Page 264 - 4. 2014 2nd half New 26-05-21 No Table

WITNESS STATEMENT
CJ Act 1967, s.9; MC Act 1980, ss.5A(3)(a) and SB;
Criminal Procedure Rules 2005, Rule 27.1
URN:

Statement
of……………………………………............
Age if under 18: Over 18…. (if over 18 insert 'over 18)
Occupation:

This statement (consisting of: ... 1.... pages each
signed by me) is true to the best of my knowledge and
belief and I make it knowing that, if it is tendered in
evidence, I shall be liable to prosecution if I have
wilfully stated anything in it which I know to be false,
or do not believe to be true.

Signature…… ……… Date…….………

Tick if witness evidence is visually recorded (supply
witness details on rear)

I spoke to the resident at number
regarding the illegal party. I live here with my wife and
children. This party has had a very negative impact on
our life in that we could not sleep. The music was so
loud perpetrated through double-glazed glass. The music
went all through the night and into the next day.
Because of the lack of sleep or between the ages of 11
and 7; did not get any sleep. They were restless because
of sleep deprivation. My wife was very tired the next
day. Sunday, we had to leave the house in order to get
away from the noise and pollution.

Signature……………… Signature Witnesses by: ………….

6
The 2nd Asbo Folder / pub Book Issue: 1!
Fake: Resident Statements of: - PC John Anderson dated
Page Numbers: 65,
19/08/2014

RESTRICTED (When
Complete)