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STATE OF WISCONSIN, CIRCUIT COURT, State of Wisconsin, Plaintiff -vs, Defendant Name COUNTY Judgment of Bail/Bond Forfeiture Case No. THE COURT FINDS: 1. Bail/Bond was posted or pledged for the defendant in the amount of $ 2. The defendant failed to comply with the conditions of the bail/bond. 3. The court ordered the bail/bond to be forfeited and notice of the court's order was sent to all parties entitled to notice. 4. The District Attorney moved for entry of judgment of bail/bond forfeiture in favor of the state against the defendant and/or surety(ies). THE COURT ORDERS: 1. Judgment is granted to the state against the defendant and any surety(s) in the amount of $ costs in the amount of $ . 2. The Clerk shall enter judgment accordingly. , plus . BY THE COURT: DISTRIBUTION: 1. Court 2. District Attorney 3. Defendant 4. Defendant's Attorney 5. Sureties 6. 7. Personal Service Mail Notice Circuit Court Judge Title (Print or Type Name if not eSigned) Date CR-230, 10/00 Judgment of Bail/Bond Forfeiture §969.13, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material.