Deposit Account Fraud Form

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Deposit Account Fraud
CRIMINAL ARREST WARRANT
STATE OF GEORGIA
GEORGIA,
COUNTY
vs.
_____________________________________________
WARRANT N0 _________________________
_____________________________________________
_____________________________________________
ACCUSED
AFFIDAVIT
Personally appeared before me the undersigned Prosecutor, __________________________________________, who
on oath says that, to the best of his/her knowledge and belief, the above-listed Accused, on the ______ day of
________________________________20__, between the hours of __________ __.m. and _________ ___. m. did commit
the offense of DEPOSIT ACCOUNT FRAUD in violation of O.C.G.A. §16-09-20 at __________________________________
__________________________________________________________________,
County, Georgia, and against
__________________________________________________,
(for
business/corporate
victims,
list
the
exact
business/corporate name), the victim, and the laws of the State of Georgia. The facts upon which this affidavit for arrest is
based are as follows:
Said accused did make, draw, and deliver check number _____________ in the amount of $______________________drawn
on the ________________________________________________, a bank (other depository) located [ ] within [ ] outside the
State of Georgia, for the present consideration of ________________________________________________________ and
said check was returned unpaid because of [ ] insufficient funds [ ] account closed. Prosecutor swears that said check was
deposited within thirty (30) days of the date of delivery and that Prosecutor/Victim has given the notice, as required by the
above-statute, to the Accused of the check’s dishonor within ninety (90) days of the notice of the dishonor of said check.
Prosecutor makes this affidavit that a warrant may issue for the Accused's arrest.
Sworn to and subscribed before me
this _________day of __________________, 20_____. ____________________________________________
Prosecutor
______________________________________________
Judge, Magistrate Court of
County
STATE WARRANT FOR ARREST
To any Sheriff, Deputy Sheriff, Constable, Marshal or other Law Enforcement Officer of this State - Greetings:
For sufficient cause made known to me in the above affidavit, incorporated by reference herein, and other sworn testimony, you
are hereby commanded to arrest the Accused named in the above affidavit, charged by the prosecutor therein with the above off ense
against the laws of this State at the time, place and manner named in the above affidavit, and bring the accused before me or some other
Judicial Officer of this State to be dealt with as the law directs. Herein fail not.
This _________day of __________________, 20_____.
_____________________________________________
Judge, Magistrate Court
ORDER FOR BOND
IT IS HEREBY ORDERED that the aforesaid Accused be and is hereby granted bail to be made with sufficient surety as provided
by the Sheriff of
County in the amount of ___________________________________________________________
[ ]
[
($____________________) dollars to assure the presence of said Accused at arraignment, trial and final disposition in the
STATE
]
SUPERIOR Court of
County, Georgia. [ ] CASH ONLY
This _________day of __________________, 20_____.
_____________________________________________
Judge, Magistrate Court
[ ] Bond Hearing (17-10-1)
MAG 50-03 DEPOSIT ACCT FRAUDR
[ ] FELONY [ ] MISDEMEANOR

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