Criminal Complaint {AO 91}

AO 91 (Rev. 11/11) Criminal Complaint UNITED STATES DISTRICT COURT for the __________ District of __________ United States of America v. ) ) ) ) ) ) ) Case No. Defendant(s) CRIMINAL COMPLAINT I, the complainant in this case, state that the following is true to the best of my knowledge and belief. On or about the date(s) of District of Code Section in the county of , the defendant(s) violated: Offense Description in the This criminal complaint is based on these facts: ' Continued on the attached sheet. Complainant's signature Printed name and title Sworn to before me and signed in my presence. Date: Judge's signature City and state: Printed name and title American LegalNet, Inc. www.FormsWorkFlow.com