"State of Alabama,
__________ County.
Before me, ___________,a (circuit, district or municipal) judge (setting out his name and office) in and for said county and state, personally appeared A. B., who, being duly sworn, deposes and says that C. D. has threatened to assault and beat him (or is about) to ___________ (here set forth the particular offense threatened or about to be committed) on the person or property of affiant (or E. F., a third person, as the case may be.)
(Signed) A. B. | |
Sworn to and subscribed before me, this the _______ day of ___________, 20__.
_______________________ | |
(Circuit, District or Municipal) Judge." |
Ala. Code § 15-6-20 (1975)