I, C.D., do hereby judicially enact and bind and oblige myself as cautioner and surety that A.B. shall appear personally in the Sheriff Court, Edinburgh, on 16th January, 19 , at 10 a.m. and at any other diet to which the cause may be adjourned, to answer to a complaint at the instance of the Procurator Fiscal of Court, charging him with the crime of assault, and that under a penalty of £ to be paid by me in case of failure, and to be recovered in the manner prescribed by the Summary Jurisdiction (Scotland) Act 1954.In witness whereof, & c.C.D.

E.F., Witness.

G.H., Witness.

The court, in respect of the failureof the accused to attend this diet, on the motion of the prosecutor declares the bail of £ (or a pledge, viz., ) deposited as security for his appearance to be forfeited and also grants warrant for his apprehension.

The court, in respect of the failureof the accused to attend this diet, on the motion of the prosecutor declares a bond of caution granted for his appearance under a penalty of £ to be forfeited; further, ordains C.D., cautioner in the said bond, to be charged to make payment to the clerk of court of the said sum within six days after such charge, and in default of payment to be imprisoned for days from the date of his incarceration unless payment of the said penalty be sooner made, but reserving to the said C.D. within the said six days to make application to the court for an extension of time for payment of the said sum if so advised, and grants warrant for the apprehension of the said A.B.

To C.D., I, officer of law, Edinburgh, hereby charge you to make payment of the sum of £ , being the penalty contained in bond of caution by you for A.B., which bond has been declared forfeited in respect of his non–appearance to answer to the complaint against him as provided for in the said bond, the said sum to be paid by you to the clerk of court, Sheriff Court, Edinburgh, within six days after the date of this my charge, under pain of imprisonment for the period of days from the date of incarceration unless the said sum be sooner paid.

This charge served by me on 21st January 19 .E.F., Police Constable.

If you desire to obtain an extension of time for payment application therefor to the Court must be made within six days from this date.

Forms similar to those applicable to the finding and forfeiture of bail may, with the necessary variations, be used for the finding and forfeiture of caution for good behaviour.

Under the Summary Jurisdiction (Scotland) Act 1954

In the court of at .

Name of accused

Date of conviction

Offence of which convicted

Sentence.Imprisonment days.

In respect of which sentence warrant is hereby granted to officers of law to convey the accused to the prison of [place] and for the detention of the accused therein for days from the date of imprisonment.W.G., Clerk of Court.

Sentence, £ fine or days’imprisonment. In respect of which sentence warrant is hereby grantedto officers of law to convey the accused to the prison of [place] and for the detention of the accused therein until the said fine is paid,but not exceeding days from the date of imprisonment.

Sentence, £ fine (payable within days) or days’ imprisonment.

In respect of which sentence, the period allowed for payment of the said fine having expired and the said fine not having been paid, warrant is hereby granted to officers of law to convey the accused to the prison of [place] and for the detention of the accused therein until the fine is paid, but not exceeding days from the date of imprisonment.

Sentence, £ caution for good behaviour for six months(from date of conviction) or days’ imprisonment.

In respect of which sentence warrant is hereby granted to officers of law to convey the accused to the prison of [place] and for the detention of the accused therein until the said caution is found, but not exceeding days from the date of imprisonment.

Sentence, £ fine or days’ imprisonment

and

£ caution for good behaviour formonths (from payment of the fineor from the expiry of the period of imprisonment for non–payment) ordays’ imprisonment further.

In respect of which sentence warrant is hereby granted to officers of law to convey the accused to the prison of [place] and for the detention of the accused therein until the said fine is paid and the said caution is found, the detention for non–payment of the said fine not exceeding days from the date of imprisonment, and the detention for failure to find the said caution not exceeding days further from payment of the fine or from expiry of the term of imprisonment for non–payment thereof.

Sentence. Imprisonment daysand £ caution for good behaviour for months thereafter, or days’imprisonment.

In respect of which sentence warrant is hereby granted to officers of law to convey the accused to the prison of [place] and for the detention of the accused therein for days from the date of imprisonment and for his further detention thereafter until the said caution is found, but not exceeding days further.

Sentence £, fine payable within days or days’ imprisonment. Inrespect of which sentence the accused, having surrendered himself tothe court and stated that he prefers immediate imprisonment to waiting the expiration of the time allowed, warrant is hereby granted to officers of law to convey the accused to the prison of [place] and for the detention of the accused therein until such fine is paid, but not exceeding days from the date of imprisonment.

The necessary variations to meet different sentences will be made on this extract. An extract in this form shall be applicable either to sentence on a plea of guilty or on conviction. Where an extract is required for production as evidence of previous conviction, any particulars as to prior convictions may be set forth in a schedule annexed to the extract.