STATE OF NEBRASKA FORM NO. CC 13:4 4/87 New Sec. 29-1106 RRS 1943 IN THE COUNTY COURT OF
DECLARATION OF FORFEITURE OF BAIL
CASE NUMBER
COUNTY, NEBRASKA
STATE OF NEBRASKA Plaintiff vs.
DECLARATION OF FORFEITURE OF BAIL
Defendant
NOW on ________________________,_____, the Court finds there is a breach of condition of the recognizance and declares a forfeiture of the bail. The clerk is directed to pay the cash on hand into the county treasury, after first deducting all court costs due and owing the court. ( ) A bench warrant shall issue.
IT IS SO ORDERED. BY THE COURT:
__________________________________________________________ County Judge