CSR-9-E (2013/11)

Form 9 NOTICE OF ABANDONMENT

(Criminal Proceedings Rules)ONTARIO SUPERIOR COURT OF JUSTICE

Region

Court File No. (if known)

BETWEEN:HER MAJESTY THE QUEEN

- and -

(specify name of accused)

TAKE NOTICE that the(specify whether Applicant or Appellant)

hereby wholly abandons his (or her)

application for (or appeal against)(indicate the nature of the order and relief sought in the case of an application or the conviction, order or sentence (in the case of an appeal

instituted under subsection 813(a) of the Code), the order staying proceedings on or dismissing an information or against sentence (in the case of an appeal instituted under subsection 813(b) of the Code) or the conviction, judgment or verdict of acquittal or other final order or determination (in

the case of an appeal instituted under subsection 830(1)))

DATED at , ,this day of , 20

Signature of applicant or appellant or solicitor acting on behalf on that person

(set out name and address, as well as telephone and fax numbers)

CSR-9-E (2013/11)

Court File No.

Form 3 BACKSHEET

SUPERIOR COURT OF JUSTICE

HER MAJESTY THE QUEEN

- and -

Notice of Abandonment, Form 9

(Criminal Proceedings Rules, Form 3)

(name of counsel)

(complete address of counsel)

(counsel’s telephone and fax numbers with area code)