___
_________________________________________________________________________________________
1 Strike if not applicable.
2 Set forth the facts upon which the complainant bases his belief If he does not have personal knowledge.
* Also "allege knowingly" when necessary.
making and filing of this complaint, in Justice of Peace Precinct No. 4 of Tom Green (aunty, State of
Texas,
did
then
and
there
unlawfully
and
willfully _________________________________________________-
IN THE NAME AND BY AUTHORITY OF THE STATE OF TEXAS:
I
______________________________________ _______ being
duly
sworn,
do
state
upon
my
oath
that
1
1 have personal knowledge,
1
1 have good reason to believe and do believe based upon the following information
2
and
I
charge
that one___________________________________________________
on (or about) the day of
, A.D.
_, and before the
against the peace and dignity of the State.
Sworn to and subscribed before me, this
day of , A.D.
_
,,
. .. . AFFIDAVIT FOR PROBABLE CAUSE- Issuance of a Bad Check
I ________________________________ being duly sworn stat that I have
good reason to believe and do
believe and charge that:
On or about
in Tom Green County, Texas, Defendant,
____________________________________issued
and
passed
check
no.
_,
dated
,
payable to_________________________________
and drawn on ________________________________
(bank) for payment of money
without having sufficient funds on deposit with the bank for payment in full of the check.
Affiant is employed by __________________________________
and is responsible for
handling collection of customer's checks. Affiant is personally familiar with the business
practices of merchant, which includes a requirement that before an employee of
(merchant) may accept a check from a customer, the employee must require that the
customer display to the employee the customer's Texas Driver’s License or Texas
Department of Public Safety Personal Identification Card, that the employee must
compare and determine whether they are one and the same person; and the employee
must then write the customer's license or identification card number on the check and the
employee's initials to indicate that the procedures are followed.
Affiant has further examined the business records of Merchant, including the check, and
those records reflect that the check was presented for payment within thirty days after it
was issued, and was returned unpaid, marked " "
______________
Affiant
SWORN TO AND SUBSCRIBED BEFORE ME ON day of , _
Notary Public or Clerk of the Court
AFFIDAVIT OF FIRST CLASS LETTER SENT:
On this the day of ,
mailed by first class mail to the above defendant.
________________________
Affiant
a 10 day demand letter was
SWORN TO AND SUBSCRIBED BEFORE ME ON_____________day of___________________, _______
Notary Public or Clerk of the Court