SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning, CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 INDIO 46-200 Oasis St., Indio, CA 92201 RIVERSIDE 4100 Main St., Riverside, CA 92501 MURRIETA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 92563 RI-CR013 FOR COURT USE ONLY PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: CASE NUMBER: AGREEMENT FOR OWN RECOGNIZANCE RELEASE I AGREE TO ALL OF THE FOLLOWING CONDITIONS OF A RELEASE ON MY OWN RECOGNIZANCE: 1. I will appear in person at all times and places as ordered by this court and as ordered by any court in which the charge is subsequently pending; 2. I will obey all conditions imposed by the Court; 3. I promise not to depart this state without permission of the court; 4. I WAIVE EXTRADITION if I fail to appear as ordered by the court and am apprehended outside of the State of California; 5. The court may revoke the order for my release on my own recognizance, at its discretion, and either return me to custody or require that I give bail or other assurance for my appearance; and 6. I promise to obey the following additional conditions of my release: 7. I understand that this release is subject to any and all conditions previously imposed by the Pretrial Services Officer. I acknowledge that I have been informed and understand that: (1) Noncompliance with any of the above-stated conditions will result in a report of the violation to the court and the issuance of a bench warrant for my arrest (P.C. §§ 978.5, 1043, 1038); (2) Any person who is charged with the commission of a misdemeanor who is released on his/her own recognizance and who willfully fails to appear as agreed is guilty of a separate misdemeanor punishable by imprisonment in the County Jail not exceeding 6 months, or by a fine up to $1,000, or by both; (3) Any person who is charged with the commission of a felony who is released on his/her own recognizance and who for willfully fails to appear as agreed is guilty of a separate felony punishable by imprisonment in the state prison not more than 3 years, or by a fine up to $10,000, or by both; (4) I will abide by any additional special conditions imposed, as ordered by the court, and indicated in section 6 above. Defendant’s Signature: Street Address: City, State, Zip: Telephone Number: Witness to Signature: Page 1 of 1 Approved for Optional Use Riverside Superior Court RI-CR013 [Rev. 7/12] AGREEMENT FOR OWN RECOGNIZANCE RELEASE California Penal Code §1318 -1320 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com