Free ____________________________ - Tennessee

GENERAL SESSIONS COURT OF ________________________________ COUNTY TENNESSEE State of Tennessee vs. _____________________________________________________________________________ State Control # _____________________ _______________________ County Case # _____________________ Address ________________________________________ _______________________________________________
Phone ___________________ DL# _______________________ DOB ____________________ SSN#______________________ Sex____ Race____ Ht____ Wt____ Hair____ Eyes __________ Work _______________________________________________ ____________________________________________________

Attorney for Defendant _______________________________ Court Date _________________________________________
State, Deft. to ________________________ at _____________am/pm State, Deft. to ________________________ at _____________am/pm State, Deft. to ________________________ at _____________am/pm State, Deft. to ________________________ at _____________am/pm State, Deft. to ________________________ at _____________am/pm

AFFIDAVIT OF COMPLAINT
I, the affiant named below, after being sworn, state under oath that on or about _________________________________ in ____________________________ County, Tennessee, ____________________________________________________

committed the offense(s) of violation(s) of T.C.A. § ______________________________________________________________. I further state under oath that the essential facts constituting the offense(s), the sources of my information and the reasons why this information is believable and reliable are as follows:

Affiant's Signature: ______________________________________ Name (Printed): _________________________________________ Address (Printed): _______________________________________ ______________________________________________________ Phone Number: _________________________________________

Sworn to and subscribed before me on _________________________________, 20____ ________________________________________ Judge/Clerk/Judicial Commissioner

PROBABLE CAUSE DETERMINATION
Based on the affidavit of complaint, I find there is probable cause to believe that on the date set forth above in_______________ County, Tennessee the defendant committed the offense(s) of violation(s) of TCA § ________________________________________________________ ____________________________________________________________________________________________________________________ ( ) Defendant given citation or arrested without warrant ( ) Arrest warrant shall issue ( ) Criminal summons shall issue

Date __________________________________

Judge/Clerk/Judicial Commissioner ______________________________________

Legal Authority: TCA §§40-6-203, 40-6-204 ,TRCRP 3