West Virginia Code
Article 9. Forms of Indictments
§62-9-15. Indictment for Giving Worthless Check

An indictment for giving a worthless check shall be sufficient if it be in form, tenor or effect as follows (after following the form in section one):
That A ..............., on the ........ day of ........,nineteen .........., in the said county of .........., did unlawfully and feloniously (if for a felony, or "did unlawfully," if for a misdemeanor) issue and deliver unto B ..............., for value, with intent to defraud the said B ..............., his certain check (or draft) of the words and figures following: (here copy check or draft), when he the said A ..............., knowingly did not have sufficient funds on deposit in or credit with the said .......... bank of .......... with which to pay said check (or draft), against the peace and dignity of the state.

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