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Criminal Summons Misdemeanor Worthless Check CR-115 - North Carolina
| Criminal Summons Misdemeanor Worthless Check 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 MISDEMEANOR WORTHLESS CHECK I. Simple II. Fourth Or Subsequent Offense THE STATE OF NORTH CAROLINA VS. Name And Address Of Defendant STATE OF NORTH CAROLINA County To the defendant: 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 the defendant named above unlawfully and willfully did draw, make, utter and issue and deliver to a check drawn upon (name of financial institution) of (city and state of financial institution) , for the payment of $ in money. The check was made payable to and was dated . The defendant knew at the time that he/she did not have sufficient funds on deposit or credit with the bank with which to pay the check on presentation. In The General Court Of Justice District Court Division Race Sex Date Of Birth Age Social Security No./Tax ID No. Name Of Defendant's Employer Offense Code(s) Drivers License No. & State Processing Fee [G.S. 25-3-506] Bank Service Charge Amount Of Check Total Restitution $ Offense In Violation Of G.S. (not to exceed $25) $ $ $ FOURTH OR SUBSEQUENT OFFENSE. [G.S. 14-107(d)(1)] The defendant was convicted three times previously of the crime of writing a worthless check as follows: Date Court County I. 2666 Date Of Offense II. 2656 14-107 Amount Of Check District District District Superior Superior Superior $ Complainant (Name, Address Or Department) Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) This act was in violation of the law referred to in this Criminal Summons. This Summons is issued upon information 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 Court Date Court Time Date Issued Magistrate Assistant CSC Deputy CSC Clerk Of Superior Court AM PM NOTE: Do not use this form if the amount of the check is more than $2,000.00. AOC-CR-115, Rev. 4/11 (Structured Sentencing) © 2011 Administrative Office of the Courts (over) American LegalNet, Inc. www.FormsWorkFlow.com If this Criminal Summons is not served within ninety (90) days, it must be District Attorney returned to the Clerk of Court in the county in which it was issued with the reason for the failure of service noted thereon. The officer must state all guilty PLEA: steps taken by the department in attempting to serve the Summons and not guilty any information obtained about the whereabouts of the defendant. Waived Not Indigent Attorney For Defendant Appointed Retained No./Level: PRIOR CONVICTIONS: 0 I (0) II (1-4) III (5+) no contest VERDICT: guilty not guilty MISD. CLASS: 1 2 3 RETURN OF SERVICE I certify that this Criminal Summons was received and served as follows: Date Received Date Served Time Served AM PM Date Returned By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above verdict, it is ORDERED that the defendant: pay costs and a fine of $ . be imprisoned for a term of days in the custody of the sheriff. DOC.* Pretrial credit days served. Work release is not recommended. [ is ordered. (use form AOC-CR-602)] is recommended. The Court finds that a longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary. 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 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 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* $ Attorney's Fee $ Community Service Fee $ Other $ *Name(s), address(es), and amount(s) for aggrieved party(ies) to receive restitution: (Note To Clerk: Record SSN or Tax ID No. of aggrieved party(ies) on AOC-CR-382, "Certification Of identity (Victims' Restitution)/Certification Of Identity (Witness Attendance)." Signature Of Officer Making Return Name Of Officer (Type Or Print) Department Or Agency Of Officer REDELIVERY/REISSUANCE Date Signature Dep. CSC Assist. CSC CSC RETURN FOLLOWING REDELIVERY/REISSUANCE I certify that this Criminal Summons was received and served as follows: Date Received Date Served Time Served AM PM Date Returned 6. complete hours of community service during the first service coordinator, and pay the fee prescribed by G.S. 143B-262.4(b) within 7. not be found in or on the premises of the complainant or 8. not assault, communicate with or be in the presence of the complainant or 10. Other: days of probation, as directed by the community days. . . 9. refrain from maintaining a checking account or making or uttering a check for three years. By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: It is ORDERED that this: Signature Of Officer Making Return Name Of Officer (Type Or Print) Judgment is continued upon payment of costs. case be consolidated for judgment with sentence is to run at the expiration of the sentence in . . Department Or Agency Of Officer COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment to the sheriff and that the sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall have complied with the conditions of release pending appeal. APPEAL ENTRIES The defendant, in open court, gives notice of appeal to the District Court. Superior Court. The current pretrial release order is modified as follows: Date Name Of District Court Judge/Magistrate (Type Or Print) Signature Of Distri
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