Recommend: G Approval G Disapproval (if disapproval is checked, please complete the bottom of page 2) G Sufficient amount of equity G Lot Book Report confirming title (dated on or after date on which surety recorded Deed of Trust) G Property Appraisal (assessed value or signed written appraisal of current market value) G Recorded Deed of Trust naming the Clerk of the U.S. District Court, herein called BENEFICIARY On Date By: Assistant U.S. Attorney Signature: Extension UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA UNITED STATES OF AMERICA PLAINTIFF, v. AFFIDAVIT OF SURETY(IES) (PROPERTY) CASE NUMBER DEFENDANT(S). I (We), the undersigned surety(ies), state on oath: That I (we) permanently reside within the jurisdiction of the United States District Court for the Central District of California, or in (City, State), at the address(es) indicated; that I(we) am(are) the legal owner(s) of the property described below and the representations as to my (our) ownership and equity in said property are true and correct; That I (we) am (are) worth the amount specified in the bond, to wit: $ liabilities and exclusive of property exempt from execution. ,over and above my(our) just debts and I (We) further state that I (we) understand the provisions of the bond of the defendant named above for which this affidavit supports and I (we) acknowledge and agree that I (we) and my (our) personal representatives are bound, jointly and severally with the defendant and any other sureties, to pay to the United States of America the bond amount specified in the event the bond is forfeited. I (We) further promise not to transfer or encumber said property until final disposition of this case and exoneration of the subject bond by Order of the Court. I (We) hereby subject said funds, and agree to be bound as a condition of this bond, by the provisions of Local Criminal Rule 46-6, as set forth below in this document. I (We) understand that it is my (our) obligation to inform the Court and counsel of any change in residence address or employment of the defendant immediately upon such a fact becoming known to me (us). I (We) further agree and understand that, unless otherwise ordered by the Court, the bond for which this affidavit is supports is a continuing bond (including any proceeding on appeal or review) which shall continue in full force and effect until such time as the undersigned is (are) duly exonerated by Order of the Court. LOCAL CRIMINAL RULE 46-6 - BOND - SUMMARY ADJUDICATION OF OBLIGATION A bond of undertaking presented for filing shall contain consent and agreement of the principal and surety that in case of default or contumacy on the part of the principal or surety, the Court may upon ten (10) days notice proceed and summarily render a judgment in accordance with the obligation undertaken and issue a writ of execution upon such judgment. An indemnitee or party in interest seeking a judgment on a bond or undertaking shall proceed by Motion for Summary Adjudication of Obligation and Execution. Service may be made on corporate surety as provided in 31 U.S.C. §9306. AFFIDAVIT OF SURETY(IES) (PROPERTY) CR-3 (12/05) Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com Address and description of property: Each surety must indicate the form in which title to property is held and if there are other title holders, each must sign as surety and furnish pertinent information. Print Name of Surety X X X - X XSocial Security Number (Last 4 digits only) Address of Surety City, State, Zip Code G Sole Holder or Owner Percentage of Interest of Surety % G Tenancy in Common G Joint Tenancy G Other: Total Amount of Encumbrances and/or All Liens $ (list below separately) Present Fair Market Value of Property $ (supporting documentation attached) Name of Holder of 1st Encumbrance Address, City, State, Zip Code Name of Holder of 2nd Encumbrance Address, City, State, Zip Code Name of Holder of 3rd Encumbrance Total Equity $ (after deduction of encumbrance/liens) Number of other bonds or undertakings Address, City, State, Zip Code Homesteaders G Yes G No Exemption Filed? Amount of Exemption $ Amount of other bonds or undertakings Has the indicated property previously been USED as collateral? G Yes If yes, list: Was appraisal given by a LICENSED appraiser? G Yes G No G No. If not, what was basis of appraisal? I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Day of Executed this Signature of Surety Signature of Surety Above Surety Approved: United States Magistrate Judge Relationship of Surety Relationship of Surety Dated: . RECOMMEND DISAPPROVAL OF THIS BOND FOR THE FOLLOWING REASON(S): G Discrepancy in title documentation G Insufficient documentation to establish value of property G Amount of liens and/or encumbrances reduces value of property to less than required amount G Other (Explain): Dated: Assistant U.S. Attorney AFFIDAVIT OF SURETY(IES) (PROPERTY) CR-3 (12/05) Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com