Fill and Sign the Obtaining Property Form

The value of the items described above was $100,000.00 or more. Date Of Arrest & Check Digit No. (As Shown On Fingerprint Card) File No. (Over) WARRANT FOR ARREST OBTAINING PROPERTYBY FALSE PRETENSES This act was in violation of the law referred to in thi s Warrant. This Warrant is issued upon information furnished under oath by the complainant listed. You ar e DIRECTED to arrest the defendant and bring the defendant before a judicial official without unnecessary delay to answer the charge above. Signature AM PM THE STATE OF NORTH CAROLINA VS. Magistrate Assistant CSCDeputy CSC Clerk Of Superior Court Offense In Violation Of G.S. Offense Code(s) 2632 14-100 AOC-CR-112, Rev. 12/03 (Structured Sentencing) ( NOTE: For offenses committed on or after December 1, 1997, check this option if applicable .) Name And Address Of Defendant County Of Residence Drivers License No. & State Name Of Defendant's Employer Complainant (Name, Address Or Department) County Of Residence Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) Location Of Court Telephone No. Race Sex Date Of Birth Age Social Security No. Date Of Offense Telephone No. Date Issued 2003 Administrative Office of the Courts Court Date Court Time STATE OF NORTH CAROLINAIn The General Court Of Justice District Court Division County To any officer with authority and jurisdiction to execute a warrant for arrest for the offense charged below: I, the undersigned, find that there is probable cause t o believe that on or about the date of offense shown a nd in the county named above the defendant named above unl awfully, willfully and feloniously did knowingly and designedly with the intent to cheat and defraud, obtai n and attempt to obtain Law Enforcement Case No. FBI No. LID No. SID No. from by means of a false pretense which was calculated to deceive and did deceive. The false pretense consisted of the following: No./Level: Deput y CSC A ssist . CSC3 guilty guilty not guilty Appointed Retained RETURN FOLLOWING REDELIVERY/REISSUANCE REDELIVERY/REISSUANCE 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: 2 1 2 1 This Warrant WAS NOT served for the following reason: 6. 0 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 com plied with the conditions of release pending appeal. pay costs and a fine of $ . CSC If this Warrant For Arrest is not served within one hundred and eighty (180) 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 execute the Warrant and any information obtained about the whereabouts of the defendant. RETURN OF SERVICE I certify that this Warrant was received and served as follows: Signature Dep. CSC Assist. CSC CSC I certify that this Warrant was received and served as follows: By arrest ing t he def endant and bringing t he def endant bef ore: This Warrant WAS NOT served for the following reason: Signature Of Officer Making Return APPEAL ENTRIES The defendant, in open court, gives notice of appeal to the Superior Court. The current pretrial release order is modified as follows: Signat ure Of Dist rict Court Judge WAIVER OF PROBABLE CAUSE HEARING The undersigned defendant, with the consent of his/her attorney, waives the right to a probable cause hearing. Signature Of Defendant Signature Of Attorney By arresting the defendant and bringing the defendant before: Signature Of Officer Making Return PRIOR CONVICTIONS: I (0) II (1-4) III (5+) no contest no contest PLEA: VERDICT: guilty guilty not guilty MISD. CLASS: MISD. CLASS: Signature be imprisoned for a term of days in the custody of the sheriff. DOC.* Pretrial credit days served. 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. Ex ecut ion of t he sent ence is suspended and t he def endan t is placed on unsuperv ised probat ion* f or months, subject 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 insti tution. (4) satisfy child support and family obligations, as required by the Court. (5) pay to the Clerk the costs of court and any additi onal sums shown below. $ $ $ $ $ *Name(s), address(es), amount(s) & social security number(s) of a ggrieved party(ies) to receive restitution: It is ORDERED t hat t his: J udgment is cont inued upon pay ment of cost s. case be consolidat ed f or judgment w it h sent ence is t o run at t he ex pirat ion of t he sent ence in . . PROBABLE CAUSE: Probable cause is found as to all Counts except , and the defendant is bound over to Superior for action by the grand jury. No probable cause is found as to Count(s)of this Warrant, and the Count(s) is dismissed. I certify that this Judgment is a true and complete copy of the original which is on file in thi s case. CERTIFICA TION Signature Of District Court Judge completehours of communit y serv ice during t he f irst days of probation, as directed by the 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: 3 AOC-CR-112, Side Two, Rev. 12/03 (Structured Sentencing) 2003 Administrative Office of the Courts *NOTE: If DWI, use AOC-CR-342 (active) or AOC-CR-310 (probation). If active sentence to DOC, u se AOC-CR-602. If supervised probation, use AOC-CR-604. Name Of District Court Judge (Type Or Print) Department Or Agency Of Officer Name Of Judicial Official Date Received Date Served Date Returned Date Department Or Agency Of Officer Name Of Judicial Official Date Received Date Served Date Returned Dat e Date Waived Date Date Date Delivered To Sheriff Fine Restitution* Attorney's Fee Community Service Fee Other Waived Not Indigent District Attorney Attorney For Defendant