County Court District Court __________________________County, Colorado Court Address: People of the State of Colorado v. Defendant: _____________________________ COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number Phone Number: FAX Number: Division E-mail: Atty. Reg. #: Courtroom BOND FOR COST OF CARE OF ANIMALS PURSUANT TO §18-9-202.5, C.R.S. The purpose of this bond is to provide for the animal’s care and provision at the impound agency for at least 30 days, including the day on which the animal was taken into custody, pursuant to §18-9-202.5, C.R.S. Bond Type: Cash Certified Funds Bond Amount: $ _________________ Type of Animal(s): _____________________________________ Number of Animals bonded: _________ (Note: Individual Animals must be identified on a separate sheet with their name, or other identifying characteristics.) Bond is valid for 30 days and commences on _________________ (date animal(s) was/were taken into custody). Bond Posted By: _______________________________________ (Full Name of Party) ______________ (Date of Birth) Name of Animal Care Provider: ______________________________ Telephone Number: __________________ Address: ___________________________________________________________________________________ I hereby acknowledge that the posting of this bond may prevent the disposition of the above-type animal(s) and will be used for the care of and provision for said animal(s) for thirty days commencing on _____________ (date). I understand that I may request a hearing within 10 days after impoundment to determine whether the costs associated with this bond are fair and reasonable for the care of and provision of said animal(s). I understand that at the end of the time for which expenses are covered by the bond, if the owner/custodian wishes to prevent disposition of the animals(s), the owner/custodian shall post a new bond with the _______________________________ (Name of Court) within ten (10) days after the expiration of this bond. I understand that money may be returned upon an Order of the Court to the owner/custodian or individual who posted the bond on behalf of the owner/custodian once the animal care provider receives money due them for the care of, provision for, or disposal of said animal(s). Date: __________________________ __________________________________________ Signature of Party ____________________________________________ Address ____________________________________________ City, State, Zip Code ____________________________________________ (Area Code) Telephone Number (home) Executed and acknowledged by the above-named in the presence of the undersigned. Date: __________________________ __________________________________________ Clerk of Court/Deputy Clerk JDF 228 R8/06 BOND FOR COST OF CARE OF ANIMALS PURSUANT TO §18-9-202.5, C.R.S. American LegalNet, Inc. www.FormsWorkflow.com