Exempt from VRA Certif. IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT ANCHORAGE STATE OF ALASKA MUNICIPALITY OF ANCHORAGE Plaintiff, vs. ) ) ) ) ) ) ) ) ) ) ) CASE NO. APPLICATION FOR BAIL REVIEW HEARING (INMATE WITH NO ATTORNEY) Hearing date set: By (Clerk/Judicial Officer) at am/pm Defendant. DOB: 1. This case alleges that there is a crime victim: Yes No . 2. I am in custody. I have been in custody in this case since (date) 3. I am representing myself in this case. Because I am in custody, I am giving notice of this application to the prosecutor on (date) by mail other (describe how) 4. I request these changes in my bail (check and describe all that apply): Bail modification from $ to $ Delete third party custodian requirement. Proposed third party custodian: Name: Address: Phone no.: DOB: AK DL#: Custody arrangement: 24 hour Other (describe) Monitoring by: Other: 5. This application is: for my first bail review hearing. [AS 12.30.006(c)] for my second (or subsequent) bail review hearing. [AS 12.30.006(d)] My last bail . You must explain the following: review hearing was on a. New information not considered at previous bail review hearings (NOTE: Inability to post bail is not "new information"): I did not present this new information at previous hearings because: b. On (date) , I gave written notice of this application to the surety who posted my bond (name of surety) , in this way (describe how): Date Signature of Defendant Printed Name of Defendant CR-300 ANCH (7/10)(st.3) INMATE APPLICATION FOR BAIL REVIEW HEARING AS 12.30.006 Alaska Constitution art. I, sec. 24 American LegalNet, Inc. www.FormsWorkFlow.com