Form 12—Order and recognisance under parForm 12—Order and recognisance under paragraph 20 (1)(b)

## Form 12—Order and recognisance under paragraph 20 (1)(b) Commonwealth of Australia Crimes Act 1914 ORDER AND RECOGNISANCE UNDER PARAGRAPH 20 (1) (b) IN THE 1 AT 2 IN THE \*STATE OF 3 BETWEEN: (\*Informant/\*Appellant) ‑and‑ (\*Defendant/\*Respondant) ORDER THE COURT ORDERS the release of the \*defendant/\*appellant under paragraph 20 (1) (b) of the Crimes Act 1914 \*after serving 4 \*month/\*months of the term of imprisonment/\*forthwith upon the \*defendant/\*appellant giving security \*with \*surety/\*sureties of $ 5 by recognisance of $ 6 to comply with the following conditions: (a) that the \*defendant/\*appellant is to be of good behaviour for 7 \*months/\*years; and (b) that the \*defendant/\*appellant is to \*make reparation/\*make restitution/\*pay compensation of $ 8 to 9 \*by 10;/\*by instalments of $ 11; and (c) that the \*defendant/\*appellant is to pay costs of this prosecution for the \*offence/\*offences specified below of $ 8 to 9 by 10;/\*by instalments of $ 11; and (d) that the \*defendant/\*appellant is to pay to the Commonwealth a pecuniary penalty of $ 8 to 12 \*by 10;/\*by instalments of $ 11; and (e) that the \*defendant/\*appellant is to comply with the following further conditions: (i) 13; (ii) 13. This Order has been issued because: \*(a) the appellant, 14 of 15 appealed to this court against the \*sentence/\*conviction and sentence imposed by the 1 Magistrates’ Court on 16 in respect of the following federal \*offence/\*offences: (i) 17; and (ii) 17; and \*(a) the defendant, 14, was charged with the following federal \*offence/\*offences: (i) 17; and (ii) 17; and (b) the Court has sentenced the \*defendant/\*appellant to a term of imprisonment; and (c) the Court has decided that the \*defendant/\*appellant be released \*after serving \*month/\*months of the sentence/\*forthwith if the \*defendant/\*appellant complies with the conditions of this Order. Dated 16. 18 \*Judge of 1/\*Magistrate/\*Registrar of 1/\*Clerk of 1/\*Justice of the Peace RECOGNISANCE I, 14, the \*defendant/\*appellant: (a) have had explained to me: (i) the purpose and effect of this Order; and (ii) the consequences that may follow if I fail, without reasonable excuse, to comply with the conditions of this Order; and (iii) that this Order may be discharged or varied under section 20AA of the Crimes Act 1914; and (b) agree that I am bound in accordance with this Order; and (c) agree that I have been given a copy of this Order. Dated 16. 19 Before me: 20 \*Registrar of 1/\*Clerk of 1/\*Justice of the Peace UNDERTAKING BY \*SURETY/\*SURETIES I undertake to pay to the Commonwealth of Australia the amount specified in this Order if the \*defendant/\*appellant fails to comply with a condition of this Order. I agree that I have been given a copy of this Order. First Surety: 21 Name: 22 Address: 23 Second Surety: 24 Name: 25 Address: 26 1 insert name of court 2 insert location of court 3 insert State or Territory 4 insert number of months 5 insert amount of surety or sureties 6 insert amount of recognisance 7 insert period 8 insert amount 9 insert to whom amount is to be paid 10 insert date by which amount must be paid 11 insert details of instalments 12 insert to whom penalty is to be paid 13 insert details of further conditions 14 insert name of defendant or appellant 15 insert address of appellant or defendant 16 insert date 17 insert details of offences 18 signature of judge, magistrate, registrar, clerk or justice of the peace 19 signature of defendant of appellant 20 signature of registrar, clerk or justice of the peace 21 signature of first surety 22 insert full name of first surety 23 insert address of first surety 24 signature of second surety 25 insert full name of second surety 26 insert address of second surety \* omit if inapplicable