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. * INFORMATION

*

, *

*

Defendant. *

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

In the above-entitled Court, on this day of

, 19 , by leave of Court, first had and obtained, is accused by , County Attorney in and for the County of , State of Montana, by this information, of the offense(s) of COUNT I:

(felon/misd.) contrary to the statutes of Montana as specified in Section , M.C.A., committed as follows, to-wit:

That at the County of , State of Montana, on or about the day of , 19 , and before the filing of this information the said defendant did:

COUNT I:

contrary to Section , M.C.A.,

contrary to the form, force and effect of the statute in such case made and provided, and against the peace and dignity of the State of Montana.

Name

County Attorney

STATE'S WITNESSES: