Document ID: chunk:federal_register_of_legislation:F2021C00429:clause:1_5:p4
Version: federal_register_of_legislation:F2021C00429
Segment Type: clause
Provision Reference: sch 1 cl 5 (pt 4/6)
Character Range: 79933–83212

13 insert to whom penalty is to be paid
   14 insert details of further conditions, including period
   15 insert name of defendant or appellant
   16 insert address of defendant or appellant
   17 insert date
   18 insert details of offences
   19 signature of judge, magistrate, registrar, clerk or justice of the peace
   20 insert signature of defendant or appellant
   21 signature of registrar, clerk or justice of the peace
   22 signature of surety
   23 insert full name of surety
   24 insert address of surety
   * omit if inapplicable

Form 12—Order and recognisance where sentenced

Commonwealth of Australia

Crimes Act 1914

ORDER AND RECOGNISANCE UNDER PARAGRAPH 20(1)(b)

IN THE 1

AT 2

IN THE *STATE OF 3

BETWEEN:
4(*Informant/*Appellant)
‑and‑
5(*Defendant/*Respondent)
ORDER
THE COURT ORDERS the release of the *defendant/*appellant under paragraph 20(1)(b) of the Crimes Act 1914 *after serving               6 *month/*months of the term of imprisonment/*forthwith upon the *defendant/*appellant giving security *with *surety/*sureties of $              7 by recognisance of $              8 to comply with the following conditions:
      (a) that the *defendant/*appellant is to be of good behaviour for  9 *months/*years;
      *(b) that the *defendant/*appellant is to *make reparation/*make restitution/*pay compensation of $              10 to              11 *by              12/*by instalments of $              13;
      *(c) that the *defendant/*appellant is to pay costs of this prosecution for the *offence/*offences specified below of $              10 to              11 by              12/ *by instalments of $              13;
      *(d) that the *defendant/*appellant is to pay to the Commonwealth a pecuniary penalty of $              10 to              14 *by              12/*by instalments of $              13;
      *(e) that the *defendant/*appellant is to comply with the following further conditions:
          (i)  15;
          (ii)  15.
This Order has been issued because:
      *(a) the appellant, 16 of 17, appealed to this court against the *sentence/*conviction and sentence imposed by the              2 Magistrates' Court on              18 in respect of the following federal *offence/*offences:
          (i)  19;
          (ii)  19; and
      *(a) the defendant, 16 of 17, was charged with the following federal *offence/*offences:
          (i)  19;
          (ii)  19; and
      (b) the Court has sentenced the *defendant/*appellant to a term of imprisonment; and
      (c) the Court has decided that the *defendant/*appellant be released *after serving 6 *month/*months of the sentence/*forthwith if the *defendant/*appellant complies with the conditions of this Order.
Dated 18.
20
*Judge of 1/*Magistrate/*Registrar of 1/ *Clerk of               1/*Justice of the Peace
RECOGNISANCE
I, 16, the *defendant/*appellant:
      (a) have had explained to me:
          (i) the purpose and effect of this Order; and
          (ii) the consequences that may follow if I fail, without reasonable cause or excuse, to comply with the conditions of this Order; and
          (iii) that this recognisance may be discharged or varied under section 20AA of the Crimes Act 1914; and
      (b) agree that I am bound in accordance