ProvinceofNovaScotiaINTHE______COURT

HerMajestytheQueen

v.

______

(Name& I.D.NumberofDefendant)

FINEORDER

(Section734.1C.C.)

NSForm57Revised08/14

Order# ______

Approved:

Judge

D/M/Y

YOU, ______havebeenfoundguiltyofthefollowingoffence(s) andorderedto pay

(name of accused)

thefollowingamount(s):

CaseNo(s).andBrief DescriptionofOffence(s) / Section / Fine / Costs / Victim Surcharge / Timein Default / Remarks
TOTALS

YOUSHALLpaythetotalamountof$______(fine,costs andvictimsurcharge)tothe Clerk oftheCourtat

(completeaddress,includingmailingaddress)

☐ (a) onor before ______;

(duedate)

☐(b) orattherateof$ ______permonth,onthe ______dayofeachmonth,startingon

______, 20 _____, fora periodof ______months, thetotalamounts tobepaid by

______;

(duedate)

☐(c)

YOUSHALL,ifyouhavenotpaid thetotalamount bytheduedate,appearbefore theCourton ______

______, 20 ___ at ______☐a.m./☐p.m.at______

(completeaddress andcourtroomnumberifknown)

TOEXPLAINWHYYOUSHOULDNOTBESENTTOJAIL.

DATEDat ______, Nova Scotia,on ______, 20 ____.

Judge, Provincial Court Judge, Justice of the Peace, Clerk

Moneyseizedfromyouatthetimeofarrestmaybeusedaspaymenttowardsthefinesorvictimsurcharges(Section734(6) C.C.).

NovaScotiahasaFineOptionsProgram.YoumaybeabletoworkoffyourfineinthisProgram;however,theVictim Surchargeandcourtcostsmustbepaidbeforeregistration.Municipalby-lawviolationsandoffencesrelatingtotheparking andoperationofamotorvehicle undertheMotorVehicleActand CriminalCode of Canadaarenoteligible.Forfurther information,pleasecontactyourlocalCommunityCorrectionsOfficeat

Ifyoucannotpaythefines,costsorvictimsurchargesbytheduedate,youorsomeoneonyourbehalfmayapplyfora changeinthetermsoftheorder.Alltermsoftheordermaybechangedexcepttheamountofthefinesandvictimsurcharges (Section734.3C.C.).

IFYOUHAVENOTPAIDTHEFINE,COSTSANDVICTIMSURCHARGEINFULLBYTHEDATESETOUTINTHE ORDER,YOU AREIN DEFAULTOF PAYMENT(SECTION734(3) C.C.) THREETHINGSMAY HAPPEN:

(a)Youmayberefusedalicenseor permitorarenewalofthatlicenseor permit(Section734.5C.C.);

(b)Judgmentmaybeenteredagainst you in civilcourtfor theamountofthefineandcosts;

(c)Youmaybeimprisonedunless yousatisfytheCourtthatyouhaveareasonableexcuseforfailingtopayordischarge thefine.

Ifyoupaypartoftheamountsowing,yourtermsofimprisonmentwillbe reducedproportionatelyaslongasthepaymentis sufficienttosecureareductionofatleastoneday (Section734.8(2),(3)C.C.).Anypaymentwillbeappliedfirstto thevictim surchargeandthentothefine.(Section 734.8(5)C.C.)

Ifyouhave anyquestionsabouthowtoapplyfora changeinthetermsoftheorder,abouthowor wheretopayyour fine, costsorvictimsurcharge,or aboutanyofthe information setoutabove,contacttheClerkoftheCourtat______

(completeaddress,includingmailingaddressandtelephonenumber)

Acknowledgement

IHAVE receivedacopyofthisOrder;

ithasbeenreadtoorbyme;

□Ihavereador□ havehadreadtomethesubstanceof sections734to734.8and736oftheCriminalCode; and

Iunderstandthemeaningofthis Orderandthesubstanceofsections734to734.8and736oftheCriminalCode.

DATEDat______

, , ,,NovaScotia,on ______, 20 ______.
,20 ___.

Signature of Witness SignatureofOffender

OrderServedbyAboveWitness