North Carolina > Statewide > Criminal
Application And Writ Of Habeas Corpus Ad Prosequendum CR-223 - North Carolina
| Application And Writ Of Habeas Corpus Ad Prosequendum Form. This is a North Carolina form and can be used in Criminal Statewide . |
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STATE OF NORTH CAROLINA County Name And Address Of Defendant File No. In The General Court Of Justice Superior Court Division District STATE VERSUS Race Sex Date Of Birth Offender ID (if any) APPLICATION AND WRIT OF HABEAS CORPUS AD PROSEQUENDUM G.S. 15-10.3 Name Of Agency In Whose Custody Defendant Confined Or Committed N.C. DAC Sheriff of County Division Of Juvenile Justice CHARGES PENDING FOR TRIAL File No. Offense(s) APPLICATION To Any Judge Of The Trial Division Named Above: The defendant named above is confined or committed in the custody of the agency named above. The prosecutor requests that a Writ of Habeas Corpus Ad Prosequendum be issued to the agency, requiring that the defendant be delivered, on the court date and at the time and place shown below, to the court in which the charge(s) referred to above are pending. Court Date Location Of Court Court Time AM PM Name Of Prosecutor (Type Or Print) Signature Of Prosecutor Date Of Application District Attorney Assistant District Attorney WRIT To The Agency Named Above: The defendant named above is confined or committed in your custody. Upon application of the prosecutor named above, you are ORDERED to deliver the defendant to the custody of the sheriff of this county so that the defendant may be brought before this Court on the court date and at the time and place referred to above. To: The Sheriff Of This County Other You are ORDERED to serve this writ upon the agency named above; to take the defendant into custody and bring him before this Court on the date and at the time and place shown above and, when the court proceeding has been completed and the defendant is released by the court, to return the defendant to the custody of that agency unless the court directs otherwise. Date Name Of Judge (Type Or Print) Signature Of Judge District Court Judge Superior Court Judge RETURN OF SERVICE I certify that this Writ was received and served as follows. Date Writ Received Name Of Person Served Date Def. Received From Custodian Date Def. Returned To Custodian Date Writ Served On Custodian Date Of Return Of Service Signature Of Person Making Return Of Service Deputy Sheriff Other Original-Custodian AOC-CR-223, Rev. 6/12 © 2012 Administrative Office of the Courts Copy-District Attorney Copy-File American LegalNet, Inc. www.FormsWorkFlow.com
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