Opinion ID: 1557812
Heading Depth: 1
Heading Rank: 12

Heading: Form for Charges, Costs, and Fees.

Text: In the Circuit Court, ____ Judicial Circuit, in and for ____ County, Florida Division ____ Case Number ___ State of Florida v. ___________ Defendant The defendant is hereby ordered to pay the following sums if checked: CHARGES/COSTS/FEES ___ $50.00 pursuant to section 960.20, Florida Statutes (Crimes Compensation Trust Fund). ___ $3.00 as a court cost pursuant to section 943.25(3), Florida Statutes (Criminal Justice Trust Fund). ___ $2.00 as a court cost pursuant to section 943.25(13), Florida Statutes (Criminal Justice Education by Municipalities and Counties). ___ A fine in the sum of $___ pursuant to section 775.0835, Florida Statutes. (This provision refers to the optional fine for the Crimes Compensation Trust Fund and is not applicable unless checked and completed. Fines imposed as part of a sentence to section 775.083, Florida Statutes, are to be recorded on the sentence page(s).) ___ $20.00 pursuant to section 939.015, Florida Statutes (Handicapped and Elderly Security Assistance Trust Fund). ___ A 10% surcharge in the sum of $___ pursuant to section 775.0836, Florida Statutes (Handicapped and Elderly Security Assistance Trust Fund). ___ A sum of $___ pursuant to section 27.3455, Florida Statutes (Local Government Criminal Justice Trust Fund). ___ A sum of $___ pursuant to section 939.01, Florida Statutes (Prosecution/Investigative Costs). ___ A sum of $___ pursuant to section 27.56, Florida Statutes (Public Defender Fees). ___ Restitution in accordance with attached order. ___ $201 pursuant to section 938.08, Florida Statutes (Funding Programs in Domestic Violence). ___ A sum of $ ___ for the cost of collecting the DNA sample required by s. 943.325, Florida Statutes. ___ Other DONE AND ORDERED in open court in _____ County, Florida, on.....(date)...... ______________________ Judge