STATE OF NORTH CAROLINA County File No. In The General Court Of Justice District Superior Court Division Name And Mailing Address Of DefendantTelephone No. Of DefendantTotal Bond RequiredOffenses And Additional File Numbers$$Amount Of This BondAPPEARANCE BOND FOR PRETRIAL RELEASEG.S. 15A-531, 15A-534, 15A-544.2 See Attachment# Original - File(Over)ACCOMMODATION BONDSMAN COMPLETE IF CASH DEPOSITED Date Of Execution Of BondSignature Of Defendant Unsecured Appearance Bond - I, the undersigned defendant, acknowledge that my personal representatives and I are bound to pay the State of North Carolina the sum shown above, subject to the conditions of this Bond stated on the reverse side. Cash Appearance Bond By Defendant (See note on reverse side.) - I, the undersigned defendant, acknowledge that I am bound to pay the State of North Carolina the sum shown above, and hereby deposit the cash identied below as security with the understanding that the deposit will be returned upon the Court222s determination that the conditions of release have been performed, subject to the conditions of this Bond stated on the reverse side, and that it will be available to satisfy my obligations. Defendant222s Property Appearance Bond - I, the undersigned defendant, acknowledge that I am bound to pay the State of North Carolina the sum shown above, subject to the conditions of this Bond stated on the reverse side, and as security for said Bond have executed a mortgage or deed of trust to real or personal property, payable to the State of North Carolina and with power of sale conditioned upon the breach of any condition of this Bond. Surety Appearance Bond - We, the undersigned, jointly and severally acknowledge that we and our personal representatives are bound to pay the State of North Carolina the sum shown above, subject to the conditions of this Bond stated on the reverse side. Any undersigned professional bondsman, bail agent, or runner attests that the AFFIDAVIT on the reverse side is complete and true. If a cash deposit is indicated below, surety(ies) has deposited the cash to secure the obligation as surety(ies) on this bond with the understanding that the deposit will be returned to the surety(ies) upon termination of that obligation as provided by law, and that it will NOT be available to satisfy defendant222s obligations. (For cash bond, see note on reverse side.) See attached AOC-CR-201A for additional accommodation bondsmen executing this bond.PROFESSIONAL BONDSMAN Name And Address Of Accommodation BondsmanTelephone No.Name And Address Of Accommodation BondsmanTelephone No. SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE MESWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME INSURANCE COMPANY SIGNATURE Name Of BondsmanLicense No. Of BondsmanName Of Runner, If ApplicableLicense No. Of RunnerTelephone No. Name Of Insurance CompanyPower Of Appointment No. Of Bail AgentSignature Of SuretySignature Of SuretyTelephone No. Name Of Bail AgentLicense No. Of Bail AgentTelephone No. DateSignature DateSignature Deputy CSC Magistrate Custodian Of Detention Facility [G.S. 15A-537(c)] Assistant CSC Clerk Of Superior Court Deputy CSC Magistrate Custodian Of Detention Facility [G.S. 15A-537(c)] Assistant CSC Clerk Of Superior Court Receipt No.NOTE: If cash deposited, see note on reverse side.(see AOC-CR-238 if release after judgment in superior court) AOC-CR-201, Rev. 4/18 2018 Administrative Ofce of the Courts American LegalNet, Inc. www.FormsWorkFlow.com CONDITIONS AFFIDAVIT RETURN OF CUSTODIAN OF DETENTION FACILITY The conditions of this Bond are that the above named defendant shall appear in the above entitled action(s) whenever required. It is agreed and understood that this Bond is effective and binding upon the defendant and each surety throughout all stages of the proceedings in the trial divisions of the General Court of Justice until the entry of judgment in the district court from which no appeal is taken or until the entry of judgment in the superior court, unless terminated earlier by operation of law or order of the court. If the defendant appears as ordered until termination of the Bond, then the bond is to be void, but if the defendant fails to appear as required, the Court will forfeit the bond pursuant to Part 2 of Article 26 of Chapter 15A of the General Statutes.Each accommodation bondsman, by signing on the reverse or on the attached AOC-CR-201A, states: 223I have reached the age of 18 years and am a bona de resident of North Carolina. Aside from love and affection and release of the above named defendant, I have received no consideration for acting as surety. I own sufcient property over and above all liabilities, homestead and other exemptions allowed me by law to enable me to pay this Bond should it be ordered forfeited. I understand that if I sign this Bond without sufcient property, I am guilty of a crime.NOTES ON CASH BONDS:(1) Use this form for all cash bonds. Complete this form as follows: Enter defendant222s name, address and telephone number at the top of Side One. Check 223Cash Appearance Bond By Defendant.224 Have defendant sign. Do no more. No other person222s name should appear on this form. Enter your name, sign and enter receipt number under 223Complete If Cash Deposited.224 Make receipt out to DEFENDANT, not to any other person. Enter defendant222s name, address and telephone number at the top of Side One. Check 223Surety Appearance Bond.224 Have defendant sign. Enter name, address and telephone number of person depositing cash under 223Accommodation Bondsman.224 Have that person sign under 223Signature Of Surety.224 Complete notarization for that person. Enter your name, sign and enter receipt number under 223Complete If Cash Deposited.224 Make receipt out to person depositing the cash.(2) If case disposed without forfeiture, disburse cash as follows: (1) If 223Cash Appearance Bond By Defendant224 checked on Side One, disburse to defendant or apply to defendant222s obligations if court so orders. (2) If 223Surety Appearance Bond224 is checked on Side One, disburse only to the person(s) named under 223Accommodation Bondsman.224(3) G.S. 15A-531(4) provides that an appearance bond executed by an insurance company or a professional bondsman (or a bail agent or runner on behalf of one of those sureties) is considered the same as a cash deposit, except in child support contempt proceedings for which only cash may satisfy a cash bond requirement.The defendant named on the reverse was released from my custody on the date shown below upon the execution of this Appearance Bond.NOTE 1. I have not, nor has anyone for my use, been promised or received any collateral, security or premium for executing this Bond. 2. I have been promised a premium in the amount shown below, which is due on the date shown below. 3. I have received a premium in the amount shown below. 4. I have been given collateral security by the person named below, of the nature and in the amount shown below. Amount Of Premium PromisedDate DueName Of Person From Whom Collateral ReceivedDate Defendant ReleasedName Of Custodian (type or print)Signature Of CustodianNature Of Collateral Amount Of Premium Received$$Value AFFIX STAMP ORPOWER OF ATTORNEYHERE Deputy Sheriff Sheriff Other AOC-CR-201, Side Two, Rev. 4/18 2018 Administrative Ofce of the Courts American LegalNet, Inc. www.FormsWorkFlow.com