Citizen Affidavit Of Probable Cause And Request For Investigation
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2CITIZEN AFFIDAVIT OF PROBABLE CAUSE AND REQUEST FOR INVESTIGATION
Name:
_____________________
_____ _______________________
_____________________
First
M.I.
Last
Date of Birth
Address:
________________________
__________________________
Physical
PO Box (if applicable)
________________________
_______
______________
City
State
Zip Code
Contact: _____________
_____________
________________ _____________________________
Home Phone
Work Phone
Cell Phone
Email
I, ___________________________, swear to the following facts and request the Ennis Police Department
investigate and file criminal charges against: __________________________________________________,
(Suspect’s name or detailed description and address, if known)
for the offense of: _______________________________________________________________________,
based on the following facts: That on __________________ at ___________________________________.
(Date and time)
(Location)
I observed the person named (or described above) do the following: _______________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
(Describe each of your observations that you saw or heard that lead you to conclude the person committed an offense. If you need additional room,
continue on a separate sheet of paper.)
In making this request, I understand the following:
1. This is an affidavit of probable cause and request for investigation and filing of criminal
charges.
2. Criminal charges may be filed as a result of my request for investigation and filing of
criminal charges.
3. If charges are filed, I must cooperate fully with Police and City/County Attorneys in any
prosecution arising from the charges. This may require me to testify in Court against this
person.
4. If my sworn statement is untrue, I may be charged with the offense of making a false
report to a law enforcement officer in violations of Montana Code Annotated 45-7-205, or
false swearing in violation of Montana Code Annotated 45-7-205.
5. If the allegations are untrue, or if the prosecution is not successful because I failed to
cooperate with law enforcement or prosecutors, I may also be liable to any person
charged and/or arrested for civil damages.
6. The Police and/or City or County Attorney’s Office will make charging and prosecuting
decisions.
7.
This document is a public record.
_________________________________________ on ____________________________ .
(Signature)
(Date)
Subscribed and sworn before me this ______________ day of _____________, 20 _____ .
________________________________
Notary Public for the State of Montana
________________________________
Notary’s Printed Name
Residing at ______________________
My commission expires: ____________.
(Affix notarial seal above)
Page ___________ of ______________.
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