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Here is the text we could read:

N THE ______________________________________ COURT OF __________________________________, ALABAMA  
 
 

   (Name of County or Municipality)  

(Circuit, District, or Municipal)  

 

 

 STATE OF ALABAMA 

(cid:133) MUNICIPALITY OF ______________________________________ v. _________________________________________ 
 
 

Defendant  

 

 

 

 

 

 

 

 

 

efore me, the undersigned authority, personally appeared this day the undersigned complainant, who, upon first being duly 
sworn, states on oath that he/she has probable cause for believing, and does believe, that ____________________________ 
_____________________________________, defendant, whose name is otherwise unknown to the complainant, did, prior to 
the commencement of this action, commit the offense of _______________________________________________________ 
____________________________________________________________________________________________ within the  

(cid:133) County of __________________________________________ 
(cid:133) City/Town of ________________________________________ or in the police jurisdiction thereof, in that he/she  

      (State specific facts here. Continue on a separate sheet of paper if needed.) ______________________________ 
      ___________________________________________________________________________________________ 
      ___________________________________________________________________________________________ 

did:  
 
 
 
of  
 
 
                    1975, previously adopted, effective and in force at the time the offense was committed.  
 

    (cid:133) Section _______________________, Ala. Code 1975 
    (cid:133) Ordinance Number ____________________, which embraces section ________________________, Ala. Code   

    (cid:133) Other ______________________________________ 

worn to and Subscribed before me this  

 
 
_____ day of _______________, ________.  
 
 
 
_________________________________________   
 
Judge/Magistrate/Warrant Clerk    

 

 

 

 

 

 

__________________________________________________ 
Complainant  
__________________________________________________ 
Address  
__________________________________________________ 

arrant Number  

ase Number  

  W

  C

COMPLAINT and WARRANT  
(Felonies Misdemeanors, or Violations - 
District Court or Municipal Court)  

 

 

Unified Judicial System 
orm C-64                                      Rev.11/92 

  F

tate of Alabama 

    S

 

 

 

 

 

 

Telephone Number  

  I

  (cid:133)

  B

  S

   

 

WARRANT OF ARREST  

TO ANY LAW ENFORCEMENT OFFICER WITHIN THE STATE OF ALABAMA:  
(cid:133) Probable cause has been found on Complaint filed in this court against (name or description of person to be arrested)  
__________________________________________________________________________________________________ 
charging: [description of offense(s)] _____________________________________________________________________ 
__________________________________________________________________________________________________ 
in violation of _______________________________________________________________________________________ 
OR 
(cid:133) An indictment has been returned by the grand jury of this county against (name or description of person to be arrested) 
__________________________________________________________________________________________________  
charging: [description of offense(s)] _____________________________________________________________________ 
__________________________________________________________________________________________________ 
in violation of _______________________________________________________________________________________ 
(cid:133) YOU ARE THEREFORE ORDERED to arrest the person named or described above and bring that person before a judge  

or magistrate of this court to answer the charges against that person and have with you then and there this warrant with    
your  return  thereon.  If  a  judge  or  magistrate  of  this  court  is  unavailable,  or  if the  arrest  is  made  in  another  county,  you 
shall take the accused person before the nearest or most accessible judge or magistrate in the county of arrest.  

(cid:133) You may release the accused person without taking the accused person before a judge or magistrate:  

(cid:133)  If the accused person enters into a bond in the amount of $ _______________ with two good sureties approved by 

an authorized officer or by depositing cash or negotiable bonds in the amount with the court clerk.  

(cid:133)  If the accused person posts an appearance bond in the amount of $_________________.  
(cid:133)  On his or her personal recognizance.  
 
 

 ___________________________   
 
 
 Date  

_____________________________________________ 
Judge/Magistrate/Clerk  

 
 

 

 

 

 

 

 

COMPLAINT and WARRANT  
(Felonies, Misdemeanors, or Violations - District Court)  

 
CERTIFICATE OF EXECUTION  

,  the  undersigned  law  enforcement  officer,  certify  that  I  executed  the  foregoing  ARREST  WARRANT  by  arresting  the 
accused person named (or described) therein at __________________o’clock (cid:133) a.m. (cid:133) p.m., on the ____________ day of 
_________________________, ________, in ____________________________________ County, Alabama.  
After arrest the accused person was:  
      (cid:133) Released as authorized at ______________ o’clock (cid:133) a.m. (cid:133) p.m., ____________________________, __________.  

     (cid:133) Taken before ((cid:133) judge) ((cid:133) magistrate) at __________________o’clock (cid:133) a.m. (cid:133) p.m., 
          _____________________________, __________.  

__________________________________ 
 

Date    

 

 

 

 
 

         ______________________________________________ 
         Signature/Title/Agency  

IDENTIFICATION OF ACCUSED PERSON  

Name of Accused Person  

Telephone Number  

 

Social Security Number 

Date of Birth  

Age 

Race 

Sex 

Height  

Weight 

Hair  

Eyes  

Other  

 

Address 

City 

State  

Zip Code  

Name of Employer  

Employer’s Telephone Number 

Address  

City 

State  

Zip Code  

 

 

 

WITNESSES  

 

Name  

 

 

 

         Address  

 

 

 

Telephone Number  

_________________________________     ___________________________________    ___________________________ 

_________________________________     ___________________________________    ___________________________ 

_________________________________     ___________________________________    ___________________________ 

_________________________________     ___________________________________    ___________________________ 

ACKNOWLEDGEMENT BY ACCUSED PERSON  

(cid:133)  I hereby acknowledge that at the time of my release from custody I was directed to appear in person before the court, as follows:  

  I

   

   

 

  _

 

   

 

 

orm C-64 (back)                               Rev.11/92

 

      F

Place:  _________________________________________________________________ 
Date:  __________________________________________________________________ 
Time ___________o’clock (cid:133) a.m. (cid:133) p.m., and as thereafter needed until discharged.  

(cid:133)  I promise to appear as directed before the court, as follows:  

Place:  _________________________________________________________________ 
Date:  __________________________________________________________________ 
Time ___________o’clock (cid:133) a.m. (cid:133) p.m., and as thereafter needed until discharged.  

__________________________________ 
Date 

 

 

 

 

 
 

            ___________________________________________________________ 
            Signature of Accused Person  

 

   

 

tate of Alabama 

Unified Judicial System 

orm C-64 (b)                  Rev.10/92 

COMPLAINT 
(Worthless Negotiable Instrument - District Court)  

 

 

 

Case Number 

 

N THE DISTRICT COURT OF ________________________________________________________________, ALABAMA  
 
 
STATE OF ALABAMA v. ____________________________________________________________________, Defendant  

(Name of County)  

    

 

 

 

 

efore  me,  the  undersigned  authority  of  the  District  Court  of  ___________________________________  County,  Alabama, 

personally  appeared  this  day  the  undersigned  complaint  who,  upon  first  being  duly  sworn,  states  on  oath  that  he/she  has 

probable  cause  for  believing,  and  does  believe,  that  the  above  named  defendant,  whose  name  is  otherwise  unknown  to  the 

complainant did, prior to the commencement of this action, negotiate or deliver a worthless negotiable instrument in the amount 

of  $________________  No.__________________,  payable 

to  ____________________________________________ 

__________________________________,  for  value  or  thing  of  value,  to-wit:  _______________________________________ 

_________________________________________,  with  the  intent,  knowledge  or  expectation  that  such  negotiable  instrument 

would not be honored by the drawee,______________________________, in violation of Section 13A-9-13.1, Ala.Code 1975 

against the peace and dignity of the State of Alabama.  

worn to and Subscribed before me this  

 

______day of_________________________.  

          _____________________________________________ 
          Complaint  

 

 

 

 
____________________________________ 
Judge/Magistrate/Warrant Clerk  
 
 
 
 

 
 

 
 

 
 

 
 

 

          _____________________________________________ 
         Address  

          _____________________________________________ 
          Telephone Number  

 
 

 
 

 
 

 
WITNESSES  

 

Name  

 

 

 

          Address  

 

 

 

    Telephone Number  

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

__________________________________________        _______________________________       ____________________ 

    S

  F

 

  I

    B

  S

   

   

    A

dditional Witnesses on Reverse Side  

 

 

N THE DISTRICT COURT OF ________________________________________________________________, ALABAMA  
         County  

TATE OF ALABAMA v. _______________________________________________________________________________ 

 

 

 

 

 

 

        Defendant  

Before me, the undersigned authority of the District Court of ____________________________ County, Alabama, personally 
appeared  this  day  the  undersigned  complainant  who,  upon  first  being  duly  sworn,  states  on  oath  that  he/she  has  probable 

cause for believing, and does believe, that _________________________________________________________________, 
defendant, whose name is otherwise unknown to the complainant, did, prior to the commencement of this action, negotiate or 
deliver a worthless negotiable instrument in the amount of $______________________, number ______________________, 
payable to _______________________________________________________________________________, for value or a 
thing  of  value,  to-wit:  ___________________________________________________________________________,  with  the 

intent,  knowledge  or  expectation  that  such  negotiable  instrument  would  not  be  honored  by  the  drawee,  to  wit: 
___________________________________________________________________________________________________, 
in violation of Section 13A-9-13.1, Ala. Code 1975, against the peace and dignity of the State of Alabama.  

 
 

 
 

 
 

 
 

 
 
 
Sworn to and Subscribed before me this  
 
_________________________________________   
 
_________________________________________   
 
Judge/Magistrate/Warrant Clerk    

  (date)  

    

 
 
 

 

__________________________________________________ 
Complainant  
__________________________________________________ 
Address  

__________________________________________________ 
Telephone Number  

WARRANT OF ARREST  

TO ANY LAW ENFORCEMENT OFFICER WITHIN THE STATE OF ALABAMA:  
(cid:133) Probable cause has been found on Complaint filed in this court against (name or description of person to be arrested)  
__________________________________________________________________________________________________ 
charging: [description of offense(s)] _____________________________________________________________________ 
__________________________________________________________________________________________________ 
in violation of _______________________________________________________________________________________ 
OR 
(cid:133) An indictment has been returned by the grand jury of this county against (name or description of person to be arrested) 
__________________________________________________________________________________________________  
charging: [description of offense(s)] _____________________________________________________________________ 
__________________________________________________________________________________________________ 
in violation of _______________________________________________________________________________________ 
(cid:133) YOU ARE THEREFORE ORDERED to arrest the person named or described above and bring that person before a judge  

or magistrate of this court to answer the charges against that person and have with you then and there this warrant with    
your  return  thereon.  If  a  judge  or  magistrate  of  this  court  is  unavailable,  or  if the  arrest  is  made  in  another  county,  you 
shall take the accused person before the nearest or most accessible judge or magistrate in the county of arrest.  

(cid:133) You may release the accused person without taking the accused person before a judge or magistrate:  

(cid:133)  If the accused person enters into a bond in the amount of $ _______________ with two good sureties approved by 

an authorized officer or by depositing cash or negotiable bonds in the amount with the court clerk.  

(cid:133)  If the accused person posts an appearance bond in the amount of $_________________.  
(cid:133)  On his or her personal recognizance.  
 
 

 ___________________________   
 
 
 Date  

_____________________________________________ 
Judge/Magistrate/Clerk  

 
 

 

 

  I

  S

 

 

   

   

arrant Number  

ase Number  

  W

  C

 

COMPLAINT and WARRANT 
(Worthless Negotiable Instrument - District Court) 

 

Unified Judicial System 
orm C-64 (c) (front)                    Rev.10/91 

  F

 

tate of Alabama 

    S

 

   

 

 

,  the  undersigned  law  enforcement  officer,  certify  that  I  executed  the  foregoing  ARREST  WARRANT  by  arresting  the  accused  person     
named (or described) therein at _______________o’clock (cid:133) a.m. (cid:133) p.m., on the _______________ day of _________________________, 
________, in ____________________________________ County, Alabama.  
After arrest the accused person was:  
      (cid:133) Released as authorized at ______________ o’clock (cid:133) a.m. (cid:133) p.m., ____________________________, __________.  

     (cid:133) Taken before ((cid:133) judge) ((cid:133) magistrate) at __________________o’clock (cid:133) a.m. (cid:133) p.m., 
          _____________________________, __________.  

__________________________________ 

Date  

 

 

 

 

                     ______________________________________________ 
 

     Signature/Title/Agency  

COMPLAINT and WARRANT 
(Worthless Negotiable Instrument - District Court) 

 
CERTIFICATE OF EXECUTION  

orm C-64 (c) (back)                Rev.11/92 

 

      F

IDENTIFICATION OF ACCUSED PERSON  

Name of Accused Person  

Telephone Number  

 

Social Security Number 

Date of Birth  

Age 

Race 

Sex 

Height  

Weight 

Hair  

Eyes  

Other  

 

Address 

City 

State  

Zip Code  

Name of Employer  

Employer’s Telephone Number 

 

Address  

City 

State  

Zip Code  

 

 

 

WITNESSES  

 

Name  

 

 

 

         Address  

 

 

 

Telephone Number  

_________________________________     ___________________________________    ___________________________ 

_________________________________     ___________________________________    ___________________________ 

_________________________________     ___________________________________    ___________________________ 

_________________________________     ___________________________________    ___________________________ 

ACKNOWLEDGEMENT BY ACCUSED PERSON  

(cid:133)  I hereby acknowledge that at the time of my release from custody I was directed to appear in person before the court, as follows:  

  I

   

  _

   

 

 

   

 

 

Place:  _________________________________________________________________ 

Date:  __________________________________________________________________ 

Time ___________o’clock (cid:133) a.m. (cid:133) p.m., and as thereafter needed until discharged.  

(cid:133)  I promise to appear as directed before the court, as follows:  

Place:  _________________________________________________________________ 

Date:  __________________________________________________________________ 

Time ___________o’clock (cid:133) a.m. (cid:133) p.m., and as thereafter needed until discharged.  

__________________________________ 
Date 

 

 

 

 

 
 

            ___________________________________________________________ 
            Signature of Accused Person

Complaint and Warrant (Felonies Misdemeanors, or Violations - District or Municipal Court)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Alabama state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from eforms.alacourt.gov (2023-03)
Page(s): 5
Fields(s): 277
Average fields per page: 55
Reading Level: Grade 13
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

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text__208 was Text233 (0.35 conf)
text__209 was Text234 (0.35 conf)
text__210 was Text235 (0.35 conf)
text__211 was Text236 (0.35 conf)
text__212 was Text237 (0.35 conf)
text__213 was Text238 (0.35 conf)
text__214 was Text239 (0.35 conf)
text__215 was Text240 (0.35 conf)
text__216 was Text241 (0.35 conf)
check_box__48 was Check Box242 (0.37 conf)
text__217 was Text243 (0.35 conf)
text__218 was Text244 (0.35 conf)
text__219 was Text245 (0.35 conf)
check_box__49 was Check Box246 (0.37 conf)
check_box__50 was Check Box247 (0.37 conf)
check_box__51 was Check Box248 (0.37 conf)
text__220 was Text249 (0.35 conf)
text__221 was Text250 (0.35 conf)
text__222 was Text251 (0.35 conf)
check_box__52 was Check Box252 (0.37 conf)
check_box__53 was Check Box253 (0.37 conf)
text__223 was Text254 (0.35 conf)
text__224 was Text255 (0.35 conf)

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