For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Affidavit of Court Officer Case No. Name of Defendant Under oath, I state: I, a court officer, make this affidavit on information and belief. The defendant was personally served with a copy of the summons/citation on (date) . The arresting officer: personally observed the defendant commit the violation. based the citation on information provided by a reliable informant. The defendant failed to appear in court as summoned. Subscribed and sworn to before me on Signature of Court Officer Judge/Commissioner/Clerk/Deputy Clerk GF-143, 11/99 Affidavit of Court Officer §968.04(3)(a), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.