"Voluntary Assignment of Cash Bail to Other Financial Obligations to Court" - Massachusetts

Voluntary Assignment of Cash Bail to Other Financial Obligations to Court is a legal document that was released by the Massachusetts District Court - a government authority operating within Massachusetts.

Form Details:

  • Released on July 1, 2009;
  • The latest edition currently provided by the Massachusetts District Court;
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VOLUNTARY ASSIGNMENT OF CASH BAIL
Trial Court of Massachusetts
DOCKET NO(s).
District Court Department
TO OTHER FINANCIAL OBLIGATIONS TO COURT
DEFENDANT’S NAME
AMOUNT OF CASH BAIL TO BE APPLIED TO OTHER OBLIGATIONS TO COURT
FINANCIAL OBLIGATIONS TO COURT TO WHICH CASH BAIL IS TO BE APPLIED
...............................................................................................................................................
SURETY’S NAME (if any)
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
DEFENDANT’S OR SURETY’S VOLUNTARY CONSENT TO ASSIGNMENT OF CASH BAIL
I, the undersigned defendant or surety, have been informed that the court has authorized the return
of the cash bail which I have posted in the case(s) listed above.
I hereby agree that the court may deduct from such cash bail the amount listed above and apply it
toward the financial obligation(s) to the court listed above. This decision is voluntary. I understand
that I am not required to give such consent, and that on request I would be entitled to have returned
to me the full amount of the cash bail which I have posted.
SIGNATURE OF INTERPRETER
DATE
SIGNATURE OF DEFENDANT
I have translated this document for the defendant or surety.
X
X
COURT EMPLOYEE WITNESSING DEFENDANT’S OR SURETY’S SIGNATURE
OR
SIGNATURE OF SURETY
X
X
If the defendant or surety does not sign this form in the presence of a court employee, it must also be notarized below by a notary public.
COMMONWEALTH OF MASSACHUSETTS
On this date the above-named defendant or surety personally appeared before me, identified himself or herself, and signed this assignment
in my presence.
X
_______________________________________________________________
NOTARY PUBLIC
My commission expires on: ____________________________________
[SEAL]
(7/09)
VOLUNTARY ASSIGNMENT OF CASH BAIL
Trial Court of Massachusetts
DOCKET NO(s).
District Court Department
TO OTHER FINANCIAL OBLIGATIONS TO COURT
DEFENDANT’S NAME
AMOUNT OF CASH BAIL TO BE APPLIED TO OTHER OBLIGATIONS TO COURT
FINANCIAL OBLIGATIONS TO COURT TO WHICH CASH BAIL IS TO BE APPLIED
...............................................................................................................................................
SURETY’S NAME (if any)
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
DEFENDANT’S OR SURETY’S VOLUNTARY CONSENT TO ASSIGNMENT OF CASH BAIL
I, the undersigned defendant or surety, have been informed that the court has authorized the return
of the cash bail which I have posted in the case(s) listed above.
I hereby agree that the court may deduct from such cash bail the amount listed above and apply it
toward the financial obligation(s) to the court listed above. This decision is voluntary. I understand
that I am not required to give such consent, and that on request I would be entitled to have returned
to me the full amount of the cash bail which I have posted.
SIGNATURE OF INTERPRETER
DATE
SIGNATURE OF DEFENDANT
I have translated this document for the defendant or surety.
X
X
COURT EMPLOYEE WITNESSING DEFENDANT’S OR SURETY’S SIGNATURE
OR
SIGNATURE OF SURETY
X
X
If the defendant or surety does not sign this form in the presence of a court employee, it must also be notarized below by a notary public.
COMMONWEALTH OF MASSACHUSETTS
On this date the above-named defendant or surety personally appeared before me, identified himself or herself, and signed this assignment
in my presence.
X
_______________________________________________________________
NOTARY PUBLIC
My commission expires on: ____________________________________
[SEAL]
(7/09)