Form 3
QUEENSLAND
Penalties and Sentences Act 1992 (S.24 (1))
Penalties and Sentences Regulation 1992
RECOGNISANCE TO APPEAR FOR SENTENCE
Offender:
Address:
1st Surety:
Address:
2nd Surety:
Address:
In the
Court *(of Queensland) at
on the
*offence/s relating to property, namely:-
, the abovementioned offender, was dealt with for an
And the Court adjourned the sentencing of the offender to:
Court:
Place:
Date:
Time:
and has ordered the release of the offender upon *her/his entering into *her/his own recognisance in the sum of
$
*together with
sureties each in the sum of $
,
conditioned that the offender must appear to be sentenced at the time and place ordered by the Court, or if called upon prior to that
date, with a view to the offender taking steps to:- #
On the
, the abovementioned offender
*and surety/sureties
personally came before me, a Justice of the Peace for the State of Queensland, and acknowledged to owe to Her Majesty, the
offender the sum of $
Australian money
*
and the *surety/sureties the sum of Australian money following:
*
the 1st Surety the sum of $
*
the 2nd Surety the sum of $
to be levied by execution against *her/his/their goods and chattels, if the offender shall fail in the condition that *she/he shall
personally appear at the time and place abovementioned, or when called upon, for sentencing, and not depart from that Court
without leave.
Date:
Place:
Offender
/
/
1st Surety
# State briefly as ordered by the Court (Section 25 provisions).
JPW 1/93
2nd Surety
Justice of the Peace
* Delete where applicable
JPW 1/93