Criminal summons misdemeanor assault north justia form
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SIMPLE ASSAULT [G.S. 14-33(a)] and strike
by
ASSAULT INFLICTING SERIOUS INJURY [G.S. 14-33(c)(1)] and strike
by
thereby inflicting serious injury (describe injury)
ASSAULT BY POINTING A GUN [G.S. 14-34]
pointing a gun,
legal justification.
ASSAULT WITH A DEADLY WEAPON [G.S. 14-33(c)(1)]
with a deadly weapon, a
by
I. STATE OF NORTH CAROLINA
CRIMINAL SUMMONS
MISDEMEANOR ASSAULT File No.
Simple
Serious Injury
Deadly Weapon
(Over)
This act was in violation of the law referred to in this Criminal Summons. This Summons is issued upon information
furnished under oath by the complainant listed. You are ORDERED to appear before the Court at the location, date and
time indicated below to answer to the charge. If you fail to appear, an order for your arrest may be issued and you may be
held in CONTEMPT OF COURT and imprisoned for up to thirty (30) days or fined up to $500.00 or both. This penalty for
failure to appear is in addition to any sentence which may be imposed for the crime charged.
Signature
AM
PM
I.
II.
III.
THE STATE OF NORTH CAROLINA VS.
Magistrate
Assistant CSC
Deputy CSC
Clerk Of Superior Court
On Female
Pointing Gun
On Gov't Off./Emp.
IV.
V.
VI.
AOC-CR-145, Rev. 12/03 (Structured Sentencing)
Misdemeanor Offense Which Requires
Fingerprinting Per Fingerprint Plan
2003 Administrative Office of the Courts
Name And Address Of Defendant
Names & Addresses Of Witnesses (Including Counties & Telephone Nos.)
Date Issued
Court Time
Location Of Court
To the defendant:
I, the undersigned, find that there is probable cause to believe that on or about the date of offense shown and
in the county named above, you unlawfully and willfully did assault
(charge only one offense)
.
In The General Court Of Justice
District Court Division
County
.
II.
Offense Code(s)
Name Of Defendant's Employer
Offense In Violation Of G.S.
Date Of Offense
County Of Residence
Telephone No.
Race
Sex
Date Of Birth
Age
Social Security No.
Drivers License No. & State
by
At the time of the offense the (officer) (employee) was attempting to discharge the following duty of his/her (office)
(employment):
.
.
,
ASSAULT ON GOVERNMENT OFFICER/EMPLOYEE [G.S. 14-33(c)(4)] and strike
, a government (officer) (employee)
VI. The defendant committed this offense against a person with whom the defendant has a personal relationship
as defined in G.S. 50B-1 and in the presence of a minor. [G.S. 14-33(d)]
III.
ASSAULT ON A FEMALE BY A MALE OVER 18 [G.S. 14-33(c)(2)] and strike
a female person, by
The defendant is a male person and was at least 18 years of age when the offense occurred.
IV.
V.
by intentionally
, at such person without
The defendant committed this offense against a person with whom the defendant has a personal relationship
as defined in G.S. 50B-1 and in the presence of a minor. [G.S. 14-33(d)]
Law Enforcement Case No.
FBI No.
LID No.
SID No.
I.
II.
III. 1368
1387, 1350
1388, 1351
IV.
V.
VI. 1389
1322
1391
,
.
,
.
Court Date
Complainant (Name, Address Or Department)
Telephone No.
County Of Residence
JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above
verdict it is ORDERED that the defendant:
CERTIFICATION Waived
Not Indigent
to the following conditions: (1) commit no criminal offense in any jurisdiction. (2) possess no firearm, explosive or other deadly weapon
listed in G.S. 14-269. (3) remain gainfully and suitably employed or faithfully pursue a course of study or of vocational training, that will
equip the defendant for suitable employment, and abide by all rules of the institution. (4) satisfy child support and family obligations, as
required by the Court. (5) pay to the Clerk the costs of court and any additional sums shown below.
Execution of the sentence is suspended and the defendant is placed on unsupervised probation* for
RETURN FOLLOWING REDELIVERY/REISSUANCE REDELIVERY/REISSUANCE RETURN OF SERVICE
APPEAL ENTRIES
The current pretrial release order is modified as follows:
No./Level:
I (0)
PRIOR CONVICTIONS:
guilty
guilty
not guilty
II (1-4)
This Criminal Summons WAS NOT served for the following
reason:
CSC
If this Criminal Summons is not served within ninety (90) days, it must be
returned to the Clerk of Court in the county in which it was issued with the
reason for the failure of service noted thereon. The officer must state all
steps taken by the department in attempting to serve the Summons and
any information obtained about the whereabouts of the defendant.
I certify that this Criminal Summons was received and served as
follows:
By personally serving this Criminal Summons on the
defendant.
no contest
no contest
PLEA:
VERDICT:
guilty
guilty
not guilty
Signature
Deputy CSC
Assist. CSC
pay costs and a fine of $
be imprisoned for a term of
days in the custody of the sheriff.
DOC.* Pretrial credit
months, subject
Work release
is recommended.
is not recommended.
[ is ordered. (use form AOC-CR-602)]
The Court finds that a
longer
shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary.
$
$
$
$
$
*Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution:
.
.
I certify that this Judgment is a true and complete copy of the original which is on file in this case.
Signature Of District Court Judge
6. complete
hours of community service during the first
days of probation, as directed by community
service coordinator, and pay the fee prescribed by G.S. 143B-475.1(b) within
days.
7. not be found in or on the premises of the complainant or
.
8. not assault, communicate with or be in the presence of the complainant or
.
9. Other:
This Criminal Summons WAS NOT served for the following
reason:
COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment to the sheriff and that the
sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall have complied with the
conditions of release pending appeal.
It is ORDERED that this:
Judgment is continued upon payment of costs.
case be consolidated for judgment with
sentence is to run at the expiration of the sentence in
0
III (5+)
The defendant, in open court, gives notice of appeal to the
Superior Court.
Signature
Dep. CSC
Assist. CSC
CSC
I certify that this Criminal Summons was received and served as
follows:
By personally serving this Criminal Summons on the
defendant.
M.CL.
M.CL.
A1
2
3
A1
2
3
Signature Of District Court Judge
Signature Of Officer Making Return
Signature Of Officer Making Return
1
1
AOC-CR-145, Side Two, Rev. 12/03 (Structured Sentencing)
*NOTE:
If DWI, use AOC-CR-342 (active) or AOC-CR-310 (probation). If active sentence to DOC, use AOC-CR-602. If supervised
probation, use AOC-CR-604.
2003 Administrative Office of the Courts
Date
Date
Date Delivered To Sheriff
Date
Name Of District Court Judge (Type Or Print)
Date Received
Date Served
Date Returned
Department Or Agency Of Officer
Date
Date Received
Date Served
Date Returned
Department Or Agency Of Officer
Fine
Restitution*
Attorney's Fee
Community Service Fee
Other
District Attorney
days served.
Attorney For Defendant
Appointed
Retained
.
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