Form 9-312. Cash bond receipt and conversion after arrest on bench warrant.

[For use in the Metropolitan Court] STATE OF NEW MEXICO COUNTY OF___________________ IN THE METROPOLITAN COURT No. __________ [STATE OF NEW MEXICO] [COUNTY OF __________________] [CITY OF ____________________] v. ______________________________, Defendant CASH BOND RECEIPT AND CONVERSION AFTER ARREST ON BENCH WARRANT Defendant information: Arrest date: ____________________________________________ Date of birth: ____________________________________________ Social security number: ____________________________________________ Mailing address: ____________________________________________ City, state & zip code: ____________________________________________ Address (physical): ____________________________________________ City, state & zip code: ____________________________________________ Bond information: Date bond posted: ___________________________________________ Amount posted: ____________________________________________ Bond posted by1: ____________________________________________ Date of birth: ____________________________________________ Social security number1: ____________________________________________ Person paying bond's mailing address1: ____________________________________________ City, state & zip code1: ____________________________________________ PERSON OTHER THAN DEFENDANT PAYING BOND: (check applicable alternative and sign) [ ] I agree [ ] I do not agree that the cash I have posted may be used to pay any fines, fees or costs that the court may order the defendant to pay after the defendant's release from custody. ______________________________ Signature of person posting cash DEFENDANT: (check applicable alternative and sign) [ ] I agree to appear in the ___________________ court on ______________, ________ (date) at ______________ (a.m.) (p.m.). (This alternative may be used only when authorized by the bench warrant and by the person posting the bond.) [ ] I plead guilty to the charges. I ask the court to use the bond for payment of fines, fees and costs instead of requiring me to appear before the court. ______________________________ Signature of defendant BOND RECEIVED BY: ______________________________ Signature of clerk or bail designee ______________________________ Title ______________________________ Date COURT EMPLOYEE RECEIVING PAYMENT: ______________________________ Signature ______________________________ Title ______________________________ Date