West Virginia Code § 62-9-12

An indictment for false pretenses 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, fraudulently, designedly and feloniously falsely pretend to one B ............... that
(here set out the fraudulent misrepresentations), by means of which fraudulent and false
pretenses the said A ............... did then and there feloniously and unlawfully obtain (here
state the money or property obtained) of the property, goods and chattels of B ...............,
against the peace and dignity of the state. u
And where goods which may be the subject of larceny are obtained on credit by false
pretenses by the representation by the accused that there is money due or to become due
him and he shall assign the claim for such money in writing to the person from whom such
money, goods or other property is obtained, and shall afterwards collect the same without
the consent of the assignee, with intent to defraud lthe indictment shall be sufficient if it be
in form, tenor or effect as follows (after followsing the form in section one):
That A ..............., on the ........ day of ........,i nineteen ........, in the said county of ................,
did unlawfully, fraudulently, designegdly and feloniously falsely pretend and represent to one
B ............... that there was a certain sum of money due to him the said A ..............., from one
C ..............., and then and there assign in writing to the said B ............... the said sum of
money so claimed to be due him from the said C ..............., whereupon and by means of
which, the said A ............... did then and there obtain, falsely, fraudulently and feloniously,
from the said B ............... (here state and describe the money, goods and property of the said
B ..............., so obtained, and the value thereof), of the money, goods and property of the
said B ..............., and the said A ............... afterwards, to wit, on or about the ........ day of
........, nineteen ........, did fraudulently stop, and feloniously collect from said C ............... the
money so assigned to the said B ..............., without the consent of the said B ............... first
obtWained, against the peace and dignity of the state.

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