Fill and Sign the Commitment Order for Non Payment of Fineforfeiture Form

GF-148 , 09/16 Commitment Order for Non-Payment of Fine/Forfeiture §§345.47, 778.09, 973.07, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mater ial. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Case Caption: Commitment Order for Non-Payment of Fine/Forfeiture Case No. Name of Person Person’s Address Person’s Phone Number ( ) Person’s Date of Birth Sex Race Driver’s License Number Height Weight Eye Color Hair Color Other Identifying Characteristics To: Any law enforcement officer and to the jailor of County On [Date] , the above-named person was convicted and ordered to pay the following fine/forfeiture: Description Amount Amount Paid Balance Due Length Total Due: $ The balance due has not been paid within the period ordered by the court. IT IS ORDERED: Any law enforcement officer arrest and detain the above-named person in custody for days or until the amount due is paid, or until the person is discharged by due course of law. Amount Due: $ , plus statutory sheriff’s fees. The defendant has the right to request a court hearing if the defendant believes the defendan t is indigent and cannot pay the amount due. BY THE COURT: Geographic restriction: Statewide Within county of ORI Within adjacent counties of ORI Other: Circuit Court Judge Title (Print or Type Name if not eSigned) Date DISTRIBUTION: 1. Court 2. Law Enforcement 3. Person/Attorney