Mercer Cnty. C.P. Rules of Criminal Procedure 5

if the defendant does not appear as ordered, 100% will be forfeited.

I HAVE READ OR HAD READ TO ME THE ABOVE INFORMATION, AND I

FULLY UNDERSTAND ITS CONTENTS.

___________________________________________________

Defendant

___________________________________________________

Surety

Witness _________________________

Date ___________________________

APPLICATION FOR BAIL

This application is to be filled out by any person placed on bail.

INFORMATION

Name ___________________________________ Telephone No. __________________

Alias ___________________________________________________________________

Address ________________________________________________________________

With Whom Living

________________________________________________________

Relationship to this Person

___________________________________________________

Charges ________________________________________________________________

Prosecutor ______________________________________________________________

Single ( ) Married ( ) Separated ( ) Divorced ( )

ADDITIONAL PERSONAL INFORMATION

Date of Birth _______________ Race _____________ Male ______ Female _____

Weight __________ Height _________ Build __________

Color of Eyes _____________ Eyeglasses: Yes _____ No ______ Color of Hair

________

Length of Hair __________ Bald: Yes _____ No _____Partly Bald: Yes ______ No

_____

False Teeth: Yes _____ No _____ Describe any physical handicaps: _______________

______________________________________________________________________

Scars: Yes _____ No _____ If yes, describe ____________________________________

Tattoos: Yes _____ No_____ If yes, describe ___________________________________

Facial Marks: Yes _____ No _____ If yes, describe ______________________________

List Previous Convictions: ________________________________________________

Social Security No._____ - ______ - _______ Driver's License No._________________

Motor Vehicle Registration No. ___________________ State of Issuance ____________

State Your Source of Income: ______________________________________________

Employer's Name and Address: _____________________________________________

If unemployed, list last employer and address ___________________________________

______________________________________________________________________

If on Public Assistance, Claim Number _______________________________________

If not on Public Assistance, but have Medical Card,

Medical Card No. _______________

If on Unemployment Compensation, State Claim Number

__________________________

Are you under order to pay support? Yes _____ No _____

If yes, what court and for whom? ____________________________________________

______________________________________________________________________

Have you ever been on bail before? Yes _____ No _____ If so, what court? ___

______________________________________________________________________

Do you have any bank accounts? Yes _____ No _____ If yes, name of bank and

address: _______________________________________________________________

Have you ever been a patient in a Mental Institution? Yes _____ No _____

If yes, where and when? ___________________________________________________

Are you addicted to alcohol? Yes _____ No _____ Have you ever received

treatment for this addiction? Yes _____ No _____ If so, where and when?

_____________

_____________________________________________________________________

Are you addicted to drugs? Yes _____ No _____ Have you ever received

treatment for this addiction? Yes _____ No _____ If so, where and when?

_____________

_______________________________________________________________________

State the names and addresses of any other relatives living in Mercer County:

_______________________________________________________________________

_______________________________________________________________________

MERCER COUNTY INFORMATION SHEET FOR PERCENTAGE

CASH BAIL SYSTEM THIRD PARTY CASH BAIL INFORMATION

(In addition to the Application for Bail, the following information should be obtained

from the person posting the Cash Bail and should be attached to the Application for Bail

of the defendant.)

Client's Name _____________________________________ No. _______________

Name of third party posting bond _________________________________________

Address _____________________________________ Telephone ______________

Occupation ________________________ Employer _________________________

Employer's Phone No. ___________________

( ) Own Resident ( ) Rent Residence ( ) Own Other Real Estate

If Yes as to Other Real Estate, describe _____________________________________

___________________________________________________________________

Mortgage held by ______________________________________________________

Date of Birth _______ Race _________ Male _______ Female _______

Weight ____ Height_______ Build _____

Color of Eyes _______ Eyeglasses: Yes _____ No _____

Color of Hair _______ Length of Hair __________________

Bald: Yes _____ No _____ Partly Bald: Yes _____ No _____

False Teeth: Yes _____ No _____

Describe any physical handicaps: ___________________________________________

____________________________________________________________________

Scars? Yes _____ No _____ If yes, describe

Tattoos? Yes _____ No _____ If yes, describe _________________________________

( ) Own Automobile ( ) Automobile Financed by _______________________________

Title __________ Plate _____________ Year ______________

Make ______________ Model ____________________________________________

Amount deposited by third party ___________________________________________

Defendant ________ Others ______________________________________________

Have you ever been on bond before? Yes _____ No _____

If so, what court? _______________________________________________________

Do you have any bank accounts? Yes _____ No _____

If yes, name of bank & address: ____________________________________________

Have you ever been a patient in a Mental Institution?

Yes _____No _____ If yes, where and when? _________________________________

Are you addicted to alcohol? Yes _____ No _____

If Yes, have you received treatment for this addiction? Yes _____ No _____

If so, where and when? ___________________________________________________

Are you addicted to drugs? Yes _____ No _____

Have you ever received treatment for this addiction?

Yes _____ No _____ If so, where and when? __________________________________

State the names and addresses of any other relatives living in Mercer County:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Additional Information: ___________________________________________________

_____________________________________________________________________

_____________________________________________________________________

[Adopted September 1, 2004, effective 30 days after Publication in the Pennsylvania

RULE L571

ARRAIGNMENTS

(a ) A defendant who is charged with crimes that do not include Driving Under the

Influence shall be arraigned in Common Pleas Court the on Tuesday of the eighth

week following that defendant’s preliminary hearing by the Magisterial District

Judge.

A defendant who is charged with at least one count of Driving under the Influence

shall be arraigned in Common Pleas Court on Tuesday of the twelfth week following

the defendant’s preliminary hearing by the Magisterial District Judge.

If no arraignment court is scheduled for said Tuesday, a defendant’s arraignment

shall take place on the next scheduled arraignment court.

(b ) Notice of arraignment shall be provided to the defendant by the Magisterial District

Judge following the preliminary hearing on the form provided in subparagraph (e ).

(c ) The District Attorney of Mercer County shall have available at arraignment ARD

application forms for pro se defendants charged with first offense DUI and/or

boating DUI’s.

(d ) The Court Administrator of Mercer County shall provide to each Magisterial District

Judge and the District Attorney of Mercer County on or before the last Monday of

each calendar year a schedule setting the arraignment dates in accordance with subparagraph (a ) hereof.

(e ) Arraignment Notice Form.

IN THE COURT OF COMMON PLEAS OF

MERCER COUNTY, PENNSYLVANIA

CRIMINAL

COMMONWEALTH OF:

PENNSYLVANIA:

:

VS. : OTN NO. :

:

____________________, :

Defendant

NOTICE OF ARRAIGNMENT

You are hereby notified that arraignment in the above captioned matter shall be held

on the ____ day of ____________, 20___, at ___o’clock, __.m. in Courtroom No. ___

of the Mercer County Courthouse, Mercer, Pennsylvania. This notice is the only one you

will receive.

YOU MUST APPEAR FOR ARRAIGNMENT COURT UNLESS YOU EXECUTE

A WRITTEN WAIVER PRIOR TO THE DATE OF ARRAIGNMENT. IF YOU FAIL

TO APPEAR OR WAIVE ARRAIGNMENT, A BENCH WARRANT SHALL BE

ISSUED FOR YOUR ARREST.

BY THE COURT:

________________________

P.J.

(f ) All continuances of arraignment from the date set by the Magisterial District Judge

must be approved by the President Judge or most senior judge available should the

President Judge not be available.

(g ) At arraignment, all defendants charged with DUI shall notify the Court on the

record if they appear or in writing if arraignment is waived, whether treatment was

recommended as a result of the DUI evaluation and, if so, whether the defendant has

completed said treatment. If the defendant has not, the Court may modify

defendant’s bail to require defendant successfully complete the recommended

treatment in the TASC program.

(h ) ARD hearings for all eligible defendants charged with at least one count of Driving

Under the Influence shall be held immediately following their arraignment. The

District Attorney of Mercer County shall, at the time of arraignment, notify each

defendant whether he/she is or is not eligible for admission into the AD Program.

[Adopted May 30, 2013, effective 30 days after publication in the Pennsylvania Bulletin.

Amended September 25, 2014, effective 30 days after publication in the Pennsylvania