Free Acknowledgment of Scheduled Court Appearance - Kentucky

AOC-490 Rev. 12-03 Page 1 of 1

Doc. Code: ACA
01/9/2007 11:41 am

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Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 520.070; 520.080

Ver. 1.01

Court County ACKNOWLEDGMENT OF SCHEDULED COURT APPEARANCE

[ ] Circuit [ ] District

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COMMONWEALTH OF KENTUCKY VS.
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PLAINTIFF

Individual

Other

DEFENDANT

I hereby acknowledge and certify to the Court that I fully understand and realize the next date I have been ordered and directed to appear in the _________________________________ [ ] Circuit OR [ ] District Courtroom No. __________, for proceedings in the above-styled case is the ________ day of ____________________, 2_______, at _______________ [ ] a.m. [ ] p.m. I promise to appear as ordered by the Court. I acknowledge and certify to the Court that I have been furnished a true copy of this document; that I have read it in its entirety; that I fully understand it; and that I am aware that if I fail to promptly appear on the date and at the time and place set out herein that I will subject myself to being prosecuted for the offense of bail jumping. Bail jumping in the first-degree is a Class D felony punishable by not less than one (1) year nor more than five (5) years imprisonment under KRS 520.070. Bail jumping in the second-degree is a Class A misdemeanor punishable by not less than ninety (90) days nor more than twelve (12) months imprisonment under KRS 520.080.

Date: ____________________, 2_______. ______________________________________ Defendant's Signature

Distribution:

Court File Defendant

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