Name

County Attorney

Address

City, State, Zip

Telephone Number

Attorney for Plaintiff

MONTANA JUDICIAL DISTRICT COURT, COUNTY

*

STATE OF MONTANA, * CAUSE NO.

*

Plaintiff, * JUDGE

*

vs. * AFFIDAVIT IN SUPPORT OF

*

, * MOTION FOR LEAVE TO FILE

*

Defendant. * INFORMATION DIRECT

* * * * * * * * * * * * * * * *

STATE OF MONTANA )

: ss.

County of )

Comes now, , Count Attorney, in and for the County of , State of Montana, and on oath deposes and says:

That he is the duly elected, qualified and acting County Attorney, in and for the County of , State of Montana. That he is informed and verily believes that the above-named Defendant committed the following offense:

COUNT I: (felony/misd.).

That upon information produced by the investigation of law enforcement authorities listed as witnesses in the information and further investigation of this affiant, it appears that in the County of , State of Montana, on or about the day of , 19 , the above-named defendant did, (narrative of Crime).

Upon investigation, officers found that

Upon being questioned by law enforcement officials,

WHEREFORE affiant has made a careful investigation of all of the facts and circumstances surrounding the commission of the said offense so far as they are know or ascertainable; that he verily believes that it is a proper commission and for these reasons and none other, the foregoing Affidavit is made.

IN WITNESS WHEREOF I have hereunto set my hand and seal this day of , 19 , at the Town of , County of , State of Montana.

Name

County Attorney

STATE OF MONTANA )

: ss.

County of )

On this day of , 19 , before me, the duly elected and qualified Clerk of District Court of the Judicial District of the State of Montana, in the for the County of , personally appeared , know to me to be the duly elected and qualified County Attorney, in and for the County of , State of Montana, and known to me to be the person whose name is subscribed to the within and foregoing Affidavit.

IN WITNESS WHEREOF I have hereunto set my hand and affixed the Court seal the day and year in this certificate first above written.

Clerk of Court