AOC - 325 Doc. Code: WAI
Rev.1-08
Page 1 of 1
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
RCr 6.52; RCr 6.54; RCr Form 5
COMMONWEALTH OF KENTUCKY
VS.
Name: ____________________________________________________________________________ DEFENDANT
Address: ____________________________________________________________________________
____________________________________________________________________________
SEX RACE BIRTHDATE HEIGHT WEIGHT OPERATOR’S LICENSE NO. STATE
TO ALL PEACE OFFICERS IN THE COMMONWEALTH OF KENTUCKY:
You are hereby commanded to arrest the above-named Defendant and bring him/her forthwith before the Circuit
Court of _____________________ County, Kentucky, to answer an indictment charging him/her with the offense(s) of:
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
KRS Number ___________________ Name of Offense _________________________________________________
against the peace and dignity of the Commonwealth.
If the Court is not in session, deliver defendant to the Jailer of __________________________________ County.
Date: _______________________, 2____. ___________________________________________ Clerk
By: _________________________________________ D.C.
ENDORSEMENT AS TO BAIL
Denfendant may give bail in the amount of $ _____________________________ secured by ______________________
_________________________________________________.
DATE: ________________,2____ _________________________________________JUDGE
EXECUTION
[ ] Executed [ ] Not executed because: _______________________________________________________
_________________________________________________________________________________________________
Date: _________________, 2_______. _____________________________________________
SignatureofPeaceOfcer
WARRANT OF ARREST
(on Indictment or Information)
Indictment No. _________________
Case No. _____________________
Court ________________________
County _______________________
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