Affidavit
STATE OF WISCONSIN
________ County
In the ________ court of the ________ of ________
________ ________, being duly sworn, says that on ________ ___, 20__, upon certain premises in the Town of ________, ________ County, Wisconsin, more particularly described as follows: [describe the premises] there now exists a necessity to determine if the above-described premises comply with [section ________ of the Wisconsin statutes or section ________ of ordinances of the Town of ________ or both]. The facts tending to establish the grounds for issuing a special inspection warrant are as follows: [set forth brief statement of reasons for inspection, frequency, and approximate date of last inspection, if any, which shall be deemed probable cause for issuance of warrant].
Wherefore the said ________ ________ prays that a special inspection warrant be issued to search the above-described premises for said purpose.
[Signature of affiant]
Subscribed and sworn to before me this ____ of ________, 20__.
[Signature of judge]
Special Inspection Warrant
STATE OF WISCONSIN
________ County
In the ________ court of the ________ of ________
THE STATE OF WISCONSIN, To the sheriff or any constable or any peace officer of said county:
Whereas, ________ ________ has this day complained [in writing] to the said court upon oath that on ________ ___, 20__, upon certain premises in the Town of ________, ________ County, Wisconsin, more particularly described as follows: [describe the premises] there now exists a necessity to determine if said premises comply with [section ________ of the Wisconsin statutes or section ________ of ordinances of the town of ________ or both] and prayed that a special inspection warrant be issued to search said premises;
Now, therefore, in the name of the state of Wisconsin, you are commanded forthwith to search the above-described premises for said purposes.
Dated this ____ of ________, 20__.
[Signature of judge]
Endorsement on Warrant
Received by me ________ ___, 20__, at ____ o'clock ___.m.
[Signature of sheriff (or peace officer)]
Return of Officer
STATE OF WISCONSIN
________ Court
________ County
I hereby certify that by virtue of the within warrant I searched the named premises and found the following: [describe findings].
Dated this ______ day of ________, 20__.
[Signature of sheriff (or peace officer)]
