File No. STATE OF NORTH CAROLINA WARRANT FOR ARREST I. FELONIOUS BREAKING AND ENTERING MOTOR VEHICLE To any officer with authority and jurisdiction to execute a warrant for arrest for the offense(s) charged below: Felony Misdemeanor II. LARCENY III. POSSESSION In The General Court Of Justice District Court Division County THE STATE OF NORTH CAROLINA VS. I, the undersigned, find that there is probable cause to believe that: I. FELONIOUS BREAKING AND ENTERING MOTOR VEHICLE [G.S. 14-56] On or about the date of offense shown and in the county named above the defendant named above did unlawfully, willfully and feloniously break and enter a motor vehicle, a , belonging to Name And Address Of Defendant , which contained things of value, with the intent to commit larceny therein. County Of Residence Race II. LARCENY [G.S. 14-70; 14-72] Telephone No. Date Of Birth Felony Misdemeanor (NOTE: If value of property taken is over $1,000, this charge is a felony. If value of property taken is $1,000 or less, this charge is a misdemeanor.) Sex Social Security No. Age Drivers License No. & State Name Of Defendant's Employer Offense Code(s) I. 2216 II. 2321(F), 2322(M) III. 2341(F), 2343(M) Offense In Violation Of G.S. the personal property of a value of $ , having . 14-56, -70, -72, -71.1 Date Of Offense Date Of Arrest & Check Digit No. (As Shown On Fingerprint Card) Complainant (Name, Address Or Department) County Of Residence And on or about the date of offense shown and in the county named above, the defendant named above did unlawfully, willfully and feloniously steal, take and carry away III. POSSESSION [G.S. 14-71.1] (NOTE: This offense is a felony if Count II is a felony. This offense is a misdemeanor if Count II is a misdemeanor.) And on or about the date of offense shown and in the county named above, the defendant named above did unlawfully, willfully and feloniously possess the personal property described in Count II above, which property was stolen property, being the personal property of the person, corporation, and other legal entity described in Count II above, and having the value described in Count II above, knowing and having reasonable grounds to believe the property to have been feloniously stolen and taken. Telephone No. Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) This act(s) was in violation of the law(s) referred to in this Warrant. This Warrant is issued upon information furnished under oath by the complainant listed. You are DIRECTED to arrest the defendant and bring the defendant before a judicial official without unnecessary delay to answer the charge(s) above. Signature Misdemeanor Offense Which Requires Fingerprinting Per Date Issued AOC-CR-141, Rev. 8/97 (Structured Sentencing) 1997 Administrative Office of the Courts Location Of Court Magistrate Deputy CSC Assistant CSC Court Date Court Time Clerk Of Superior Court (Over) American LegalNet, Inc. www.FormsWorkFlow.com AM PM If this Warrant For Arrest is not served within one hundred and eighty (180) 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 execute the Warrant and any information obtained about the whereabouts of the defendant. District Attorney Attorney For Defendant At Time Of Trial Or Plea Appointed PRIOR CONVICTIONS: Retained No./Level: 0 I (0) II (1-4) Waived III (5+) PLEA: VERDICT 1 2 3 guilty no contest guilty MISD. 1 2 3 guilty no contest guilty CLASS: not guilty not guilty RETURN OF SERVICE I certify that this Warrant was received and served as follows: JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above verdict pay costs and a fine of $ . it is ORDERED that the defendant: Date Received Date Served Date Returned be imprisoned for a term days in the custody of the DOC. Pretrial days Work is is not [ is ordered. (use form AOC-CR-602)] By arresting the defendant and bringing the defendant before: The Court finds that longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is Name Of Judicial Official With defendant's consent, 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 This Warrant WAS NOT served for the following reason: 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 Signature Of Officer Making Return any additional sums shown below. Fine Restitution* Attorney's Fee Community Service Fee Other $ Department Or Agency Of Officer $ $ $ $ *Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution: REDELIVERY Date Signature Dep. CSC Assist. CSC CSC RETURN FOLLOWING REDELIVERY I certify that this Warrant was received and served as follows: Date Received Date Served Date Returned By arresting the defendant and bringing the defendant before: Name Of Judicial Official hours of community service during the 6. complete days of probation, as directed by the service coordinator, and pay the fee prescribed by G.S. 143B-475.1(b) 7. not be found in or on the premises of the complainant 8. not assault, communicate with or be in the presence of the complainant 9. Other days. This Warrant WAS NOT served for the following reason: Signature Of Officer Making Return Department Or Agency Of Officer APPEAL ENTRIES The defendant, in open court, gives notice of appeal to the Superior Court. The current pretrial release order is modified as follows: Date Signature Of District Court Judge WAIVER OF PROBABLE CAUSE HEARING The undersigned defendant, with the consent of his/her attorney, waives the right to a probable cause hearing. Date Waived Signature Of Defendant It is ORDERED that Judgment is continued upon payment of case be consolidated for judgment with sentence is to run at the expiration of the sentence 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 No probable cause is found as to Count(s) of this Warrant, and the Count(s) is 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. Signature Of Attorney Date AOC-CR-141, Side Two, Rev. 8/97 (Structured Sentencing) 1997 Administrative Office of the Courts Date Delivered To Sheriff Signature Deputy CSC Assist. CSC CSC NOTE: If DWI, use AOC-CR-301 (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