Criminal Summons {CR-113}

File No. Law Enforcement Case No. LID No. SID No. FBI No. Offense MISDEMEANOR CRIMINAL SUMMONS STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division Name And Address Of Defendant THE STATE OF NORTH CAROLINA VS. 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 you unlawfully and willfully did Race Social Security No. Sex Date Of Birth Age Drivers License No. & State Name Of Defendant's Employer Offense Code(s) Offense In Violation Of G.S. Date Of Offense Date Of Arrest & Check Digit No. (As Shown On Fingerprint Card) 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. Arrest and/or contempt for failure to appear is in addition to any sentence which may be imposed for the crime charged. The undersigned finds the following cause to set a court date more than one month from the issue of this summons: . Signature Date Issued Location Of Court Court Date Court Time Misdemeanor Offense Which Requires Fingerprinting Per Fingerprint Plan Magistrate Assistant CSC Deputy CSC Clerk Of Superior Court (Over) AM PM AOC-CR-113, Rev. 4/14 © 2014 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com If this Criminal Summons is not served within ninety (90) days or by the date District Attorney the defendant is directed to appear, whichever is earlier, it must be returned to the Clerk of Court in the county in which it was issued with the reason for guilty the failure of service noted thereon. PLEA: I certify that this Criminal Summons was received and served as follows: Date Received Date Served Time Served RETURN OF SERVICE Signature Of Officer Making Return Department Or Agency Of Officer 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. MCP. DA C.* Pretrial credit days served. By personally serving this Criminal Summons on the defendant. Work release is recommended. is not recommended. [ is ordered. (use form AOC-CR-602)] This Criminal Summons WAS NOT served for the following The Court finds that a longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary. reason: 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. AM PM Date Returned no contest guilty no contest guilty no contest not guilty Waived Not Indigent Denied Attorney For Defendant VERDICT: guilty guilty guilty not guilty Appointed Retained PRIOR CONVICTIONS: No./Level: 0 I (0) M.CL. M.CL. M.CL. II (1-4) A1 1 A1 1 A1 1 III (5+) 2 3 2 3 2 3 Name Of Officer (Type Or Print) Fine Restitution** Attorney's Fee Community Service Fee Other $ $ $ $ $ Date REDELIVERY/REISSUANCE Signature **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)." The clerk finds moreaboveone month the following cause to set a court date than from reissue: Dep. CSC Assist. CSC CSC hours of community service during the first 6. complete judicial services coordinator, and pay the fee prescribed by G.S. 143B-708 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 9. provide a DNA sample pursuant to G.S. 15A-266.4. (AOC-CR-319) 10. Other: days of probation, as directed by the days. . . Date Received RETURN FOLLOWING REDELIVERY/REISSUANCE I certify that this Criminal Summons was received and served as follows: Date Served Time Served By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: Signature Of Officer Making Return Department Or Agency Of Officer Name Of Officer (Type Or Print) AM PM Date Returned It is ORDERED that this: The defendant, in open court, gives notice of appeal to the Superior Court. The current pretrial release order is modified as follows: Date Signature Of District Court Judge APPEAL ENTRIES Date . . 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. Name Of District Court Judge (Type Or Print) Signature Of District Court Judge upon payment Judgment is continuedfor judgment of costs. case be consolidatedthe expiration with sentence in of the sentence is to run at CERTIFICATION I certify that this Judgment is a true and complete copy of the original which is on file in this case. Date Date Delivered To Sheriff Signature Dep. CSC Asst. CSC CSC American LegalNet, Inc. www.FormsWorkFlow.com AOC-CR-113, Side Two, Rev. 4/14 © 2014 Administrative Office of the Courts *NOTE: If DWI, use AOC-CR-342 (active) or AOC-CR-310 (probation). If active sentence to DAC, use AOC-CR-602. If supervised probation, use AOC-CR-604.