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Application For Statement Of Charges For Bad Check Continuation Sheet DC-CR 44A - Maryland

Application For Statement Of Charges For Bad Check Continuation Sheet Form. This is a Maryland form and can be used in Criminal District Court Statewide .
 Fillable pdf Last Modified 5/11/2005
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DISTRICTCOURTOF MARYLANDFOR ......................................................................................................................................(City/County) LOCATEDAT(COURTADDRESS) DISTRICTCOURT CASENUMBER DEFENDANTSNAME(LAST,FIRST,M.I.) CONTINUATIONSHEET- BAD CHECKCHARGE APPLICATIONFOR STATEMENTOF CHARGES/STATEMENTOF PROBABLECAUSE On or about(date).............................................................. At (place)...........................................................................Did unlawfullyobtain.................................................................................................Havinga value of $............................from (fulllegalname of businessor person):............................................................................................................................by utteringa certainbad check dated:............................... CheckNo...........................................................................ACCOUNTNO.:............................................................... DrawnBy: .........................................................................on the (name/addressof bank):..................................................................................................................................................in the sum of $ .................................................................. presentedto (fulllegalname of businessor person):.........................................Payableto: .....................................................Said checkwas returnedfrom bankmarked:.................................................on(date).............................................................REGISTEREDLETTERSENT(Date): .....................................RETURNEDMARKED: .................................................. .................................................................................................................................................................................................... .................................................................................................................................................................................................... ....................................................................................................................................................................................................On or about(date).............................................................. At (place)...........................................................................Did unlawfullyobtain.................................................................................................Havinga value of $............................from (fulllegalname of businessor person):............................................................................................................................by utteringa certainbad check dated:............................... CheckNo...........................................................................ACCOUNTNO.:............................................................... DrawnBy: .........................................................................on the (name/addressof bank):..................................................................................................................................................in the sum of $ .................................................................. presentedto (fulllegalname of businessor person):.........................................Payableto: .....................................................Said checkwas returnedfrom bankmarked:.................................................on(date).............................................................REGISTEREDLETTERSENT(Date): ........................... RETURNEDMARKED: .................................................. .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... ..........................................................................................................................................................................................................................................................................................................................................................................................DateApplicantsSignature TRACKINGNUMBER DC/CR44A (Rev.9/99) <<<<<<<<<********>>>>>>>>>>>>> 2DISTRICTCOURTOF MARYLANDFOR...........................................................................................................................................................................................Locatedat...............................................................................................................................CaseNo. .........................................................................................................................................NOTICETO APPLICANTFOR A CHARGINGDOCUMENT You are makingan applicationfor a chargingdocumentwhichmay lead to the arrestand detentionof the individualyou are charging.If, as a resultof your application,a chargingdocumentis issuedby the commissioner,it will not bepossiblefor the commissionerto withdrawthe document.Thechargemay only be disposedof by trialor by actionof theStatesAttorney. You will be requiredto appearat the trialas a witness.Failureto appearon the date set by the courtcouldresultin yourarrestfor failureto obey a courtorder. The applicationwhichyou are filingis beingfiledunderoath.Article27, Section151,of the AnnotatedCodeofMarylandprovidesthatany personwho makesa falsestatementor reportof a crimeor causessuch a falsereportorstatementto be made to any officialor agencyof this State,knowingthe same,or any materialpartthereof,to be falseandwith intentthatsuchofficialor agencyinvestigate,consideror take actionin connectionwith suchstatementor report,shallbe subjectto a fineof not moret
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