Application For A Search Warrant
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Application For A Search Warrant Form. This is a Official Federal Forms form and can be use in Administrative Office - Criminal Federal District.
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Tags: Application For A Search Warrant, AO 106, Official Federal Forms Federal District, Administrative Office - Criminal
AO 106 (Rev. 04/10) Application for a Search Warrant
UNITED STATES DISTRICT COURT
for the
__________ District of __________
In the Matter of the Search of
(Briefly describe the property to be searched
or identify the person by name and address)
)
)
)
)
)
)
Case No.
APPLICATION FOR A SEARCH WARRANT
I, a federal law enforcement officer or an attorney for the government, request a search warrant and state under
penalty of perjury that I have reason to believe that on the following person or property (identify the person or describe the
property to be searched and give its location):
located in the
District of
, there is now concealed (identify the
person or describe the property to be seized):
The basis for the search under Fed. R. Crim. P. 41(c) is (check one or more):
u evidence of a crime;
u contraband, fruits of crime, or other items illegally possessed;
u property designed for use, intended for use, or used in committing a crime;
u a person to be arrested or a person who is unlawfully restrained.
The search is related to a violation of:
Code Section
Offense Description
The application is based on these facts:
u Continued on the attached sheet.
days (give exact ending date if more than 30 days:
u Delayed notice of
under 18 U.S.C. § 3103a, the basis of which is set forth on the attached sheet.
) is requested
Applicant’s signature
Printed name and title
Sworn to before me and signed in my presence.
Date:
Judge’s signature
City and state:
Printed name and title
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