en-USFORFEITURE en-USNOTICE TO THE DEFENDANT AND EACH SURETY NAMED ABOVE en-USCERTIFICATE OF SERVICE en-USFile No.* en-USSTATE OF NORTH CAROLINAen-US en-US Countyen-USIn The General Court Of Justice en-US District en-US Superior Court Division en-USBOND FORFEITURE NOTICEen-USG.S. 15A-544.3, -544.4, -544.5en-USName And Mailing Address Of Record Of Defendanten-USAmount Of Bonden-US$en-USDate Of Bonden-USName And Address Of Record Of Bail Agent/Runneren-USPower Of Appointment No. Of Bail Agenten-USLic. No. Of Agent/Runneren-USName And Address Of Record Of Surety 1en-USName And Address Of Record Of Surety 2en-USFailure To Appear Dateen-USDate Notice Givenen-US*Additional File Nos.en-USSignatureen-USDate Issueden-USFinal Judgment Dateen-USName Of Judge (type or print)en-USSignature Of Judgeen-USName And Address Of School Board Attorneyen-USThe defendant and surety named above bound themselves for the appearance of the defendant by execution of the appearance bond noted above. The en-USdefendant was called in open court and failed to appear on the date of forfeiture as shown below. It is ORDERED that the appearance bond be forfeited.en-USen-USen-USshown above was entered in favor of the State against the defendant and each surety named above on the date of forfeiture shown above. This forfeiture en-USen-USoccurred: en-US(i)en-US the defendant222s failure to appear has been stricken by the court in which the defendant was required to appear and any order for arrest that en-USwas issued for that failure to appear is recalled, en-US(ii) en-USen-USother than by the State222s taking a voluntary dismissal with leave,en-US (iii)en-US the defendant has been surrendered by a surety or bail agent to a sheriff of this State en-USas provided by law, en-US(iv)en-US the defendant has been served with an Order for Arrest for the Failure to Appear on the criminal charge in the case in question en-USen-US(v)en-US the defendant died before or within the period between the forfeiture en-USen-US(vi)en-US the defendant was incarcerated in a unit of the Division of Adult en-USCorrection and Juvenile Justice of the Department of Public Safety and is serving a sentence or in a unit of the Federal Bureau of Prisons located within en-USen-USAdult Correction and Juvenile Justice of the Department of Public Safety or Federal Bureau of Prisons, or en-US(vii)en-US the defendant was incarcerated in a local, en-USen-USen-USdefendant remains incarcerated for a period of 10 days following the district attorney222s receipt of notice, as evidenced by a copy of the written notice served en-USen-USen-USThe forfeiture will not be set aside for any other reason.en-US If this forfeiture en-USen-USen-USen-USen-US(Over) en-US en-USDeputy CSC en-US en-USAssistant CSC en-US en-USClerk Of Superior Court American LegalNet, Inc. www.FormsWorkFlow.com en-USMOTION TO SET ASIDE FORFEITURE en-USMOVING PARTY222S CERTIFICATE OF SERVICE en-USOBJECTION AND NOTICE OF HEARING en-USCERTIFICATE OF SERVICE OF OBJECTION AND NOTICE OF HEARING en-USORDER ON OBJECTION en-USNOTE:en-US en-USen-USen-US en-USen-USCopy both sides of this form before serving.en-USPursuant to G.S. 15A-544.5, the undersigned moves that the forfeiture on the reverse be set aside for the following reason(s): 1. þ The defendant222s failure to appear has been set aside by the court and any order for arrest issued for that failure to appear has been recalled, as en-US þ en-US 3. þ The defendant has been surrendered by a surety on the bail bond as provided by G.S. 15A-540, as evidenced by the attached 223Surrender Of en-USDefendant By Surety224 (AOC-CR-214). 4. þ The defendant has been served with an order for arrest for the failure to appear on the criminal charge in the case in question as evidenced by a en-US 5. þ The defendant died before or within the period between the forfeiture and this Motion, as evidenced by the attached copy of the defendant222s death en-US 6. þ The defendant was incarcerated in a unit of the Division of Adult Correction and Juvenile Justice and is serving a sentence or in a unit of the Federal en-USen-USof a document from the Division of Adult Correction and Juvenile Justice or Federal Bureau of Prisons, including an electronic record. þ en-USen-USen-USfor a period of 10 days following the district attorney222s receipt of notice, as evidenced by a copy of the written notice served on the district attorney en-USen-USen-USNOTE:en-US en-USen-USen-USen-USattorney for the county board of education by en-US en-US en-US en-USpersonally delivering a copy to each. en-USen-USen-USon the reverse. On the 223Failure To Appear Date224 shown on the reverse, the defendant failed to appear to answer the charges in the case(s), and forfeiture en-USof the bond was entered on that date. Notice of forfeiture was mailed to the moving party on the 223Date Notice Given224 shown on the reverse. en-USThe Court en-US en-US en-US en-USen-USthat forfeiture.en-USNOTE TO THE COURT: en-USen-USen-USMotion To Set Aside Forfeiture.en-USTherefore, it is ORDERED that: en-US en-USThe above Motion is allowed and the forfeiture is set aside. en-US þ en-USafter the 223Date Notice Given224 as shown on the reverse side.en-USThe en-US en-USdistrict attorney en-US en-USen-US en-US en-US en-US en-USpersonal delivery. en-USName And Address Of Moving Party (type or print)en-USDate Of Serviceen-USDateen-USDate Of Hearingen-USDateen-USDateen-USName Of Moving Party (type or print)en-USName Of Judge (type or print)en-USSignature Of Moving Partyen-USSignature Of Judge en-US New Address Defendant þ en-US Surety: þ Self þ Bail Agent þ Runner þ en-US Attorney en-US Other: þ en-US School Board Atty. en-US DA en-US Asst. DA en-US School Board Atty. en-US DA en-US Asst. DA en-USMoving Party:en-USSigned By: en-USSignatureen-USDate en-USTime Of Hearingen-USName (type or print)en-USName (type or print)en-USSignatureen-USSignatureen-USLocation Of Hearing en-US AM en-US PM American LegalNet, Inc. www.FormsWorkFlow.com