Form 12—Order and recognisance where senForm 12—Order and recognisance where sentenced

## Form 12—Order and recognisance where sentenced 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: 4(\*Informant/\*Appellant) ‑and‑ 5(\*Defendant/\*Respondent) ORDER THE COURT ORDERS the release of the \*defendant/\*appellant under paragraph 20(1)(b) of the Crimes Act 1914 \*after serving 6 \*month/\*months of the term of imprisonment/\*forthwith upon the \*defendant/\*appellant giving security \*with \*surety/\*sureties of $ 7 by recognisance of $ 8 to comply with the following conditions: (a) that the \*defendant/\*appellant is to be of good behaviour for 9 \*months/\*years; \*(b) that the \*defendant/\*appellant is to \*make reparation/\*make restitution/\*pay compensation of $ 10 to 11 \*by 12/\*by instalments of $ 13; \*(c) that the \*defendant/\*appellant is to pay costs of this prosecution for the \*offence/\*offences specified below of $ 10 to 11 by 12/ \*by instalments of $ 13; \*(d) that the \*defendant/\*appellant is to pay to the Commonwealth a pecuniary penalty of $ 10 to 14 \*by 12/\*by instalments of $ 13; \*(e) that the \*defendant/\*appellant is to comply with the following further conditions: (i) 15; (ii) 15. This Order has been issued because: \*(a) the appellant, 16 of 17, appealed to this court against the \*sentence/\*conviction and sentence imposed by the 2 Magistrates’ Court on 18 in respect of the following federal \*offence/\*offences: (i) 19; (ii) 19; and \*(a) the defendant, 16 of 17, was charged with the following federal \*offence/\*offences: (i) 19; (ii) 19; 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 6 \*month/\*months of the sentence/\*forthwith if the \*defendant/\*appellant complies with the conditions of this Order. Dated 18. 20 \*Judge of 1/\*Magistrate/\*Registrar of 1/ \*Clerk of 1/\*Justice of the Peace RECOGNISANCE I, 16, 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 cause or excuse, to comply with the conditions of this Order; and (iii) that this recognisance 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 18. 21 Before me: 22 \*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: 23 Name: 24 Address: 25 Second Surety: 23 Name: 24 Address: 25 1 insert name of court 2 insert location of court 3 insert State or Territory 4 insert name of informant or appellant 5 insert name of defendant or respondent 6 insert number of months 7 insert amount of surety or sureties 8 insert amount of recognisance 9 insert period 10 insert amount 11 insert to whom amount is to be paid 12 insert date by which amount must be paid 13 insert details of instalments 14 insert to whom penalty is to be paid 15 insert details of further conditions, including period 16 insert name of defendant or appellant 17 insert address of defendant or appellant 18 insert date 19 insert details of offences 20 signature of judge, magistrate, registrar, clerk or justice of the peace 21 signature of defendant or appellant 22 signature of registrar, clerk or justice of the peace 23 signature of surety 24 insert full name of surety 25 insert address of surety \* omit if inapplicable