FORM 11. (RULE 46, N.D.R.Crim.P.)

A [Complaint] [Information] [Indictment] having been filed and an order having been made on the _______ day of _______, 19__, by the Hon. _______ that the Defendant be held to answer upon a charge of _______ in violation of Section _______ [N.D.C.C.] [Ordinances of the City of _______], and he having been admitted to bail in the sum of _______;

We, the undersigned, jointly and severally acknowledge that we and our personal representatives are bound to pay to the aforesaid Court the sum of _______.

The condition of bond is that the Defendant _______ is to appear in [name of Court], [address of Court] in accordance with the orders and directions of the Court relating to the appearance of the Defendant before the Court in the case of State of North Dakota [City of _______] v. [defendant], Criminal No. _______; and if the Defendant appears as ordered, then this bond is to be void, but if the Defendant fails to perform this condition then payment of the amount of the bond shall be due forthwith. If the bond is forfeited and if the forfeiture is not set aside or remitted, judgment may be entered upon motion in the _______ Court of the [City] [County] [District] of _______, [address of Court] against each debtor jointly and severally for the amount above-stated with interest and costs, and execution may be issued or payment secured as provided by the North Dakota Rules of Criminal Procedure or the laws of this State.

Dated this _______ day of _______, 19__, at [place].

___________________________, __________________________________

DefendantAddress

___________________________, __________________________________

Name of SuretyAddress

___________________________, __________________________________

Name of SuretyAddress

Signed and acknowledged before me this _______ day of _______, 19__.

______________________________________

Magistrate or Clerk

*Before ____________________

(name of Judge)

**City of _______.

JUSTIFICATION OF SURETIES

I, the undersigned surety, on oath say that I reside at _______; and that my net worth is the sum of _______;

I further say that [add additional justification if the Court so directs].

___________________________

Surety

Subscribed and sworn before me this _______ day of _______, 19__.

____________________________

Notary