Information sheet by G1Z90h

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									                              MAGISTRATE COURT OF FULTON COUNTY
                           WARRANT INFORMATION SHEET AND AFFIDAVIT
INFORMATION ABOUT YOU:

Name: ______________________________________________________________Phone: (H)___________________ (W) ___________________

Home Address: _______________________________________________________ City/State/Zip: ______________________________________

Work Address: _______________________________________________________City/State/Zip: _______________________________________

I AM MAKING A COMPLAINT AGAING THIS PERSON:
Name: ____________________________________________________________Phone: (H)______________________ (W) ____________________

Home Address: __________________________________________________________ City/State/Zip: _____________________________________

Work Address: __________________________________________________________City/State/Zip: _____________________________________
      RACE:                              DOB:                        SEX:                   HGT:                 WGT:
      HAIR:                              EYE:                        SCARS/TATTOO:

VEHICLE:
TYPE/ YR: ________________ MAKE: _______________ MODEL: _____________ COLOR: _____________     TAG# /STATE _____________________

  How do you know this person? _________________________________________________________________________________
  What did this person do? _____________________________________________________________________________________

  _________________________________________________________________________________________________________

  _________________________________________________________________________________________________________

  _________________________________________________________________________________________________________

  _________________________________________________________________________________________________________

  Date of Incident/Occurrence: _________________________ Place of Incident: __________________________________________
  Witnesses:
   1. Name: ___________________________________________________________Phone: (H)___________________ (W) ___________________

     Home Address: ______________________________________________________ City/State/Zip: _____________________________________
   2. Name: ___________________________________________________________Phone: (H)___________________ (W) ___________________

     Home Address: _____________________________________________________ City/State/Zip: _____________________________________
  HAVE YOU PREVIOUSLY APPLIED FOR A WARRANT AGAINST THIS PERSON BEFORE OR ANYONE ELSE?                             [ ] YES [ ] NO
  HAVE THIS PERSON EVER TAKEN OUT A WARRANT AGAINST YOU?                                                           [ ] YES [ ] NO
  HAVE YOU EVER BEEN ASKED FOR A WARRANT TO BE DISMISSED?                                                          [ ] YES [ ] NO

  I do solemnly swear or affirm that all information contained in this application is true and correct on this________ day of
_______________________,20____.


 Sworn to and subscribed before me                                                       ___________________________ _______
                                                                                                YOUR SIGNATURE
 ______________________________________
    Deputy Clerk, State Court of Fulton County



__ WARRANT ISSUED                       __ APPEARANCE HEARING       __ DEMAND LETTER                 __ JUSTICE CENTER
__ WARRANT DENIED                       __ BOND HEARING             __ TRESPASS LETTER               __ REFERRED TO CIVIL COURT
__ DOMESTIC DISPUTE                                          P.D. REPORT NUMBER _____________________________________
SPECIAL CONDITIONS: _________________________________________________________________________________________________
_______________________________________________________________________________________________________________________

								
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