Fill and Sign the In the Superior Court of the State of Alaska State of Form

[Instructions to clerk: If both appearance and performance bonds are checked, add separate bond record s for each in CourtView. If a bond is not 100% secured, add a bond record for the unsecured part.] CR-230 ( 1/19 )(cs) AS 12.30.006 – .080 CASH BOND AGREEMENT Civil R. 80, Crim. R. 41 IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA ) ) Plaintiff, ) vs. ) ) Defendant. ) CASE NO. CR ) DOB: ) CASH BOND AGREEMENT APSIN: ATN: DL/ID: ST: Comm. Lic. [A c ash bond is a payment of cash to the court to make sure that the defendant attends all future court hearings and performs other conditions of the bond .] I am depositing cash as security for the bonds in the amount of: $ appearance unsecured 10% cash 100% cash/surety $ performance unsecured 100% cash /sure ty % cash/surety I understand and agree t hat: 1. The bonds continue until the court cancels them. 2. If the defendant complies with the conditions of the bonds , the bonds will be canceled. If the bond s are cance led, the cash I deposited: may be used may not be used by the court to pay any fine, judgment, or other costs imposed on the defendant. 3. If the defendant fails to comply with the conditions of the bonds, the amount I deposited will be forfeited to the State of Alaska . The court will send me notice of forfeiture to the mailing or email address I give below. 4. It is my responsibility to notify the court if my email or mailing address changes. (Use court form TF -955 .) Signature: Date: Print Name: Date of Birth : Mailing Address: Home Phone: Work Phone: Cell Pho ne: Email *: * I authorize the court to email me co urt documents in this case to the email address above. FOR COURT OR JAIL USE ONLY Next Court Appearance . The defendant must appear in court for a hearing on : Date: Time: Location: IRS Requirement : The clerk or jail officer accepting bail must complete form CR -231 if the amount posted is more than $10,000 in cash and the defendant is charged with one of the offenses listed on that form. Cash means any combination of cash, cashier’s checks, bank drafts, traveler’s checks or money orders. The Court System is required to submit this information to the Internal Revenue S ervice. Form CR -231 is required in this case: Yes No Clerk/Jail Officer: Court Receipt # Amount $ Date Receipted Receipted By Distribution: (1) Court (2) Def. (3) Person depositing money (4) Jail, if Def. in custod y (5) PED, if ordered