appear before the Court at the location, date and time indicated below to answer to the charge. If you fail to appear, an order for your arrest may be issued and you may be held in CONTEMPT OF COURT and imprisoned for up to thirty (30) days or fined up to $500.00 or both. This penalty for failure to appear is in addition to any sentence which may be imposed for the crime charged. Signature Misdemeanor Offense Which Requires Fingerprinting Per Fingerprint Plan Date Issued Location Of Court Magistrate Deputy CSC Assistant CSC Clerk Of Superior Court Court Date Court Time AM AOC-CR-113, Rev. 3/09 (Structured Sentencing) © 2009 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com PM If this Criminal Summons is not served within ninety (90) days, it must be returned to the Clerk of Court in the county in which it was issued with the reason for the failure of service noted thereon. The officer must state all steps taken by the department in attempting to serve the Summons and any information obtained about the whereabouts of the defendant. RETURN OF SERVICE I certify that this Criminal Summons was received and served as follows: Date Received Date Served Time Served AM PM Date Returned By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: District Attorney Waived Attorney For Defendant Appointed Retained Not Indigent PRIOR CONVICTIONS: No./Level: 0 I (0) II (1-4) Fine Signature Of Officer Making Return Name Of Officer (Type Or Print) III (5+) no contest guilty guilty 2 1 3 A1 VERDICT: M.CL. no contest guilty guilty 2 1 3 A1 M.CL. no contest guilty guilty 2 1 3 A1 M.CL. not guilty not guilty 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. DOC.* 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. PLEA: Restitution* Attorney's Fee Community Service Fee Other $ $ $ $ $ *Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution: Department Or Agency Of Officer REDELIVERY/REISSUANCE Date Signature Dep. CSC Assist. CSC CSC RETURN FOLLOWING REDELIVERY/REISSUANCE I certify that this Criminal Summons was received and served as follows: Date Received Date Served Time Served AM PM Date Returned 6. complete hours of community service during the first service coordinator, and pay the fee prescribed by G.S. 143B-262.4(b) 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. Other: days of probation, as directed by the community days. . . By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: Signature Of Officer Making Return Name Of Officer (Type Or Print) It is ORDERED that this: case be consolidated for judgment with sentence is to run at the expiration of the sentence in Department Or Agency Of Officer . . 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. APPEAL ENTRIES The defendant, in open court, gives notice of appeal to the Superior Court. The current pretrial release order is modified as follows: Judgment is continued upon payment of costs. Date Name Of District Court Judge (Type Or Print) Signature Of District Court Judge CERTIFICATION I certify that this Judgment is a true and complete copy of the original which is on file in this case. Date Signature Of District Court Judge AOC-CR-113, Side Two, Rev. 3/09 (Structured Sentencing) © 2009 Administrative Office of the Courts Date Date Delivered To Sheriff Signature Deputy CSC Assist. CSC CSC *NOTE: If DWI, use AOC-CR-342 (active) or AOC-CR-310 (probation). If active sentence to DOC, use AOC-CR-602. If supervised probation, use AOC-CR-604. American LegalNet, Inc. www.FormsWorkFlow.com