CORYELL DISTRICT ATTORNEY’S OFFICE
AFFIDAVIT OF NON-PROSECUTION
STATE OF TEXAS
COUNTY OF CORYELL
My name is ______________________________________ and my address is
______________________________________________________________. My phone
number is____________________________________. My date of birth _____________.
My social security number is ___________. On or about _________________, charges
were filed for the offense of ______________________ against __________________.
I request that the charges against him/her be dismissed and that he/she not be prosecuted
for this offense.
All of the above is true and correct and occurred in Coryell County, Texas.
Sworn and subscribed to before me this the ______ day of _______, 2015.
Notary Public in and for the State of Texas
My commission expires: