State of Michigan s5

STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT SEARCH WARRANT COUNTY

TO THE SHERIFF OR ANY PEACE OFFICER: Police Report #

The attached affidavit having been sworn to by the affiant, , before me this day, based upon the facts stated therein, probable cause having been found, in the name of the People of the State of Michigan, I command that you enter the following described place:

located at in County, State of Michigan, to make search for and seize the following described property:

A copy of this warrant, the affidavit and a tabulation of all property taken must be left with the person from whom the property was taken, or at the premises. You are also commanded to promptly return this warrant, affidavit and tabulation to the court after execution.

ISSUED UNDER MY HAND THIS DAY OF , .

______District Judge / Magistrate

Judicial District

County

State of Michigan

Rev. 9/1/04