CRIMINAL INFORMATION IN THE CIRCUIT COURT OF _________________________ COUNTY, ARKANSAS ________________________ DISTRICT, ___________________ DIVISION
State of Arkansas vs
Case No.
Filing Date
Amended Information? If Yes: Adding Offense(s)? Dropping Offense(s)? Changing Offense(s)? D Charged As Habitual? Is victim under the age of 14?
9 Yes
Co-D's
Multiple D's Charged Together 9 -Or- Multiple D's Charged Separately 9 Related Case #'s
9 Yes 9 Yes 9 Yes 9 Yes 9 Yes
Defendant's Full Name
Date of Birth
Race
Sex
SID #
Arrest Date
Address (Street, City, State, Zip)
SS#
Driver's License No.
Arrest Tracking #
Prosecutor's File #
Alias 1
Alias 2
Alias 3
I, ___________________________________, Prosecuting/Deputy Prosecuting Attorney, __________ Judicial District, in the name of the State of Arkansas, ____________________________ County, accuse the above named defendant of the following crime(s):
Code #
Offense
A/S/C
Offense Date
Counts
F/M
Class
Committed as follows: Count # __________ Offense ______________________________________________________________ The defendant on or about ______________________ (date), in _________________________ County, Arkansas did unlawfully
against the peace and dignity of the State of Arkansas.
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Committed as follows: Count # __________ Offense ____________________________________________________________ The defendant on or about ______________________ (date), in _________________________ County, Arkansas did unlawfully
against the peace and dignity of the State of Arkansas.
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Committed as follows: Count # __________ Offense ____________________________________________________________ The defendant on or about ______________________ (date), in _________________________ County, Arkansas did unlawfully
against the peace and dignity of the State of Arkansas.
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Entered this ______ day of ________________________, 20_____. ______________________________________, Prosecuting Attorney.
By _______________________________________ Prosecuting/Deputy Prosecuting Attorney