__________________ Form 53 amended by S.R. No. 24/2014 rule 24. 53 Rule 103 (Section 69M(1) of the Sentencing Act 1991) In the Magistrates' of at [venue] Court Reference: Date of birth Informant of TO: 1. On [date] you were found guilty of an offence and the Court ordered you to pay the following amount(s): Charge Statutory Costs/Other No. Act/section Fine Costs amount(s) Paid Unpaid $ $ $ $ $ TOTAL AMOUNT NOW PAYABLE 2. The Court records show that you have not paid the above amount and a warrant to seize your property to recover this amount has been returned unsatisfied. 3. YOU ARE DIRECTED TO APPEAR BEFORE THE MAGISTRATES' AT [place] ON [date TO BE EXAMINED and time]
__________________ Form 53 amended by S.R. No. 24/2014 rule 24. 53 Rule 103 (Section 69M(1) of the Sentencing Act 1991) In the Magistrates' of at [venue] Court Reference: Date of birth Informant of TO: 1. On [date] you were found guilty of an offence and the Court ordered you to pay the following amount(s): Charge No. Act/section Fine $ Statutory Costs $ Costs/Other amount(s) $ Paid $ Unpaid $ TOTAL AMOUNT NOW PAYABLE 2. The Court records show that you have not paid the above amount and a warrant to seize your property to recover this amount has been returned unsatisfied. 3. YOU ARE DIRECTED TO APPEAR BEFORE THE MAGISTRATES' AT [place] ON [date and time] TO BE EXAMINED
09-181sr015.docx