Nolan County Sheriff’s Office 211 Avenger Field Road, Sweetwater, Texas 79556 Phone (325) 235-5471 Fax (325) 235-5750 Voluntary Statement (Not Under Arrest)

I, , am not under arrest for, nor am I being detained for any criminal offenses concerning the events I am about to make known to . Without being accused of or questioned about any criminal offenses regarding the facts I am about to state, I volunteer the following information of my own free will, for whatever purposes it may serve.

Phone: ( ) -

I am years of age, date of birth / / and I live at

I have read each page of this statement consisting of page(s), each page of which bears my signature, and corrections, if any, bear my initials, and I do affirm that the facts and statements contained herein are true and correct.

Dated at Address, City, Texas, this the day of A.D.,

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Witness	Signature of person giving voluntary statement

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Witness