N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VI, form 7
Sec. 520.20 C.P.L. FORM 7
(Bail Bond-Defendant
Obligor)
4/85
ADVISEMENT TO DEFENDANT
YOU HAVE A RIGHT TO BE PRESENT AT THE TRIAL OF THE CHARGES AGAINST YOU, BUT IF YOU INTENTIONALLY ABSENT YOURSELF FROM THE COURT'S JURISDICTION OR INTENTIONALLY FAIL TO APPEAR AT TRIAL, THE COURT MAY DETERMINE TO HOLD THE TRIAL IN YOUR ABSENCE.
________ COURT OF ________
COUNTY OF ________
________ x
PEOPLE OF THE STATE OF NEW YORK,
Indictment/Docket
No. ________
- against - BAIL BOND WITH
JUSTIFYING
AFFIDAVIT
________,
Defendant.
________ x
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________, being duly sworn, deposes and says:
[name of defendant]
I reside at ____________.
My occupation is ____________.
On ________, 19________, a ________[FN1] was filed in the ________ Court of ________, County of ________, charging me with the crime(s) of ________, ________, and ________. By order of the ________ Court of ________, dated ________, 19________, I was duly admitted to bail in the sum of ________ dollars.
(I) [FN2] (____________ and I jointly
[name(s) of other obligor(s)]
and severally) undertake that I will appear in the above-entitled action whenever required and will at all times render myself amenable to the orders and processes of the Court.
In the event that I do not comply with any requirement, order or process of the Court, (I)
(
[name(s) of other obligor(s)] and I) will:
[Check appropriate statement]
________ A) Pay to the People of the State of New York the sum of ________ dollars, to secure payment of which the following personal property, having the value of ____________
____________
________ [list each item deposited and its value] is hereby deposited and the following real property ____________
____________
________ [list each item pledged and its value] is hereby pledged. The following liens and encumberances on the above items are presently in effect: ____________
____________
[specify nature and amount of every lien or encumberance on items deposited or pledged].
________ B) Pay to the People of the State of New York the sum of ________ dollars, to partially secure payment of which the sum of ________ dollars is hereby deposited.
________ C) Pay to the People of the State of New York the sum of ________ dollars.
[If section "B" or "C" is applicable, complete the following section]:
I have been employed by ________, located at ________ (have owned my own business with offices at ________) since 19________. My income during the past year was ________ dollars. My average income over the past five years was ________ dollars.
________
Defendant
Sworn to before me this
________ day of ________, 19________.
______________
Notary Public
[FN1] Describe type of accusatory instrument filed, e.g., information, simplified information, prosecutor's information, misdemeanor complaint, felony complaint, or indictment.
[FN2] Strike words in parentheses, as appropriate.
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VI, form 7