AGREEMENT TO APPEAR ON RELEASE OF DEFENDANT ON OWN RECOGNIZANCE (P.C. 247 1318) Form Adopted for Mandatory Use - Local Rules of the Superior Court of California Page 1 of 2 TUO-CR-350 (Revised Nov. 1, 2017) TUO-CR-350 In consideration of being released on my own recognizance, I, the undersigned, promise and agree that I will: 1. Appear in person at all times and places ordered by the Court releasing me and at such other times as the Court thereafter shall direct. 2. Not depart the State of California without the prior leave of the Court. 3. Hereby waive all rights of extradition and proceedings for same if I fail to appear as required and am apprehended outside the State of California. 4. Comply with all existing court orders, including any Criminal Protective Order(s). 5. Next court date: time: Dept. 6. Not use or possess any: a. Controlled substances without a prescription from a medical doctor b. Alcoholic beverages c. Firearms or any weapon described in Penal Code section 12020(a) 7. Subject my person, residence, vehicle, place of employment, and any other containers or areas subject to my immediate control, to search by any Peace Officer for the following: a. Controlled substances and paraphernalia b. Stolen property c. Firearms or illegal weapons d. Other: 8. Subject to testing at any time by any Peace Officer for the presence of: a. Controlled substances b. Alcohol 9. Attend AA/NA meetings, or some other form of alcohol or drug abuse counseling, at least times per week, and show proof to the Court at each scheduled court hearing. 10. Report to the Probation Department no later than am/pm on to be placed on EMP for: a. Home detention b. GPS only c. SCRAM SUPERIOR COURT OF CALIFORNIA COUNTY OF TUOLUMNE 60 N. Washington Street Sonora, CA 95370 Phone: (209) 533-5563 The People of the State of California, Plaintiff, vs. Defendant. Case Number: AGREEMENT TO APPEAR ON RELEASE OF DEFENDANT ON OWN RECOGNIZANCE (P.C. 247 1318) Space below for use of Court Clerk only American LegalNet, Inc. www.FormsWorkFlow.com TUO-CR-350 Case Name: People vs. , Defendant. Case Number: 11.Not drive unless licensed, insured and with NO measurable amount of alcohol/drugs in my system. 12.Other orders: I am aware that the Court may at any time in its discretion revoke the order for release; that a failure to appear at the time or times as directed by the Court is punishable as a separate offense, that is, if I am charged with a felony, willful failure to appear is punishable as a felony, including a fine, and/or incarceration in county jail or state prison; or, if I am charged with a misdemeanor, the willful failure to appear is punishable as a misdemeanor, including a fine and/or incarceration in county jail. Dated: Defendant: Physical Description: Sex: Race: Date of Birth: Driver222s license #: Hair: Eyes: Height: Weight: Residence address: City: State: Zip: Mailing address: City: State: Zip: Home phone number: () Work phone number: () Cell phone Number: () Name and address of spouse: Name and address of parents: Executed in the presence of: Title: AGREEMENT TO APPEAR ON RELEASE OF DEFENDANT ON OWN RECOGNIZANCE (P.C. 247 1318) Form Adopted for Mandatory Use - Local Rules of the Superior Court of California Page 2 of 2 TUO-CR-350 (Revised Nov. 1, 2017) American LegalNet, Inc. www.FormsWorkFlow.com