Fill and Sign the Affidavit of Surety No Justification Central District of California Form

CR-04 ( 02/09)AFFIDAVIT OF SURETY (NO JUSTIFICATION) Date Approved: Extension: By: G PSA Officer (for material witness only) G AUSA Signature: UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA UNITED STATES OF AMERICA PLAINTIFF, v. DEFENDANT(S). CASE NUMBER AFFIDAVIT OF SURETY (NO JUSTIFICATION) I, the undersigned surety, state on oath that I permanently reside within the jurisdiction of the United States District Court for the Central District of California at the address indicated below or\ in (City, State): I further state that I understand the provisions of the bond execu ted by the above-named defendant for which this affidavit supports, and I agree to be bound as a condition of this bond by the provisions of Local Criminal Rule 46-6 as set forth at the bottom of this document and further ac knowledge and agree that I and my personal representatives are bound as a condition of this bond, jointly and severally with the defendant and other sureties, to pay to the United States of America the sum of $ , in the event that the bond is forfeited. I further understand that it is my obligation to inform th e Court and counsel of any change in residence address or employment of the defendant immediately upon becoming aware of such fact. I further agree and understand that, unless otherwise ordered by the Court, the bond for which this affidavit supports is a continuing bond (including any proceeding on appeal or review) wh ich shall continue in full force and effect until such time as the undersigned is duly exonera ted by Order of the Court. I declare under the penalty of perjury that the foregoing is true and correct. Executed on this day of , 20 . X X X - X X - Name of Surety Social Security Number of Surety (Last 4 digits only) Signature of Surety Address of Surety Relationship of Surety City, State, Zip Code Local Criminal Rule 46-6 Bond - Summary Adjudication of Obligation A bond or undertaking presented for filing shall contain consent of the principal and surety that, in case of default or contum acy on the part of the principal or surety, the Court, upon ten (10) days notice, may render a judgment summarily in accordance with the obligation undertaken and issue a writ of execution upon such judgment. An indemnitee or party in interest seeking a judgment on a bond or undertaking shall proc eed by Motion for Summary Adjudication of Obligation and Execution. Service may be made on a corporate surety as provided in 31 U.S.C. § 9306.