NON-PROSECUTION FORM



NON-PROSECUTION FORM

THE STATE OF TEXAS

COUNTY OF ENTER COUNTY OF OFFENSE

BEFORE ME, the undersigned authority, on this day personally appeared ENTER YOUR NAME, who swore on oath as follows:

My name is YOUR NAME AGAIN. There is no legal impediment to my making this affidavit. It is the truth. It is entirely voluntary and I fully understand that I do not have to make this affidavit. I have not been offered or accepted any bribe or any benefit; no one has threatened or coerced me in any way with respect to withholding testimony or for the purpose of causing me to take or withhold action, and I understand that to do so would be illegal.

On or before the DAY day of MONTH, 20YR, PERSON ACCUSED/CHARGED was charged in COUNTY OF OFFENSE County, and as a result there is pending criminal prosecution against him/her for the offense of OFFENSE AND CASE # if handy, pending in the MUNICIPAL OR COUNTY OR DISTRICT Court of COUNTY OF OFFENSE County, Texas. I am the principal complaining witness against him/her; and I was the victim of the crime; if it was a crime; and I was the only person damaged as a result of the incident.

I do not want PERSON ACCUSED OR CHARGED to be further prosecuted. It is my request that the prosecution be dismissed, and I do not want to testify against PERSON ACCUSED OR CHARGED, although I understand that I may be compelled by legal process to do so even though it is against my wishes.

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Affiant

SWORN TO AND SUBSCRIBED BEFORE ME, ON THIS THE ___ DAY OF ___________A.D.

20____, BY YOUR NAME AGAIN.

_________________________________ ___________________________________

Notary Public State of       [OR] Peace Officer, State of Texas

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Printed name of Peace Officer

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