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AO 91 (Rev. 11/11) Criminal Complaint
UNITED STATES DISTRICT COURT
for the
__________ District of __________
United States of America )
)
)
)
)
)
)
v.
Case No.
Defendant(s)
CRIMINAL COMPLAINT
I, the complainant in this case, state that the following is true to the best of my knowledge and belief.
On or about the date(s) of in the county of in the
District of , the defendant(s) violated:
Code Section Offense Description
This criminal complaint is based on these facts:
’ Continued on the attached sheet.
Complainant’s signature
Printed name and title
Sworn to before me and signed in my presence.
Date:
Judge’s signature
City and state:
Printed name and title
AttachPrint Save As... Reset

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Forms

  • 1. AO 91 (Rev. 11/11) Criminal Complaint UNITED STATES DISTRICT COURT for the __________ District of __________ United States of America ) ) ) ) ) ) ) v. Case No. Defendant(s) CRIMINAL COMPLAINT I, the complainant in this case, state that the following is true to the best of my knowledge and belief. On or about the date(s) of in the county of in the District of , the defendant(s) violated: Code Section Offense Description This criminal complaint is based on these facts: ’ Continued on the attached sheet. Complainant’s signature Printed name and title Sworn to before me and signed in my presence. Date: Judge’s signature City and state: Printed name and title AttachPrint Save As... Reset