IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, IN AND FOR PALM BEACH COUNTY, FLORIDA

STATE OF FLORIDA

vs.

JEFFREY EPSTEIN,

Defendant.

CASE NO. 2008CF009381A

DEC-4 PM 4:29

FILES

MOTION TO CLARIFY SENTENCE TO CORRECT SCRIVENER'S ERROR A CERNNED COPY

COMES NOW the Defendant, JEFFREY EPSTEIN, and through his undersigned attorney and moves this Honorable Court to enter Order clarifying the sentence to correct a scrivener 's error contained in the encing documents in the Defendant's case. In support thereof the Defendant would state as follows:

1. The Defendant was charged by Information in the above referenced case and the case was assigned to Criminal Division "W”.

2. The case was resolved by a guilty plea after plea negotiations between the

parties. It was a condition of the plea negotiations that the case be resolved on June 30, It was a condition

2008.
NOT
3. 3. The case was scheduled for a plea conference on June 30, 2008 in Criminal The case was

Division "W", the division that this case and the companion case had always been assigned "W", the division

- to. On that date, retired Judge Deborah Pucillo was substituting for the assigned Division "W" judge, Sandra McSorley, because Judge McSorley would not be sitting on that day.

4. Judge Pucillo handled all cases assigned to Division "W' on June 30, 2008 including that of the Defendant.

SCANNED 
DEC  O 8 2008

5. The Defendant, Jeffrey Epstein, entered his guilty pleas on June 30, 2008 in Division "W' before Judge Pucillo. All plea documents and court commitments from court on June 30, 2008 reflect that this was a Division "W' case and was being resolved in Division "W', the division the case had always been assigned to.

6. As part of the negotiated settlement of the case, the Defendant was sentenced to a twelve month sentence in Case No. 2006CF009454AXX, followed by a six month sentence on this case, consecutive with the first twelve month sentence he in Case No. 2006CF009454AXX. The Defendant is sentenced to twelve months of community control I consecutive to the two above referenced jail sentences. The community control sentence begins only after the two jail sentences have been served 7. On July 18, 2008 Judge Sandra McSorle the permanent judge assigned to Division "W", signed an Order of Community Control, without notice to the parties, nunc NOT A CARTHILD CORY pro tunc to June 30, 2008. The reason this is that the substitute judge had neglected to sign an Order of Community Control in this case at the time of the plea. See the Order of Community Control attached as Exhibit "A". 8. The Order of Community Control signed by Division "W" Judge McSorley on July 18, 2008, contains a minor scrivener's error that needs to be corrected. The Order of Community ntrol could be misinterpreted to suggest that the Defendant was placed on community control on June 30, 2008 based on the box that the clerk checked in error when preparing the Order of Community Control.

9. The parties agree that the Defendant's twelve month sentence on Case No. 2006CF009454AXX isfollowed by a six month sentence in the instant case. The parties agree that the one year period of community control is to only begin after the Defendant

has completed his jail sentences.

10 Assistant State Attorney Lanna Belohlavek does not to object to Motion to Clarify Sentence to Correct Scrivener's Error.

WHEREFORE the Defendant moves this Honorable Court to enter an Order correcting the scrivener's error in the original Order of Community Control clarifying the intent to the parties that the Defendant's community control sentence begins only after his jail sentence terminates.

I HEREBY CERTIFY that a copy of the foregoing has been furnished by mail to Lanna Belohlavek, State Attorney's Office, 401 North Dixie Highway, West Palm Beach, Florida 33401, this 4 th day of December, 2008. ATTERBURY, GOLDBERGER & WEISS, P.A. 250 Australian Avenue South, Suite 1400 West Palm Beach, Florida 33401 NOT A CERTIFIED COPY (561 )659-8300 KA. GOLDBERGER, ESQ. lorida Bar No.: 262013

11/25/2008 15:28 355 26

CIRCUIT CRIMINAL



FAGE 01788

STATE OF FLORIDA
IN THE FIFTEENTH JUDICIAL
CIRCUIT COURT, IN AND FOR
PALM BEACH COUNTY

- VS -

JEFFREY E. EPSTEIN
Defendant

CASE NUMBER: 502008CF009381AXXXMB
DIVISION: MCSORLEY "W"
DC NUMBER: W35755
CIRCUIT NUMBER: 154/JAIL SPLIT

ORDER OF COMMUNITY CONTROL 1

This cause coming before the Court to be heard, and you, the defendant, being now present before the court, and you having

[x] entered a plea of guilty to 
[ ] been found guilty by jury verdict of 

[ ] entered a plea of noto contendere to 
[ ] been found guilty by the court trying the case without a jury of

Count 1. PROCURE PERSON UNDER AGE OF 18 FOR PROSTITUTION

SECTION 1: JUDGMENT OF GUILT
[x] The court hereby adjudges you to be guilty of the above offense(s).
Now, therefore, it is ordered and adjudged that the imposition of sentence is hereby withheld and that you be placed on Probation I for a period of <empty> under the supervision of the Department of Corrections, subject to Florida law.

SECTION 2; ORDER WITHHOLDING ADJUDICATION

[ ] Now, therefore, it is ordered and adjudged that the adjudication of guilt is hereby withheld and that you be placed on Probation for a period of:<empty> under the supervision of the Department of Corrections, subject to Florida law.

ப been found guilty by jury verdict of
☐ been found guilty by the court trying the case without a jury of

LIFED COPY

SECTION 3: INCARCERATION DURING PORTION OF SUPERVISION SENTENCE

It is hereby ordered and adjudged that you be:
[ ] committed to the Department of Corrections
or
[ ] confined in the County Jail
for a term of <empty> with credit for <empty> jail time. After you have served <empty> of the term, you shall be placed on Probation for a period of <empty> under the supervision of the Department of Corrections, subject to Florida law.
or
[x] confined in the County Jail
for a term of SIX (6) MONTHS AS TO COUNT I FOLLOWED BY TWELVE (12) MONTHS COMMUNITY CONTROL I CONSECUTIVE TO THE (12) MONTH SENTENCE IN CASE# 2008CE00945AAMB with credit for ONE (1) DAY jail time, as a special condition of supervision.

2008 JUL 21 PM 4:55
SHARON R. BUCK, CLERK
PALM BEACH COUNTY, FL
CIRCUIT CRIMINAL

בורכם

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[x]

TAGC

UUD

## JEFFREY EPSTEIN
CASE#502008CF009381AXXXMB

IT IS FURTHER ORDERED that you shall comply with the following standard conditions of supervision as provided by Florida law:

(1) You will report to the probation office as directed. Not later than the fifth day of each month, unless otherwise directed, you will make a full and truthful report to your officer on the form provided for that purpose.

(2) You will pay the State of Florida the amount of $50.00 per month, as well as 4% surcharge, toward the cost of your supervision in accordance with 8. 948,09, F.S., unless otherwise exempted in compliance with Florida Statutes.

(3) You will remain in a specified place. You will not change your residence or employment or leave the county of your residence
without first procuring the consent of your officer. without first procuring the consent of your officer.

NOTACENINGORY

(4) You will not possess, carry or own any firearm or weapon, unless authorized by the court. You will not possess, carry or own any firearm or weapon, unless authorized by the court.

(5) You will live without violating the law. A conviction in a court of law shall not be necessary for such a violation to constitute a You will live without violating the law. A conviction in a court of law shall not be necessary for such a violation to constitute
violation of your probation/community control. violation of your probation/community control.

(6) You will not associate with any person engaged in any criminal activity. You will not associate with any person engaged in any criminal activity.

(7) You will not use intoxicants to excess or possess any drugs or narcotics unless prescribed by a physician. Nor will you visit You will not use intoxicants to excess or possess any drugs or narcotics unless prescribed by a physician. Nor will you
places where intoxicants, drugs or other dangerous substances are unlawfully sold, dispensed or used. places where intoxicants, drugs or other dangerous substances are unlawfully sold, dispensed or used.

(8) You will work diligently at a lawful occupation, advise your employer of your probation status, and support any dependents to the You will work diligently at a lawful occupation, advise your employer of your probation status, and support any dependents to
best of your ability, as directed by your officer. best of your ability, as directed by your officer.

(9) You will promptly and truthfully answer all inquiries directed to you by the court or the officer, and allow your officer to visit in. You will promptly and truthfully answer all inquiries directed to you by the court or the officer, and allow your officer to visit
your home, at your employment site or elsewhere, and you will comply with all instructions your officer may give you," your home, at your employment site or elsewhere, and you will comply with all instructions your officer may give you,"

(10) You will pay restitution, court costs, and/or fees in accordance with special conditions imposed or in accordance with the attached You will pay restitution, court costs, and/or fees in accordance with special conditions imposed or in accordance with the
orders, orders,

(11) You will submit to random testing as directed by your officer or the professional staff of the treatment center where he/she is You will submit to random testing as directed by your officer or the professional staff of the treatment center where he/she
receiving receiving treatment to determine the presence of alcohol or illegal drugs. You will be required to pay for the tests unless exempt treatment to determine the presence of alcohol or illegal drugs. You will be required to pay for the tests unless
by by the court. the court.

(12) You will submit two biological specimens, You will submit two biological specimens, irected irected by your officer, for DNA analysis as prescribed in ss. 943.325 and by your officer, for DNA analysis as prescribed in ss. 943.325
948.014, 948.014, F.S. F.S.

(13) You will report in person within 72 hours of your release from incarceration to the probation office in PALM BEACH County, You will report in person within 72 hours of your release from incarceration to the probation office in PALM BEACH
Florida, Florida, unless otherwise instructed by the court or department. (This condition applies only if section 3 on the previous page is unless otherwise instructed by the court or department. (This condition applies only if section 3 on the previous page
checked.) checked.) Otherwise, you must report immediately to the probation office located at 3444 SOUTH CONGRESS AVENUE, Otherwise, you must report immediately to the probation office located at 3444 SOUTH CONGRESS
LAKE LAKE WORTH, FL 33461. WORTH, FL 33461.

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гнос

05706

## JEFFREY EPSTEIN

CASE#S02008CF009381AXXXMB

## SPECIAL CONDITIONS

[ ] 1. You must undergo a Drug and Alcohol evaluation and, if treatment is deemed necessary, you must successfully complete the treatment, and be responsible for the payment of any costs incurred while receiving said evaluation and treatment, unless waived by the court.
Additional instructions ordered: <empty>

[ ] 2. You will make restitution to the following victim(s), as directed by the court, until the obligation is paid in full:
NAME: <empty>
TOTAL AMOUNT: $ <empty>
Additional instructions ordered, including specific monthly amount, begin date, due date, or joint & several: <empty>

NAME: <empty>
TOTAL AMOUNT: $ <empty>
Additional instructions ordered, including specific monthly amount, begin date, due date, or joint & several: <empty>

NAME: <empty>
TOTAL AMOUNT: $ <empty>
Additional instructions ordered, including specific monthly amount, begin date, due date, or joint & several: <empty>

SPECIAL CONDITIONS - CONTINUED

[ ] 3. You will enter the Department of Corrections Non-Secure Drug Treatment Program or other residential treatment program/Probation and Restitution Center for a period of successful completion as approved by your officer. You are to remain until you successfully complete said Program and Aftercare. You are to comply with all Rules and Regulations of the Program. You shall be confined in the county jail until placement in said program, and if you are confined in the jail, the Sheriff will transport you to said program.

[ ] 4. You will abstain entirely from the use of alcohol and/or illegal drugs, and you will not associate with anyone who is illegally using drugs or consuming alcohol.

[ ] 5. You will submit to urinalysis testing on a monthly basis to determine the presence of alcohol or illegal drugs. You will be required to pay for the tests unless exempt by the court.

[ ] 6. You will not visit any establishment where the primary business is the sale and dispensing of alcoholic beverages.

[ ] 7. You will successfully complete <empty> hours of community service at a rate of <empty>, at a work site approved by your officer.
Additional instructions ordered: <empty>

[ ] 8. You will remain at your residence between 10 p.m. and 6 a.m. due to a curfew imposed, unless otherwise directed by the court.

[ ] 9. You will submit to electronic monitoring, follow the rules of electronic monitoring, and pay $ <empty> per month for the cost of the monitoring service, unless otherwise directed by the court.

[ ] 10. You will not associate with <empty> during the period of supervision,

[ ] 11. You will have no contact (direct or indirect) with the victim or the victim’s family during the period of supervision.

[ ] 12. You will have no contact (direct or indirect) with <empty> during the period of supervision.

[ ] 13. You will maintain full time employment or attend school/vocational school full time or a combination of school/work during the term of your supervision.

[ ] 14. You will make a good faith effort toward completing basic or functional literacy skills or a high school equivalency diploma.

[ ] 15. You will successfully complete the Probation & Restitution Program, abiding by all rules and regulations.

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TAGC 04/0σ

JEFFREY EPSTEIN
CASE#502008CF009381AXXXMB

[ ] 16. You will attend Alcoholics Anonymous or Narcotics Anonymous meetings at least monthly, unless otherwise directed by the court.
[ ] 17. You must successfully complete Anger Management, and be responsible for the payment of any costs incurred while receiving said treatment, unless waived. If convicted of a Domestic Violence offense, as defined in s. 741.28, F.S., you must attend and successfully complete a batterer's intervention program, unless otherwise directed by the court:
Additional instructions ordered: <empty>
[ ] 18. You will attend an HIV/AIDS Awareness Program consisting of a class of not less than two (2) hours or more than four (4) hours in length, the cost for which will be paid by you.
[ ] 19. You shall submit your person, property, place of residence, vehicle or personal effects to a warrantless search at any time, by any probation or community control officer or any law enforcement officer.
[x] 20. DEFENDANT MUST REGISTER AS A SEXUAL OFFENDER WITHIN 48 HOURS OF RELEASE
[x] 21. AS A SPECIAL CONDITION OF HIS COMMUNITY CONTROL, THE DEFENDANT IS TO HAVE NO UNSUPERVISED CONTACT WITH MINORS, AND THE SUPERVISING ADULT MUST BE APPROVED BY THE DEPARTMENT OF CORRECTIONS
[x] 22. THE DEFENDANT IS DESIGNATED AS A SEXUAL OFFENDER PURSUANT TO FLORIDA STATUTE 943.05 AND MUST ABIDE BY ALL THE CORRESPONDING REQUIREMENTS OF THE STATUTE, A COPY OF WHICH IS ATTACHED HERETO AND INCORPORATED HEREIN
[x] 23. DEFENDANT MUST PROVIDE A DNA SAMPLE IN COURT AT THE TIME OF THIS PLEA.
[x] 24. SPECIFIED CONTACT WITH THE PAROLE AND PROBATION OFFICER
[x] 25. CONFINEMENT TO AN AGREED-UPON RESIDENCE DURING HOURS AWAY FROM EMPLOYMENT AND PUBLIC SERVICE ACTIVITIES
[x] 25. MANDATORY PUBLIC SERVICE
[x] 26. SUPERVISION BY THE DEPARTMENT OF CORRECTIONS BY MEANS OF AN ELECTRONIC MONITORING DEVICE OR SYSTEM
[x] 27. ELECTRONIC MONITORING 24 HOURS PER DAY
[x] 28. CONFINEMENT TO A DESIGNATED RESIDENCE DURING DESIGNATED HOURS

AND, IF PLACED ON DRUG OFFENDER PROBATION, YOU WILL COMPLY WITH THE FOLLOWING CONDITION OF SUPERVISION IN ADDITION TO THE STANDARD CONDITIONS LISTED ABOVE AND ANY OTHER SPECIAL CONDITIONS ORDERED BY THE COURT:

(14) You will participate in a specialized drug treatment program, either as an in-patient or out patient, as recommended by the treatment provider. You will attend all counseling sessions, submit to random urinalysis and, if an in-patient, you will comply with all operating rules, regulations and procedures of the treatment facility. You will pay for all costs associated with treatment and testing unless otherwise directed.
Additional instructions ordered: <empty>

[ ] (15) You will remain at your residence between <empty> p.m. and <empty> a.m. due to a curfew imposed, unless otherwise directed by the court.

AND, IF PLACED ON COMMUNITY CONTROL, YOU WILL COMPLY WITH THE FOLLOWING CONDITIONS, IN ADDITION TO THE STANDARD CONDITIONS LISTED ABOVE AND ANY OTHER SPECIAL CONDITIONS ORDERED BY THE COURT:

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## JEFFREY EPSTEIN

CASE#502008CF009381AXXXMB

(14) You will report to your officer as directed, at least one time a week, unless you have written consent otherwise.

(15) You will remain confined to your approved residence except for one half hour before and after your approved employment, public service work, or any other special activities approved by your officer.

(16) You will maintain an hourly accounting of all your activities on a daily log, which you will submit to your officer on request.

(17) You will successfully complete: <empty> hours of community service at a rate of: <empty>, at a work site approved by your officer.
Additional instructions ordered: <empty>

(18) You will submit to electronic monitoring, follow the rules of electronic monitoring, and pay $: <empty> per month for the cost of the monitoring service, unless otherwise directed by the court.

AND, IF PLACED ON PROBATION OR COMMUNITY CONTROL FOR A SEX OFFENSE PROVIDED IN CHAPTER 794, s. 800.04, B. 827.071, or s. 847.0145, COMMITTED ON OR AFTER OCTOBER 1, 1995 YOU WILL COMPLY WITH THE FOLLOWING STANDARD SEX OFFENDER CONDITIONS, IN ADDITION TO THE STANDARD CONDITIONS LISTED ABOVE AND ANY OTHER SPECIAL CONDITIONS ORDERED BY THE COURT:

	(14) A mandatory curfew from 10 p.m. to 6 a.m. The court may designate another 8-hour period if the offender's employment preoludes the above specified time, and the alternative is recommended by the Department of Corrections. If the court determines that imposing a curfew would endanger the victim, the court may consider alternative sanctions.

	(15) If the victim was under the age of 18, a prohibition on living within 1,000 feet of a school, day care center, park, playground, or other place where childron regularly congregate, as prescribed by the court. The 1,000-foot distance shall be measured in a straight line from the offender's place of residence to the nearest boundary line of the school, day care center, park, playground, or other place where children congregate. The distance may not be measured by a pedestrian route or automobile route.

	(16) Active participation in and successful completion of a sex offender treatment program with qualified practitioners specifically trained to treat sex offenders, at the offender's own expense. If a qualified practitioner is not available within a 50-mile radius of the offender's residence, the offender shall participate in e

	(17) A prohibition on any contact with the victim, directly indirectly, including through a third person, unless approved by the victim, the offender's therapist, and the sentencing court.

	(18) If the victim was under the age of 18, a prohibition on contact with a child under the age of 18 except as provided in this paragraph. The court may approve supervised contact with a child under the age of 18 if the approval is based upon a recommendation for contact issued by a qualified practitioner who is basing the recommendation on a risk assessment. Further, the sex offender must be currently enrolled in or have successfully completed a sex offender therapy program. The court may not grant supervised contact with a child if the contact is not recommended by a qualified practitioner and may deny supervised. contact with a child at any time,

	(19) If the victim was under age 18, a prohibition on working for pay or as a volunteer at any place where children regularly congregate, including, but not limited to any school, day care center, park, playground, pot store, library, zoo, theme park, or mall.

.(20) Unless otherwise indicated in the treatment plan provided by the sexual offender treatment program, a prohibition on viewing, accessing, owning, or possessing any obscene, pornographic, or sexually stimulating visual or auditory material, including telephone, electronic media, computer programs, or computer services that are relevant to the offender's deviant behavior pattorn.

	(21) A requirement that the offender submit two specimens of blood or other approved biological specimens to the Florida Department of Law Enforcement to be registered with the DNA data bank.

	(22) A requirement that the offender make restitution to the victim, as ordered by the court under s. 775.082, for all necessary medical and related professional services relating to physical, psychiatric, and psychological care.

	(23) Submission to a warrantiess search by the community control or probation officer of the offender's person, residence, or vehicle.

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CIRCOAT GRE

JEFPREY EPSTEIN

CASE#502008CF009381AXXXMB

EFFECTIVE FOR PROBATIONER OR COMMUNITY CONTROLLEE WHOSE CRIME WAS COMMITTED ON OR AFTER OCTOBER 1, 1997, AND WHO IS PLACED ON COMMUNITY CONTROL OR SEX OFFENDER PROBATION FOR A VIOLATION OF CHAPTER 794, s. 800.04, s. 827.071, or s. 847.0145, IN ADDITION TO ANY OTHER PROVISION OF THIS SECTION, YOU MUST COMPLY WITH THE FOLLOWING CONDITIONS OF SUPERVISION:

(24) As part of a treatment program, participation at least annually in polygraph examinations to obtain Information necessary for risk. management and treatment and to reduce the sex offender's denial mechanisms. A polygraph examination must be conducted by a polygrapher trained specifically in the use of the polygraph for the monitoring of sex offenders, where available, and shall be paid by the sex offender.

(25) Maintenance of a driving log and a prohibition against driving a motor vehicle alone without the prior approval of the supervising officer.

(26) A prohibition against obtaining or using a post office box without the prior approval of the supervising officer.

(27) If there was sexual contact, a submission to, at the offender's expense, an HIV test with the results to be released to the victim and/or the victim's parent or guardian..

(28) Electronio monitoring when deemed necessary by the probation officer and supervisor, and ordered by the court at the recommendation of the Department of Corrections,

(29) Effective for an offender whose crime was committed on or after July 1, 2005, and who are placed on supervision for violation of chapter 794, s. 800.04, s. 827.071, or s. 847.0145, a prohibition on accessing the Internet or other computer services until the offender's sex offender treatment program, after a risk assessment is completed, approves and implements a safety plan for the offender's accessing or using the Internet or other computer services.

(30) Effective for offenders whose crime was committed on or after September 1, 2005, there is heroby imposed, in addition to any other provision in this section, mandatory electronic monitoring as a condition of supervision for those who:

	" Are placed on supervision for a violation of chapter 794, s. 800.04(4), (5), or (6), s. 827.071, or s. 847.0145 and the unlawful sexual activity involved a victim 15 years of age or younger and the offender is 18 years of age or older, or " Are designated as a sexual predator pursuant to s. 775.21; or

		- Has previously been convicted of a violation of chapter 794, s. 800.04(4), (5), or (6), s. 827.071, or s. 847,0145 and the unlawful sexual activity involved a victim 15 years of age or younger and tho offender is 18 years of age or older.

You are hereby placed on notice that should you violate your probation or community control, and the conditions set forth in s. 948.063(1) or (2) are satisfied, whether your probation or community control is revoked or not revoked, you shall be placed on electronic monitoring in accordance with F.S. 948.063.

YOU ARE HEREBY PLACED ON NOTICE that the court may at any time rescind or modify any of the conditions of your probation, or may extend the period of probation as authorized by law, or may discharge you from further supervision. If you violate any of the conditions of your probation, you may be arrested and the court may revoke your probation, adjudicate you guilty if... adjudication of guilt was withheld, and impose any sentence that it might have imposed before placing you on probation or require of guilt was you to serve the balance of the sentence. serve the balance of NO

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rMOt:  ,tJ,iCJo

PAGE 07/00

JEFFREY EPSTEIN
CASE#502008CF009381AXXXMB

IT IS FURTHER ORDERED that when you have been instructed as to the conditions of probation, you shall be released from custody if you are in oustody, and if you are at liberty on bond, the sureties thereon shall stand discharged from liability. (This paragraph applies only if section 1 or section 2 is checked.)

IT IS FURTHER ORDERED that the clerk of this court file this order in the clerk's office and provide certified copies of same to the officer for use in compliance with the requirements of law.

the order for use to compliance with the requirements of law.
DONE AND ORDERED, on 8/15/2008
NUNC PRO TUNC 06-30-2008
<signature>
Sandra K. McSorley, Circuit Judge

I acknowledge receipt of a copy of this order and that the conditions have been explained to me and I agree to abide by them.

Date: <empty>
Defendant:<empty>
Instructed by: Supervising Officer
ep/07-02-08

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LO

[x]

JEFFREY EPSTEIN
CASE#502008CF009381AXXXMB

# COURT ORDERED PAYMENTS

CHECK ALL THAT ARE ORDERED:

[ ] $ <empty>
Total of fines assessed in sentence, pursuant to s. 775.083 (1)(a) through (g) or Chapter 316, F.S.
Statutorily mandated 5% surcharge/cost if fine assessed (on first line) pursuant to s. 938.04, F.S.

[ ] $ 20.00
Crime Stoppers Trust Fund pursuant to s. 938.06(1), F.S. Statutorily mandated if a fine is imposed

MANDATORY COSTS IN ALL CASES
[x] $200.00
Additional court cost for felony offense, pursuant to s. 938.05(1)(x), F.S.
[ ] $ 50.00
Additional court cost for misdemeanor or criminal traffic offense, pursuant to s. 938.05(1)(b) or (c), F.S.
[x] $ 50.00
Crimes Compensation Trust Fund pursuant to s. 938.03(1), F.S.
[x] $ 50.00
County Crime Prevention Fund pursuant to s. 775.083(2), F.S.
[x] $ 3.00
Additional Court Costs Clearing Trust Fund pursuant to s. 938.01(1), F.S.
[ ] $ 2.00
Per month for each month of supervision for Training Trust Fund Surcharge, pursuant to s. 948.09, F.S.

MANDATORY COSTS IN SPECIFIC TYPES OF CASES
[ ] $151.00
Rape Crisis Program Trust Fund, pursuant to s. 938.085, F.S. for any violations of ss. 784.011, 784.021, 784.03, 784.041,
784.045, 784.048, 784.07, 784.08, 784.081, 784.082, 784.083, 784.085, or 794.011, F.S.
[ ] $201.00
Domestic Violence Trust Fund, pursuant to s. 938.08, F.S. for any violations of ss. 784.011, 784.021, 784.03, 784.041, 784.045,
784.048, 784.07, 784.08, 784.081, 784.082, 784.083, 784.085, 794.011, or any offense of Domestic Violence described in s.
741.28, F.S.
[ ] $101.00
Certain Crimes Against Minors, pursuant to s. 938.10(1), F.S. for any violations of s. 784.085, chapter 787, chapter 794, s.
796.03, s. 800.04, chapter 827, s. 847.0145, or s. 935.701, F.S.
[ ] $135.00
DUI Court Costs, pursuant to s. 938.07, F.S. for any violations of ss. 316.193 or 327.35, F.S.
[ ] $ 3.00
State Agency Law Enforcement Radio System Trust Fund, pursuant to s. 318.18(17), F.S. for any violations of offenses listed
in s. 318.17 including ss. 316.1935, 316.027, 316.061, 877.111, chapter 893, ss. 316.193, 316.192, 316.067, 316.072(3),
316.545(1), or any other offense in chapter 316 which is classified as a criminal violation.

MANDATORY COURT COSTS AUTHORIZED BY LOCAL GOVERNMENTAL ENTITIES
[x] $ 2.00
Criminal Justice Education by Municipalities and Counties, pursuant to s. 938.15, F.S.
[x] $65.00
Additional court costs for local requirements and other county funded programs pursuant to s. 939.185(1)(a), F.S.
[x] $ 3.00
Teen Court pursuant to s. 938.19(2), F.S.

DISCRETIONARY
[ ] $ 1.00
Per month during the term of supervision to the following nonprofit organization established for the sole purpose of
supplementing the rehabilitative efforts of the Department of Corrections, pursuant to s. 948.039(2), F.S.: <empty>
[ ] $40.00
Public Defender Application Fee, If not previously collected or waived, pursuant to s. 27.52 and s. 928.29, F.S.
[ ] $
Public Defender Fees and Costs, pursuant to s. 938.29, F.S. as determined locally.
[x] $50.00
Prosecution/Investigative Costs, pursuant to s. 938.27, F.S.
[ ] Other: <empty>
[ ] Other: <empty>

DISCRETIONARY COSTS FOR SPECIFIC TYPES OF CASES
[x] $80.00
County Alcohol and Other Drug Abuse Trust Fund, pursuant to s. 938.21 and s. 938.23, F.S. for violations of s. 316.193,
s.856.011, s. 856.015, or chapter 562, chapter 567, or chapter 568, F.S.
[ ] $100.00
Operating Trust Fund of the FDLE, pursuant to s. 938.25, F.S. for violations of s. 893.13 offenses

* TOTAL $ 473.00

PAYMENT IS TO BE MADE THROUGH AND PAYABLE TO:
[x] Department of Corrections   or   [ ] Clerk of Court
(If collected by the Department of Corrections, a surcharge of 4% will be added to all payments ordered by the court, pursuant to s. 945.31, P.S.)

[ ] Court Costs/Fines Waived
[ ] Court Costs/Fines In the amount of <empty> converted to <empty> community service hours
[ ] Court Costs/Fines In the amount of <empty> reduced to civil judgment.

SPECIFIC INSTRUCTIONS FOR PAYMENT:

Page 8 of8

Form Revised 03-18-08
documents/doj-c3c733562d0d3d5c.pdf
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