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 / RemarksTOTALS
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