THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) BOND IN CRIMINAL CASE Offense(s) Charged: Agency Case Number: Police Dept. Date of Offense Received of Amount $ CASH BAIL / CORPORATE SURETY BAIL BOND to secure defendant's compliance with the Conditions of Bail written below. PERSONAL RECOGNIZANCE The defendant agrees s/he is indebted to the State of New Hampshire in the amount of $ Personal Recognizance Bail to secure defendant's compliance with the Conditions of Bail written below. CONDITIONS OF BAIL 1. The defendant shall appear in this court to answer this charge at on 2. The defendant shall appear in any New Hampshire Court to answer this charge when notified to report to the court. 3. The defendant immediately shall notify any New Hampshire Court in which this case is pending of any change of address. 4. The defendant shall keep the peace and be of good behavior. 5. Other: If the defendant complies with the Conditions of Bail, this obligation shall be null and void on final disposition of this charge. If the defendant does not comply with any condition(s) Cash Bail shall be forfeited to the State and execution may issue against the defendant for Personal Recognizance and against the corporate surety or surety. In addition, the court may order the arrest of the defendant. Date Time Bail Commissioner / Clerk of Court Corporate Surety or Surety Defendant Address AM PM $ Bail Commissioner's Fee NHJB-2335-DS (01/01/2013) Address Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com