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STATE OF UTAH COUNTY OF ____FORSYTH____________________ IN THE __________UTAH___________________ JUSTICE COURT STATE

STATE OF UTAH

COUNTY OF ____FORSYTH____________________

IN THE __________UTAH___________________ JUSTICE COURT

STATE OF UTAH, or

_____FORSYTH_________ COUNTY, or

____NEW YORK__________ CITY

v.
John Doe

AFFIDAVIT FOR SEARCH WARRANT

No___95002000008_______________

Affiant, being duly sworn, upon his oath, states that I have reason to believe that on the following described premises or person of__________ _STEVE CHAPMAN AND KEITH HOPKINS______________________________

___________________________________________________ (here name person and/or describe premises) in the city or county designated above there is now being concealed

HIDING STOLEN GOODS AND HIDING OF GUN USED FOR ROBERY__________________________________________________

___________________________________________________

___________________________________________________
(set forth name of person or describe property as particularly as possible) and that the facts tending to establish the foregoing grounds for issuance of a Search Warrant are as follows:

__ BEING IN POSESSION OF STOLEN GOODS _________________________________________________

___________________________________________________
(include facts in support of the credibility of any hearsay relied upon; if necessary, continue on reverse side of this form or on a separate page or pages)

___________XXXXXX____________________________________
Signature of Affiant

Subscribed and sworn to or declared and affirmed to before me in the above-named county of Utah this ___09___ day of ___12_______, 20_21___.

________________________________________________
Judge, Notary or Other Officer Authorized to Administer Oaths

__________________WINSTON SALEM______________________________
Official Title

NOTE: This affidavit shall be filed in the same file as the search warrant. If no criminal proceedings are filed, the affidavit and warrant shall be filed in a miscellaneous file.

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