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Act of Adjournal (Criminal Procedure Rules Amendment) (Restriction of Liberty Orders) 1998

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Form 20.12A-BForm of application under section 245E(1) of the Criminal Procedure (Scotland) Act 1995

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE-CLERK AND LORDS COMMISSIONERS OF JUSTICIARY

[or Unto The Honourable The Sheriff of (name of sheriffdom)

At (place)]

[or Unto The Justices In The District Court Of (name of district) At (place)]

Application

by

(name of offender) (address) [or Prisoner

in the Prison of (place)]

[or name and address of applicant with responsibility for monitoring offender’s compliance with restriction of liberty order]

APPLICANT

HUMBLY SHEWETH

1.  That a restriction of liberty order, a copy of which is annexed to this application, was made in respect of (name of offender) on (date) in the High Court of Justiciary sitting [ or in the sheriff court or in the district court] at (place).

2.  That the applicant applies to the court in terms of subsection (1) of section 245E of the Criminal Procedure (Scotland) Act 1995 to revoke [or vary] the order for the following reason–

  • (statement of reason)

  • MAY IT THEREFORE PLEASE YOUR LORDSHIP[S] [OR THE COURT]:

    (a)

    to [revoke the restriction of liberty order] [vary the restriction of liberty order by (statement of variation sought in terms of subsection (2) (a) of the said section 245E)],

  • or

    (b)

    to do otherwise as to your Lordship[s] [or to the court] shall seem proper.

  • IN RESPECT WHEREOF

  • (Signed)

  • Offender

  • [or Solicitor for offender]

  • [or applicant with responsibility for monitoring compliance]

  • (Where a solicitor signs, the address and telephone number of the solicitor).

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