APPLICATION FOR SEARCH WARRANT

1 APPLICATION FOR SEARCH WARRANT STATE OF MISSOURI ) ) ss. COUNTY OF COLE ) IN THE CIRCUIT COURT OF COLE COUNTY, MISSOURI, COMES X, a peace officer, being duly sworn and under oath, and states upon information and belief as follows: That certain property, articles, materials or substances that constitute evidence of the violation of Section(s) X, RSMo, to-wit: <insert items (or person) to be searched for and seized, in detail> are being held and kept in violation of Section X, RSMo, in the following described place in Cole County, <insert exact place or person to be searched, in detail> That the following facts are sufficient to show probable cause for the issuance of a SEARCH WARRANT : 1. I am a .. 2. WHEREFORE, applicant prays that a SEARCH WARRANT be issued as provided by law in Chapter et seq. RSMo. _____ X Applicant Peace Officer Subscribed and sworn to before me at _____ on 10/27/2007.

2 _____ Notary Signature of (Assistant) Prosecuting Attorney: _____ Pursuant to (8) X SEARCH WARRANT STATE OF MISSOURI ) )ss. COUNTY OF COLE ) IN THE CIRCUIT COURT OF COLE COUNTY, MISSOURI WHEREAS, an APPLICATION in writing duly verified by oath, has been filed with the undersigned Judge of this Court stating upon information and belief that certain property, articles, materials or substances that constitute evidence of a violation of Sections X RSMo, to-wit: <insert items (or person) to be searched for and seized, in detail> are being held and kept in violation of Section X, RSMo, in the following described place in Cole County, <insert exact place or person to be searched, in detail> WHEREAS, the Judge of this Court from the sworn allegations of said APPLICATION and from the supporting written affidavits filed therewith has found that there is probable cause to believe the allegations of the APPLICATION to be true and probable cause for the issuance of a SEARCH and seizure WARRANT herein.

3 NOW THEREFORE, any peace officer is commanded to SEARCH the premises or place above-described within ten days after the issuance of this SEARCH WARRANT by day and announcing the presence of law enforcement [nighttime or no-knock entry requires support in affidavit] and, if the above-described articles, materials or substances or any part thereof are found on said premises, that you seize, and photograph or copy the same and take same into possession, making a complete and accurate inventory of the articles, materials or substances so taken in the presence of the person from whom possession the same is taken, if that be possible, and giving to such person a receipt for such property, together with a copy of this WARRANT , or, if no person be found in possession of said articles, material or substances leaving said receipt and said copy upon the premises and that the property so taken be held for safekeeping and that a duly verified copy of the return, photographs or copies of said articles, and inventory be filed with this Court within ten days of the execution of this SEARCH WARRANT .

4 Any hazardous materials, as defined under section , RSMo, seized, may be destroyed or disposed of after the collection of representative samples. This WARRANT is issued at _____ on the ____ day of _____, 200___. Witness my hand and seal of this Court attached hereto at that time and date. _____ JUDGE IN THE CIRCUIT COURT OF COLE COUNTY STATE OF MISSOURI STATE OF MISSOURI ] ]ss. COUNTY OF COLE ] SEARCH WARRANT RETURN, INVENTORY AND RECEIPT FOR PROPERTY SEIZED I, _____, being a peace officer within and for the aforesaid county, to-wit: _____, do hereby make return to the above and within WARRANT as follows: That on the _____ day of _____, 200___, and within ten days after issuance of said WARRANT , I went to the location described therein and searched the same for the person, article, material or substance described therein, and that upon said location I discovered the following person, article, material or substance described in the WARRANT which I then and there took into my possession.

5 Inventory of property taken is as follows: (attach addl pages if necessary) IN ADDITION that I seized and secured the property from _____, the person in whose possession I found the property; The owner of the property is _____ There was no person present from whose possession the property was taken. FURTHER that: I delivered to _____, a receipt for the property taken together with a copy of this WARRANT ; or There being no person in possession of the property present on the premises, I left a copy of this WARRANT , with a receipt for the property taken on the premises. _____ Subscribed and sworn to before me this _____ day of _____, 200___. _____ Clerk, Division _____