JIS CODE: BFA Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION CASE NO. PETITION NO. BOND FOR APPEARANCE COUNTY Court address Court telephone no. 1. In the matter of name(s), alias(es), DOB 2. Charge: 3. A hearing has been held on the above matter and bond has been ordered to ensure appearance of the juvenile under the following conditions: a. Amount of bail: Type of bond: Recognizance Cash or Surety Cash, Surety, or 10% Cash b. Appearance provisions: Hearing date: Time: Place: c. By signing this bond I have read and agree to the terms and conditions on the other side of this form and the following additional terms and conditions: 4. I understand and agree that if all the terms and conditions of this bond are not met, the bond may be revoked and the juvenile placed in detention and/or the full amount of the bond forfeited. I further understand that upon conclusion of this case the amount deposited will be applied to any court ordered reimbursement and costs, except that 10% of the deposit on a 10% cash bond will first be deducted and retained by the court pursuant to court rule. Signature of bonding party Date Name (type or print) Address Telephone no. City, state and zip Signature of juvenile (to be signed only if the court wants the juvenile's signature) Date 5. This bond is accepted for the court. Type of bond posted: Date Signature Title $ Deposit Do not write below this line - For court use only Receipt no. JC 08 (11/05) BOND FOR APPEARANCE MCR 3.604, MCR 3.935(C), (E), (F) American LegalNet, Inc. www.FormsWorkflow.com TERMS AND CONDITIONS 1. I will personally appear for any preliminary hearing, trial, or dispositional hearing and will appear at such other times and places as may be directed by the court. If I am represented by an attorney in this case, some notices to appear may be given to my attorney instead of personal notice to me. 2. I will abide by any disposition entered in this case and will surrender myself to comply with any disposition imposed. 3. I will not leave the State of Michigan without the permission of the court. 4. I will immediately notify the court in writing of any change in my address or telephone number. 5. I will abide by any other conditions described on the other side of this form. American LegalNet, Inc. www.FormsWorkflow.com