SUSPECTED DRUG HOUSE INFORMATION FORM
PLEASE PRINT CLEARLY IN INK. BE AS SPECIFIC AS POSSIBLE.
1) COMPLETE ADDRESS OF SUSPECTED DRUG HOUSE: ________________________________________
DESCRIPTION OF THE HOUSE: (color, location on block, single or two story, etc.)
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2) NAMES AND DESCRIPTION OF PERSONS WHO LIVE IN THIS HOUSE: (name and/or nickname, sex, race, age, height,
weight, hair color/style)
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3) HAVE YOU SEEN DRUGS BEING SOLD AT THIS HOUSE? ____ YES ____ NO
WHAT KIND OF DRUGS ARE SOLD? _____________________________________________
WHERE ARE THE DRUGS SOLD? _____ front door, _____ back door, _____ right side door, _____ left side door,
_____ right side window, _____ left side window, _____ other location - description - _____________________________________________
4) WHEN IS TRAFFIC (visitors to the house) HEAVIEST AT THIS HOUSE?
Days of the week Time of Day
______ Monday ______ Friday _____ 6AM to 9 AM _____ 3 PM to 6 PM
______ Tuesday ______ Saturday _____ 9AM to 3 PM _____ 6 PM to 11 PM
______ Wednesday ______ Sunday _____ 11 PM to 6 AM
______ Thursday _________ Average number of VISITORS in three hour period?
_________ Average length of TIME that visitors stay at the house?
5) DESCRIBE VEHICLES USED BY OCCUPANTS OR VISITORS OF THIS HOUSE:
O/V,__Make & Model_______, _Year_, _Color__, _License #_, _____Dents/Features______
__, _______________________, ______, ________, __________, ________________________
__, _______________________, ______, ________, __________, ________________________
__, _______________________, ______, ________, __________, ________________________
__, _______________________, ______, ________, __________, ________________________
__, _______________________, ______, ________, __________, ________________________
__, _______________________, ______, ________, __________, ________________________
6) PLEASE INCLUDE ANY OTHER INFORMATION THAT YOU THINK WOULD BE USEFUL:
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ADDITIONAL FORMS AVAILABLE THROUGH THE VICE & NARCOTICS DIVISION OF
THE FORT WAYNE POLICE DEPARTMENT.
MAIL COMPLETED FORM TO: JOE MUSI, FORT WAYNE POLICE DEPARTMENT
1320 EAST CREIGHTON AVE , FORT WAYNE, IN 46803
