Fill and Sign the For Use with District Court Criminal Rule 5 209 Form

9-212 [For use with District Court Criminal Rule 5-209] STATE OF NEW MEXICO COUNTY OF ______________________________________________ JUDICIAL DISTRICT STATE OF NEW MEXICO v.No. __________ ________________________________, Defendant BENCH WARRANT THE STATE OF NEW MEXICO TO ANY OFFICER AUTHORIZED TO EXECUTE THIS WARRANT: YOU ARE HEREBY COMMANDED to arrest ___________________ and bring (him) (her) forthwith before this court to answer the following charges: (check appropriate box or boxes) [ ] grand jury indictment filed on _______________ (date) on the following charges: __________________________________________________________________ _____________________ _____________________________________________. [ ] failure to appear at the time and place ordered by this court. [ ] failure to appear as required by a subpoena issued by this court. [ ] failure to appear in accordance with the conditions of release imposed by this court. [ ] conditions of release previously imposed should be revoked or reviewed. [ ] contempt of court. [ ] failure to pay fines or costs previously imposed. [ ] failure to comply with conditions of probation. [ ] other: _____________________________________________________________ _____________ ________________ _____________________________________. 2 Bond provisions: Bond is set in the amount of $_____________. (cas h bond 10% of bond) (surety) (property bond). __________________________ Judge Description of defendant: Name ________________________________ Alias ________________________________ Date of birth ________________________________ Social Security No. ________________________________ Address ________________________________ Sex (male) (female) Height _______ Weight _______ Hair color _________ Eyes _________ Scars, marks and tattoos: ______________________________________________________________________________________________Vehicle (make, model, year and color, if known) ___________________________________________________________ Extradition Information: The state will extradite the defendant from: (check and complete) [ ] any contiguous state. [ ] anywhere in the continental United States. [ ] any other state. [ ] anywhere. Prosecuting attorney: ________________________________ By: ________________________________ Date: ________________________________ Originating officer: ________________________________ Originating agency: ________________________________ RETURN I arrested the above-named person on the __________ day of _______________, _____, bytaking such person into custody. _______________________Signature 3_______________________ Title [As amended, effective October 7, 1999.]