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Case No. ____________________
Court ________________________
County ______________________
Division ______________________
AOC-335.1 Doc. Code: ASWNN
Rev. 6-21
Page 1 of 3
Commonwealth of Kentucky
Court of Justice www.kycourts.gov
Ky Const. Section 10; RCr 2.02
RCr 13.10; KRS 455.180; KRS 455.200
AFFIDAVIT FOR SEARCH WARRANT
AUTHORIZING ENTRY WITHOUT NOTICE
A ant, ______________________________________, a peace o cer of ________________________________,
being rst duly sworn, states he/she has, and there is reasonable and probable grounds to believe, and A ant does
believe, there is now on the premises known and numbered as:
and more particularly described as follows:
and/or in a vehicle or vehicles described as:
and/or on the person or persons of:
the following described personal property, to wit:
A ant believes and states there is probable and reasonable cause to believe said property constitutes:
(check appropriate box or boxes):
stolen or embezzled property;
property or things used as a means of committing a crime;
property or things in possession of a person who intends to use it as a means of committing a crime;
property or things in possession of a person to whom it was delivered for the purpose of concealing it or preventing
its discovery and which is intended to be used as a means of committing a crime;
property or things consisting of evidence which tends to show a crime has been committed or a particular person
has committed a crime;
Other ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________.
A ant has been an o cer in the aforementioned agency for a period of _________ years and _________ months.
The information and observations contained herein were received and made in his/her capacity as an o cer thereof. On
_________________________, 2______, at approximately ___________ a.m. p.m., A ant received information
from/observed:
Acting on the information received, A ant conducted the following independent investigation:
AOC-335.1
Rev. 6-21
Page 2 of 3
Further, pursuant to KRS 455.180 and KRS 455.200:
1. a. A ant states that the evidence sought may give rise to the charge of a crime:
that would qualify a person, if convicted, as a violent o ender under KRS 439.3401; OR
that is designated in KRS 525.045, KRS 527.200, KRS 527.205, or KRS 527.210;
AND
b. A ant states that giving notice prior to entry will endanger the life or safety of any person, or result in the loss or
destruction of evidence sought that may give rise to a charge of a crime that would qualify a person, if convicted,
as a violent o ender under KRS 439.3401 or may give rise to a charge of a crime designated in KRS 525.045,
527.200, 527.205, or 527.210, as supported by the following facts:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
2. A ant has obtained the approval of ___________________________________, who is (check one) my supervising
o cer or the highest-ranking o cer in my law enforcement agency.
3. A ant has consulted with ________________________________, who is (check one) the Commonwealth's Attorney,
an Assistant Commonwealth’s Attorney, the County Attorney, or an Assistant County Attorney, for the jurisdiction
for which the warrant is sought.
(Name)
(Name)
AOC-335.1
Rev. 6-21
Page 3 of 3
4. A ant states there has has not been any other attempt to obtain a warrant authorizing entry without notice for the
same premises. List any other attempts by date(s) and judge’s name(s), if applicable:
____________________________________________________________________________________________
_____________________________________________________________________________________________
5. (Check if applicable) A ant requests authorization to execute the search warrant between the hours of 10 p.m. and
6 a.m. and states that exigent circumstances exist establishing there are substantial and imminent risks to the health
and safety of the persons executing the warrant, the occupants of the premises, or the public that justify the entry without
notice between the hours of 10 p.m. and 6 a.m., as supported by the following facts:
____________________________________________________________________________________________
_____________________________________________________________________________________________
6. (Check if applicable) A ant is in a county having a population of less than 90,000 and requests approval to execute
the search warrant without members of a special weapons and tactics team (SWAT) or special response team (SRT).
A ant states, after reasonable inquiry, that members of SWAT or SRT are not available to timely execute the warrant
and that the risks to the health and safety of the persons executing the warrant, the occupants of the premises, or
the public are greater if the warrant is not timely executed, as supported by the following facts:
__________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
A ant has reasonable and probable cause to believe, and believes, grounds exist for issuance of a Search Warrant
based on the aforementioned facts, information, and circumstances and, further, has provided the Court with information
su cient under KRS 455.180 and KRS 455.200 to support entry without notice. A ant prays that a Search Warrant
authorizing entry without notice be issued, and that the property (or any part thereof) be seized and brought before
any Court and/or retained subject to order of said Court.
____________________________________________
O cer
Subscribed and sworn to before me in my presence via oral communication on this the __________ day of
_________________________, 2______, at ______ a.m. p.m.
__________________________________________________
Judge or O cial authorized to administer oaths pursuant to
RCr 2.02 for the swearing of Complaints
__________________________________________________
Title (If a Notary Public, my Commission expires:___________)
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