CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR Court Address Zip Code Telephone Located at Case No(s). STATE OF MARYLAND Tracking No. vs. Defendant Date Sentence Imposed D.O.B. I.D. No. COMMITMENT RECORD TO: Commissioner of Correction Warden/Sheriff of Jail/Detention Center YOU ARE DIRECTED to receive the above named Defendant who has been sentenced and is hereby committed to your custody by JUDGE . The Defendant has been found guilty as to: Case/Count/ Offense No. Charge Art. Sec. Concurrent with Consecutive to Case/Count/Offense No. Sentence PAROLE ELIGIBILITY RESTRICTIONS Art. Sec. Case/Count/ Offense No. (PROVIDE DETAILS IN ADDITIONAL SENTENCING INFORMATION) Charge Art. Sec. Concurrent with Consecutive to Case/Count/Offense No. Sentence PAROLE ELIGIBILITY RESTRICTIONS Art. Sec. All but (PROVIDE DETAILS IN ADDITIONAL SENTENCING INFORMATION) is/are suspended and the Defendant is placed on probation for a period of SPLIT SENTENCE commencing upon: CHECK ONE 1. 2. Release of Defendant from Physical incarceration. Release of Defendant from parole, or mandatory supervision pursuant to Art. 41, Sec. 4-612. The total time to be served is , to run: A. concurrent with any other outstanding or unserved sentence and begin on B. consecutive to the last sentence to expire of all outstanding and unserved Maryland sentences. C. consecutive to the sentence imposed in Case No. The defendant has been awarded Procedure Article, § 6-218). days credit for time served prior to and not including date of sentence (Criminal In accordance with Criminal Procedure Article §§ 11-701 to 11-726 Defendant to be registered as a: TIER I SEX OFFENDER TIER II SEX OFFENDER TIER III SEX OFFENDER SEXUALLY VIOLENT PREDATOR LIFETIME SEXUAL OFFENDER AND BE SUBJECT TO LIFETIME SEXUAL OFFENDER SUPERVISION $ court cost(s) have been waived due to indigency. Commitment is for execution of previously suspended sentence after Defendant was found in violation of probation. Sentencing modification. This Commitment supersedes commitment issued on: ATTACHMENTS HERETO INCLUDE: Additional Sentence(s) Order for Reimbursement of Public Defender Victim Notification Request Order For Probation Conditions of Parole Other: PROVIDE ADDITIONAL SENTENCING INFORMATION, PAROLE ELIGIBILITY RESTRICTIONS, OR PAROLE RECOMMENDATIONS ON ADDENDUM CC-DC/CR 28A. TRULY taken from the record of this Court. Witness my Hand and the Seal of said Court this date: CC-DC/CR 28 (Rev. 10/2010) Appeal Bond set at $ $ Clerk/Judge American LegalNet, Inc. www.FormsWorkFlow.com