N.s.form 12 - Affidavit Of Justification Form - Nova Scotia, Canada printable pdf download

Canada

N.S.Form 12

IN THE

COURT

Province of Nova Scotia

Revised 06/98

Her Majesty The Queen

___________________________________________________

AFFIDAVIT OF JUSTIFICATION

The prisoner ________________________________, of ____________________________________

has been charged with the following offence(s):

Case No. and Brief

Description of Offence(s

Section

Date of Offence

Place

I ______________________________, of _________________________________________________

(Full Civic Address)

make oath and say:

1. That I freely and v oluntarily offer myself as surety in the sum of ________________ for bail for the

prisoner who is now in custody.

2. That my occupation is ____________________________________, and I am employed by

________________________________, whose address is __________________________________.

3. That I am the full age of nineteen years.

4. That I own real or personal property of an approximate v alue of ________________________, subject

to mortgages, liens, charges and encumbrances totalling approximately _______________________.

(If required, add details of the property in the space prov ided here or on a separate schedule.)

5. That I hav e not, nor has any person on my behalf directly or indirectly obtained, receiv ed, accepted or

agreed to receiv e or accept, or been paid or promised, any money, gift, loan, remuneration, reward,

indemnity, compensation, guarantee or other consideration for my becoming or agreeing to become

surety for bail in this matter.

6. That I know that if the said prisoner does not appear in accordance with the condition of the attached

Recognizance that I will be called upon to pay the amount of bail that I am becoming surety for, and

failing my being able to pay that amount that my goods and chattels and real property may be sold, and

if the amount of bail cannot be realized out of such sale or sales that I may be imprisoned.

7. That this affidav it, the attached Recognizance and all endorsements hav e been read ov er to me and I

fully understand them.

SWORN OR SOLEMNLY AFFIRMED

before me at ________________________,

Nov a Scotia, on ______________________, 20___

_____________________________________

__________________________________

Justice, Judge, Provincial Court Judge

Surety

F:\WP\COURTFORMS-pdf\e-12-AffidavitJustification-June-98.wpd

N.s.form 12 - Affidavit Of Justification Form - Nova Scotia, Canada

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