9-312. Cash bond receipt and conversion after arrest on bench warrant. [For use in the metropolitan court] STATE OF NEW MEXICO [COUNTY OF___________________] [CITY OF_____________________] __________________________ COURT [STATE OF NEW MEXICO] [COUNTY OF __________________] [CITY OF ____________________] v. No. _________ ________________________________, Defendant CASH BOND RECEIPT AND CONVERSION AFTER ARREST ON BENCH WARRANT Defendant information: Arrest date: __________________________________________ Date of birth: __________________________________________ Social security number: __________________________________________ Mailing address: __________________________________________ City, state & zip code: __________________________________________ Address (physical): __________________________________________ City, state & zip code: __________________________________________ Bond information: American LegalNet, Inc. www.FormsWorkFlow.com Date bond posted: __________________________________________ Amount posted: __________________________________________ Bond posted by1: __________________________________________ Date of birth: __________________________________________ Social security number1: __________________________________________ Person paying bond's mailing address1: City, state & zip code1: __________________________________________ __________________________________________ PERSON OTHER THAN DEFENDANT PAYING BOND: (check applicable alternative and sign) [] I agree [] I do not agree that the bond money I have posted may be used to pay any fines, fees or costs that the court may order the defendant to pay after the defendant's release from custody. __________________________________ Signature of person posting bond DEFENDANT: (check applicable alternative and sign) [] I agree to appear in the ________________ court on _______________, _____ (date) at ________ [a.m.] [p.m.] (This alternative may be used only when authorized by the bench warrant and by the person posting 2 American LegalNet, Inc. www.FormsWorkFlow.com the bond.) [] I plead guilty to the charges. I ask the court to use the bond for payment of fines, fees and costs instead of requiring me to appear before the court. ________________________________ Signature of defendant BOND RECEIVED BY: ________________________________ Signature of clerk or bail designee ________________________________ Title ________________________________ Date COURT EMPLOYEE RECEIVING PAYMENT: ________________________________ Signature _________________________________ Title _________________________________ Date USE NOTE 1. Complete if person posting bond is not the defendant. [Approved, effective August 1, 1999; as amended by Supreme Court Order No. 07-8300-34, 3 American LegalNet, Inc. www.FormsWorkFlow.com effective January 22, 2008.] 4 American LegalNet, Inc. www.FormsWorkFlow.com