Fill and Sign the Application and Affidavit for Case Number Form C 25a Rev 6

IN THE ___________COURT OF ______________ (County), _________________ (State)_____________________ PLAINTIFF(Name of State)V.CAUSE NO. ________________________________ DEFENDANT (Name of Defendant) Affidavit in Support of Motion for Reduction of Amount of Bail or Release of Defendant on Own Recognizance STATE OF ____________________COUNTY OF _______________________PERSONALLY appeared before me, the undersigned authority in and for said county and state, ____________________ (Name of Affiant) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says:1. I am the Defendant in the above-entitled proceeding in which I am charged with the offense of (description of crime) _______________________ _____________________________. I was arrested on ___________________ (date), and am at present confined in the _______________________________ (name of jail), at __________________________________________________ __________________ (street address, city, state, zip code). Bail has been fixed in the sum of $_____________.2. I am unable to post bail in the sum of $_____________. I believe that this amount is excessive for the following reasons: (statement of reasons) ________________________________________________________________________________________________________________________________. I therefore make this application for reduction of bail, or, in the alternative, for release on my own recognizance.3. I resided at _________________________________________________ _______________ (street address, city, state, zip code), for ______ (number) years. My present address is _________________________________________ ___________________________ (street address, city, state, zip code), where I have lived for (period of time) ___________________________. It is a single-family dwelling, which I rent, and my wife and children reside with me.4. (Statement of relevant facts relating to past criminal record, employment, assets, liabilities, and other matters indicating that defendant is proper person for release on own recognizance.) ____________________ ______________________________________________________________________ ______________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ______________________________________________________________________ __________________________________5. If I am released on my own recognizance I will appear at all times and places as ordered by the Court releasing me, and as ordered by any Court before whom the charge may be subsequently pending. If I fail to appear and am apprehended outside _________________ (name of state), I will, and do, waive extradition._________________________ (Printed Name of Affiant)_________________________ (Signature of Affiant)SWORN to and subscribed before me, this the ____ day of _________________, 20____._________________________NOTARY PUBLICMy Commission Expires:___________________Of Counsel: ________________________(Name of Defendant’s Attorney)State Bar No. _______________________________________ _________________________________________________(Mailing Address and Phone Number)