FCERTIF
FORM 11
WESTERN AUSTRALIA / SUPREME COURT / Sentencing Act 1995, s 51(6) / DISTRICT COURT /
MAGISTRATE’S COURT /
APPLICATION BY OFFENDER OR
SURETY FOR RETURN OF MONEY / LOCATION: / ______
Offender / Name:
______/ Date of Birth
Details / Address: ______
______Phone No:______
File/Charge No. / Description
Offence/s
Nature / Return of money deposited by offender as required by Community Release Order
of / Return of money deposited by surety as required by Community Release Order
Application
Date of Cessation of CRO
Reasons for
Application
Applicant / Name:______
Details / Address: ______
______Phone No:______
Signature / Date Received
of Applicant / Applicant ______
Hearing / Time / AM/PM / Date
of
Application / Court / ______
______
(Address of Court)
CPS, Officer of Court, Clerk of Arraigns / Date
Signed
by / ______
Order / Details of Order______
of / ______ / Date
Court / Signature of Judicial Officer ______
ORIGINAL for Court
DUPLICATE for Prosecutor
TRIPLICATE for Applicant
FORM 11A
WESTERN AUSTRALIA / SUPREME COURT / Sentencing Act 1995, s 51(6) / DISTRICT COURT /
NOTICE OF APPLICATION BY / MAGISTRATE’S COURT /
OFFENDER OR SURETY
FOR RETURN OF MONEY / LOCATION: / ______
Offender / Name:
______/ Date of Birth
Details / Address: ______
______Phone No:______
File/Charge No. / Description
Offence/s
Nature / Return of money deposited by offender as required by Community Release Order
of / Return of money deposited by surety as required by Community Release Order
Application
Date of Cessation of CRO
Reasons for
Application
Applicant / Name:______
Details / Address: ______
______Phone No:______
Signature / Date Received
of Applicant / Applicant ______
Hearing / Time / AM/PM / Date
of
Application / Court / ______
______
(Address of Court)
CPS, Officer of Court, Clerk of Arraigns / Date
Signed
by / ______
ORIGINAL for Court
DUPLICATE for Prosecutor
TRIPLICATE for Applicant