STATE OF INDIANA ) IN THE WHITE SUPERIOR COURT
) SS:
COUNTY OF WHITE ) CALENDAR TERM, 20____
STATE OF INDIANA CAUSE NO. 91D01-
-vs-
______
______
______
DOB: ______
OLN: ______COUNT ______
CHARGING INFORMATION FOR DOMESTIC BATTERY
I.C. 35-42-2-1.3 CLASS A MISDEMEANOR
(child present or child victim) LEVEL 6 FELONY
The Prosecuting Attorney for the Thirty-Ninth Judicial Circuit of the State of Indiana informs that:
On or about the ______day of ______, 20_____, ______did knowingly or intentionally touch another family or household member; to wit: ______, in rude, insolent or angry manner resulting in bodily injury to said person who:
LEVEL 6 FELONY
______committed the offense in the physical presence of a child less than sixteen (16) years of age, knowing the child was present and might be able to see or hear the offense, or
______committed the offense against a family or household member who is less than fourteen (14) years of age, to-wit: age _____.
All of which is contrary to the form of the statute in such cases made and provided and against the peace and dignity of the State of Indiana.
ROBERT J. GUY
Prosecuting Attorney for the
Thirty-Ninth Judicial Circuit
BY: ______
(Deputy) Prosecuting Attorney
Atty. No. ______
Affiant does swear or affirm, under penalty of perjury as specified by Indiana Code 35-44.1-2-1, that the foregoing representations are true to the best of Affiant’s knowledge and belief.
Executed on: ______Signed: ______
STATE’S WITNESSES:
______