SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning CA 92220 MURRIETA 30755 - D Auld Rd., Ste. 1226, Murrieta, CA 92563 BLYTHE 265 N. Broadway, Blythe, CA 92225 RIVERSIDE 4100 Main St., Riverside CA 92501 INDIO 46 - 200 Oasis St., Indio, CA 92201 RI - CR008 ATTORNEY OR PARTY WITHOUT ATTORNEY ( Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: FAX NO. (Optional): E - MAIL ADDRESS (Opt ional): ATTORNEY FOR (Name ): PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT /ARRESTEE : BOOKING NO.: DECLARATION RE FELONIOUS SOURCE OF BAIL (Penal Code 2471275.1 ) 1. I, the undersigned declares that he/she is a peace officer emplo yed by: . 2. The arrestee/defendant was arrested on (date) at a.m. p.m. for the following bailable felony offense(s) 3 . I have probable cause to believe that the source of any bail money has be en feloniously obtained. The specific facts and circumstances that support this belief are as follows : attached 4 . I request an order that the arrestee/ defendant not be rele ased on bail until the c ourt finds after a hearing that no part of the consideration to be paid for bail was obtained by felonious means. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (DATE /TIME) (TYPE OR PRINT NAME OF PARTY MAKING DECLARATION ) (SIGNATURE) The request is approved. A hold is placed on the release of the arrestee/defendant. The request is denied. U pon posting scheduled bail, t he arrestee/defendant may be released. Dated: ( JUDGE OF THE SUPERIOR COURT ) Page 1 of 2 Adopted for Mandatory Use Riverside Superior Court RI - CR008 [Rev. 01/10/19 ] D ECLARATION RE FEL ONIOUS SOURCE OF BAIL Penal Code 2472471275, 1275. 1 riverside.courts.ca.gov / localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com PEOPLE OF THE STATE OF CALIFORNIA DEFENDANT/ARRESTEE: CASE NUMBER: FOR LAW ENFORCEMENT USE ONLY Telephonic Authorization Only: The request is approved. A hold is placed on the release of the arrestee/defendant. The request is denied. Upon posting scheduled bail, the arrestee/defendant may be released. Judge on (date) at a.m. p.m. Name of person receiving telephonic authorization from judge: (DATE /TIME) (TYPE OR PRINT NAME OF PERSON RECEIVING TELEPHONIC AUTHORIZATION) (SIGN ATURE) Page 2 of 2 Adopted for Mandatory Use Riverside Superior Court RI - CR008 [Rev. 01/10/19 ] D ECLARATION RE FEL ONIOUS SOURCE OF BAIL Penal Code 2472471275, 1275. 1 riverside.courts.ca.gov / localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com