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Criminal Summons Misdemeanor Assault CR-145 - North Carolina
| Criminal Summons Misdemeanor Assault Form. This is a North Carolina form and can be used in Criminal Statewide . |
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File No. Law Enforcement Case No. LID No. SID No. FBI No. CRIMINAL SUMMONS STATE OF NORTH CAROLINA In The General Court Of Justice MISDEMEANOR ASSAULT District Court Division County I. Simple IV. On Female II. Serious Injury V. Pointing Gun To the defendant: III. Deadly Weapon VI. On Govt Off./Emp. I, the undersigned, find that there is probable cause to believe that on or about the date of offense shown and in the county named above, you unlawfully and willfully did assault THE STATE OF NORTH CAROLINA VS. (charge only one offense) Name And Address Of Defendant I. SIMPLE ASSAULT [G.S. 14-33(a)] and strike by . II. ASSAULT INFLICTING SERIOUS INJURY [G.S. 14-33(c)(1)] and strike by thereby inflicting serious injury (describe injury) . The defendant committed this offense against a person with whom the defendant has a personal relationship County Of Residence Telephone No. as defined in G.S. 50B-1 and in the presence of a minor. [G.S. 14-33(d)] III. ASSAULT WITH A DEADLY WEAPON [G.S. 14-33(c)(1)] Race Sex Date Of Birth Age with a deadly weapon, a , by .Social Security No. Drivers License No. & State The defendant committed this offense against a person with whom the defendant has a personal relationship as defined in G.S. 50B-1 and in the presence of a minor. [G.S. 14-33(d)] Name Of Defendants Employer , IV. ASSAULT ON A FEMALE BY A MALE OVER 18 [G.S. 14-33(c)(2)] and strike a female person, by Offense Code(s) Offense In Violation Of G.S. . I. 1368 IV. 1389 The defendant is a male person and was at least 18 years of age when the offense occurred. II. 1387, 1350 V. 1322 Date Of Offense V. ASSAULT BY POINTING A GUN [G.S. 14-34] by intentionally III. 1388, 1351 VI. 1391 pointing a gun, , at such person without Complainant (Name, Address Or Department) legal justification. VI. ASSAULT ON GOVERNMENT OFFICER/EMPLOYEE [G.S. 14-33(c)(4)] and strike , a government (officer) (employee) , by . At the time of the offense the (officer) (employee) was attempting to discharge the following duty of his/her (office) (employment): .County Of Residence Telephone No. This act was in violation of the law referred to in this Criminal Summons. This Summons is issued upon information Names & Addresses Of Witnesses (Including Counties & Telephone Nos.)furnished under oath by the complainant listed. You are ORDERED to appear before the Court at the location, date and time indicated below to answer to the charge. If you fail to appear, an order for your arrest may be issued and you may be held in CONTEMPT OF COURT and imprisoned for up to thirty (30) days or fined up to $500.00 or both. This penalty for failure to appear is in addition to any sentence which may be imposed for the crime charged. Signature Location Of Court Date Issued Magistrate Deputy CSC Court Date Court Time AM Misdemeanor Offense Which Requires Fingerprinting Per Fingerprint Plan Assistant CSC Clerk Of Superior Court PM AOC-CR-145, Rev. 12/03 (Structured Sentencing) 2003 Administrative Office of the Courts (Over) <<<<<<<<<********>>>>>>>>>>>>> 2 If this Criminal Summons is not served within ninety (90) days, it must be District AttorneyWaived Attorney For Defendant Appointed PRIOR CONVICTIONS: returned to the Clerk of Court in the county in which it was issued with the Not Indigent RetainedNo./Level: 0 I (0) II (1-4) III (5+) reason for the failure of service noted thereon. The officer must state all steps taken by the department in attempting to serve the Summons and PLEA:guilty no contest VERDICT: guilty M.CL. A1 1 2 3 any information obtained about the whereabouts of the defendant. guilty no contest guilty M.CL. A1 1 2 3 not guilty not guilty RETURN OF SERVICE JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above I certify that this Criminal Summons was received and served as follows: verdict it is ORDERED that the defendant: pay costs and a fine of $ . Date Received Date Served Date Returned be imprisoned for a term of days in the custody of the sheriff.DOC.* Pretrial credit days served. Work release is recommended. is not recommended. [ is ordered. (use form AOC-CR-602)] The Court finds that a longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary. By personally serving this Criminal Summons on the defendant. Execution of the sentence is suspended and the defendant is placed on unsupervised probation* for months, subject to the following conditions: (1) commit no criminal offense in any jurisdiction. (2) possess no firearm, explosive or other deadly weapon This Criminal Summons WAS NOT served for the following listed in G.S. 14-269. (3) remain gainfully and suitably employed or faithfully pursue a course of study or of vocational training, that will reason: equip the defendant for suitable employment, and abide by all rules of the institution. (4) satisfy child support and family obligations, as required by the Court. (5) pay to the Clerk the costs of court and any additional sums shown below. Fine Restitution* Attorneys Fee Community Service Fee Other $ $ $ $ $ Signature Of Officer Making Return *Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution: Department Or Agency Of Officer REDELIVERY/REISSUANCE Date Signature Dep. CSC Assist. CSC 6. complete hours of community service during the first days of probation, as directed by community CSC service coordinator, and pay the fee prescribed by G.S. 143B-475.1(b) within days. RETURN FOLLOWING REDELIVERY/REISSUANCE 7. not be found in or on the premises of the complainant or . I certify that this Criminal Summons was received and served as follows: 8. not assault, communicate with or be in the presence of the complainant or . Date Received Date Served Date Returned 9. Other: By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: Signature Of Officer Making Return It is ORDERED that this: Judgment is continued upon payment of costs. Department Or Agency Of Officer case be consolidated for judgment with . sentence is to run at the expiration of the sentence in . COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment to the sheriff and that the APPEAL ENTRIES sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall have complied with the The defe
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