AO 93A (Rev.

12/03) Search Warrant Upon Oral Testimony

UNITED STATES DISTRICT COURT
District of
In the Matter of the Search of
(Name, address or brief description of person or property to be searched)
SEARCH WARRANT UPON ORAL
TESTIMONY
Case Number:
TO: and any Authorized Officer of the United States
Sworn oral testimony has been communicated to me by
Affiant
that
G
on the person of, or
G
on the premises known as (name, description and/or location)
in the District of there is now
concealed a certain person or property, namely (describe the person or property)
I am satisfied that the circumstances are such as to make it reasonable to dispense with a written affidavit and that there is probable cause
to believe that the property or person so described is concealed on the person or premises above described and that grounds for
application for issuance of the search warrant exist as communicated orally to me in a sworn statement which has been recorded
electronically, stenographically, or in long-hand and upon the return of the warrant, will be transcribed, certified as accurate and attached
hereto.
YOU ARE HEREBY COMMANDED to search on or before
Date
the person or place named above for the person or property specified, serving this warrant and making the search G in the day-
time 6:00 AM to 10:00 PM
G
at anytime in the day or night as I find reasonable cause has been established and if the
person or property be found there to seize same, leaving a copy of this warrant and receipt for the person or property taken, and
prepare a written inventory of the person or property seized and promptly return this warrant to
U.S. Magistrate Judge (Rule 41(f)(4))
as required by law.
at
Date and Time Issued City and State
Name and Title of Judge Signature of Judge
I certify that on at
Date Time
orally authorized the
Judge
issuance and execution of a search warrant conforming to all the foregoing terms.
Name of affiant Signature of affiant Exact time warrant
AO 93A (Rev. 12/03) Search Warrant Upon Oral Testimony
RETURN
DATE WARRANT RECEIVED DATE AND TIME WARRANT EXECUTED COPY OF WARRANT AND RECEIPT FOR ITEMS LEFT WITH
INVENTORY MADE IN THE PRESENCE OF
INVENTORY OF PERSON OR PROPERTY TAKEN PURSUANT TO THE WARRANT
CERTIFICATION
I swear that this inventory is a true and detailed account of the person or property taken by me on the warrant.
Subscribed, sworn to, and returned before me this date.
Signature of Judge Date
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