Free Dccr44a.vp - Maryland


File Size: 646.4 kB
Pages: 2
Date: December 11, 2006
File Format: PDF
State: Maryland
Category: Court Forms - State
Author: warnkenr
Word Count: 689 Words, 8,297 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.md.us/district/forms/criminal/dccr044a.pdf

Download Dccr44a.vp ( 646.4 kB)


Preview Dccr44a.vp
(City/County) DISTRICT COURT OF MARYLAND FOR ...................................................................................................................................... LOCATED AT (COURT ADDRESS) DISTRICT COURT CASE NUMBER

DEFENDANT'S NAME (LAST, FIRST, M.I.)

CONTINUATION SHEET - BAD CHECK CHARGE APPLICATION FOR STATEMENT OF CHARGES/STATEMENT OF PROBABLE CAUSE
On or about (date).............................................................. At (place) ........................................................................... Having a value of $............................

Did unlawfully obtain................................................................................................. by uttering a certain bad check dated: ............................... ACCOUNT NO.: ............................................................... in the sum of $ ..................................................................

from (full legal name of business or person): ............................................................................................................................ Check No. .......................................................................... Drawn By: .........................................................................

on the (name/address of bank): .................................................................................................................................................. presented to (full legal name of business or person): .........................................Payable to: ..................................................... Said check was returned from bank marked: .................................................on (date)............................................................. REGISTERED LETTER SENT (Date): ..................................... RETURNED MARKED:................................................. . .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... On or about (date).............................................................. At (place) ........................................................................... Having a value of $............................

Did unlawfully obtain................................................................................................. by uttering a certain bad check dated: ............................... ACCOUNT NO.: ............................................................... in the sum of $ ..................................................................

from (full legal name of business or person): ............................................................................................................................ Check No. .......................................................................... Drawn By: .........................................................................

on the (name/address of bank): .................................................................................................................................................. presented to (full legal name of business or person): .........................................Payable to: ..................................................... Said check was returned from bank marked: .................................................on (date)............................................................. REGISTERED LETTER SENT (Date): ........................... RETURNED MARKED:................................................. . .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... ...........................................................................................
Date

...........................................................................................
Applicant's Signature

TRACKING NUMBER

DC/CR 44A(Rev. 9/99)

Reset Form

DISTRICT COURT OF MARYLAND FOR...........................................................................................................................................................................................
Located at..................................................................................................................Case No........................................ .

NOTICE TO APPLICANT FOR A CHARGING DOCUMENT
You are making an application for a charging document which may lead to the arrest and detention of the individual you are charging. If, as a result of your application, a charging document is issued by the commissioner, it will not be possible for the commissioner to withdraw the document. The charge may only be disposed of by trial or by action of the State's Attorney. You will be required to appear at the trial as a witness. Failure to appear on the date set by the court could result in your arrest for failure to obey a court order. The application which you are filing is being filed under oath. Article 27, Section 151, of the Annotated Code of Maryland provides that any person who makes a false statement or report of a crime or causes such a false report or statement to be made to any official or agency of this State, knowing the same, or any material part thereof, to be false and with intent that such official or agency investigate, consider or take action in connection with such statement or report, shall be subject to a fine of not more than $500, or be imprisoned not more than six months, or be both fined and imprisoned, in the discretion of the court. It is essential that you furnish as much information as possible about the offense. To be sure that your information is adequate, your application should clearly state the following: 1. WHO? Identify the accused, (the person you are complaining about), and identify yourself. 2. WHEN? . The time, day, month and year of the offense. 3. WHERE? . The exact address and street, the city, county and state where the offense happened. Also state whether the offense happened in a private home or in some public place. 4. WHAT? . State exactly what was done to you. For example: if property was taken, describe it and its value; or, if property was damaged or destroyed, indicate the original cost of the item or its replacement value. If you do not know the exact value, estimate it as accurately as possible. 5. WHY? The facts you give must show the accused intended to commit a criminal act. 6. HOW? How the accused committed the offense. For example, if you were physically assaulted, were you struck with a fist, a flat hand, kicked, or pushed, or were you struck with an object, such as a club or pipe, etc.? If property was taken, how did the accused get it? If it was destroyed or damaged, how did the accused cause the damage? 7. At the top of the application, you will notice a space marked "DESCRIPTION". The information in this space refers to the . accused. It is important that you furnish as much of this as possible so that the accused may be easily identified. If you need further assistance in completing your application, please feel free to ask the commissioner.