Bail-Forms_LargeBonds_4Indems

Information about Bail-Forms_LargeBonds_4Indems

Published on February 21, 2016

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slide 1: DSB-106-CA 06/02 Financial Casualty Surety Inc. fcs A Stock Company Houston Texas APPLICATION AND AGREEMENT FOR SURETY BAIL BOND CALIFORNIA DEFENDANT’S NAME POWER OF ATTORNEY NO. AMOUNT EXEC. DATE ARR. DATE BOOKING NAME AKA NAMES BOOKING WHERE HELD CHARGES COURT JUD. DIST. AT COUNTY CASE DATE TO APPEAR TIME F.B.I. CII ARRESTED BY WHERE ARR . BOOKING INFORMTION CO-DEFENDANTS ST. ADD. CITY PHONE HOW LONG FORMER ADD. HOW LONG YEARS IN CITY COUNTY STATE LAST COUNTY LAST STATE EMPLOYED BY OCC PHONE HOW LONG EMPLOYER’S ADD SUPERIOR HOW LONG BANK NAME ______ ACCT. __ TYPE D O.B SEX HEIGHT WEIGHT HAIR___ EYES S.S. D.L. ID. MARKS RACE MOUSTACHE GLASSES WHERE BORN PREV ARREST CHRO. COURT COUNTY WHEN DISPOSITION PRV. BAIL WITH WHOM AMT. CASE PENDING ON PROBATION WHERE PROBATION OFFICER WHERE ARRESTED CO-DEFENDANTS VEHICLE MAKE MODEL YEAR COLOR LIC. DEFENDANT INFORMATION EMAIL ADDRESS __ ______ CELL PHONE ___ UNION LOCAL SPOUSE/EX ADDRESS PHONE HOW LONG EMPLOYER ADDRESS PHONE HOW LONG MARRIAGE DATE WHERE MAIDEN NAME D.O.B EMAIL ADDRESS __________ CELL _______ CHILDREN NAME AGE MOTHER ADDRESS PHONE FATHER ADDRESS PHONE SPOUSE’S MOTHER ADDRESS PHONE SPOUSE’S FATHER ADDRESS PHONE REFERENCE ___________ ADDRESS PHONE REFERENCE _________ ADDRESS PHONE REFERENCE _ ADDRESS PHONE DEFENDANT’S FAMILY INFORMATION DEFENDANT’S ATTORNEY CITY PHONE SIGNATURE OF DEFENDANT DATE INDEMNITOR’S NAME DOB S.S. D.L. ADDRESS PHONE REL. TO DEF. EMPLOYED BY ADDRESS PHONE OCCUPATION HOW LONG SUPERIOR MONTHLY INCOME CELL ________ EMAIL ADDRESS ______ _________ SPOUSE ADDRESS PHONE EMPLOYED BY ADDRESS PHONE VEHICLE MAKE MODEL YEAR COLOR LIC. REGISTERED OWNER LEGAL OWNER LIENS REAL PROPERTY IN WHO’S NAME HOW LONG BANK BRANCH_______ ACCT____ ACCT. BALANCE TYPE VALUE EQUITY FINANCED BY INDEMNITOR INFORMATION NOTATIONS I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND TRUE. I FURTHER UNDERSTAND THIS IS AN APPLICATION FOR A TYPE OF CREDIT AND AUTHORIZE A REVIEW OF MY CREDIT HISTORY. SIGNATURE OF INDEMNITOR DATE STATEMENT OF INFORMATION REQUIRED BY SECTION 2100 CALIFORNIA ADMINISTRATION CODE Full name of person supplying information Name of person negotiating bail Name of person receiving information Address Address Date and time information received Connection or relationship to defendant Connection or relationship to defendant Manner in which information received If same was defendant how did he communicate Name of licensee who negotiated transaction Name of other agent involved commission paid Was consideration other than money received Name of Attorney Name and sum paid unlicensed persons and service performed YES  No  If yes explain in detail and attach statement. 4 slide 2: DSB-110-CA 06/02 SURETY BAIL BOND AGREEMENT The undersigned Called “First Party” make application to Called “Second Party” for execution by FINANCIAL CASUALTY SURETY INC. a Texas Corporation called “Surety” of a Bail Undertaking herein referred to as “Bail Bond” in the penal amount of for called “Principal” and in consideration of Second Party arranging for execution of or continuance of this Bail Bond First Party does jointly and severally agree as follows: FIRST: To pay Second Party for this Bail Bond. The premium is fully earned upon the release of Principal. The fact that Defendant may have been improperly arrested or his bail reduced or his case dismissed shall not obligate the return of any portion of said premium. This Bond is renewable each year. First Party agrees to pay to Second Party a renewal premium in the amount stated above twelve months after the date on which this Bond was executed. If said renewal premium is not paid upon written demand therefor Second Party or Surety has the right to surrender Principal as provided in the California Penal Code Section 1300 and exonerate the Bond. SECOND:To reimburse Second Party and Surety for actual expenses incurred by Second Party or Surety in connection With the arranging and or execution of Bail Bond or renewal or substitution thereof whether or not said Principal refuses to be released after arrangements have been initiated by Second Party in accordance With the regulations of the Insurance Commissioner in effect at the time such expenses are incurred. THIRD:To reimburse Second Party and Surety for actual expenses incurred and caused by a breach by the Principal of any of the terms for which the application and Bail Bond were written not in excess of the penal amount of the Bail Bond including all expenses or liabilities incurred as a result of searching for recapturing or returning Principal to custody incurred by Second Party or Surety or as necessary in apprehending or endeavoring to apprehend Principal including legal fees incurred by Second Party or Surety in making application to a court for an order to vacate or to set aside the order of forfeiture or Summary Judgment entered thereon. However no expenses or liabilities incurred for recapturing or returning Principal to custody shall be chargeable after the entry of Summary Judgment. FOURTH:To pay Second Party or Surety in the event that it is necessary for them to institute a suit or collection for a breach of this agreement a reasonable attorney’s fee or collection fees which shall in no event be less than the sum of twenty-five dollars 25.00. FIFTH:To pay Second Party or Surety as collateral upon demand the penal amount of Bail Bond whenever Second Party or Surety as a result of information concealed or misrepresented by the First Party or Principal or other reasonable cause any one of which was material to hazard assumed deems payment necessary to protect the Second Party or Surety hereunder. Where as a result of judicial action bail has been increased and no collateral or insufficient collateral in the sole discretion of Second Party or Surety is furnished to indemnify against such increase in the bail. Second Party or Surety may demand such collateral as will indemnify them against such increased bail. SIXTH: To pay to the Second Party or the Surety immediately upon the declaration of forfeiture of said Bail Bond the penal amount thereof. SEVENTH:To aid Second Party or Surety in securing release or exoneration of Second Party or Surety from all liability under Bail Bond including the surrender of Principal to Court should Second Party or Surety deem such action advisable. EIGHTH:That all money or other property which the First Party has deposited or may deposit with the Second Party or the Surety may be applied as collateral security or indemnity for matters contained herein and to accomplish the purposes contained herein the Second Party and or the Surety a authorized to lawfully levy upon said collateral in the manner provided by law and to apply the proceeds therefrom and any and ail money deposited to payment of or reimbursement for the hereinabove liabilities losses costs damages and expenses. If collateral received by Second Party is in excess of the bail forfeited such excess shall be returned to the depositor immediately upon the application of the collateral to the forfeiture subject to any claim of Second Party and Surety for unpaid premium or the hereinabove charges. NINTH:Second Party or Surety shall not surrender Principal to custody prior to the time specified in the Bail Bond for the appearance of the Principal or prior to any other occasion when the presence of the Principal in court is lawfully required without returning all premium paid therefor unless as a result of judicial action information concealed or misrepresented by the Principal or other reasonable cause any one of which was material to the hazard assumed the hazard was substantially increased and the additional premium if any for such increased hazard was not paid within a reasonable time. TENTH:The obligations hereunder are joint and several and any amounts due shall bear interest at the maximum rate of interest allowed by law. The Second Party and the Surety shall not be first obliged to proceed against the Principal on Bail Bond before having recourse against the First Party or any one of them the First Party hereby expressly waiving the benefit of law requiring the- Second Party or the Surety to make claim upon or to proceed or enforce its remedies against the Principal before making demand upon or proceeding and or enforcing its remedies against any one or more of the First Party. ELEVENTH:In making application for Bail Bond each of US warrants all statements made by him or heron this application and financial statement to be true and we agree to advise Second Party or Surety of any change including but not limited to change of address telephone number or employment of either the Principal or of any of the First Party or any other material change in circumstances within forty-eight 48 hours after knowledge such change shall have occurred and the First Party agrees that any failure to so notify shall be reasonable cause for the immediate surrender of the Principal. TWELFTH:The undersigned agree that these obligations apply to all other Bail Bonds executed for the same charge for which the above mentioned Bail Bond was executed or any charge arising out of the same transaction regardless of whether said Bail Bonds are filed before or after conviction but not in a greater amount. IN WITNESS WHEREOF the First Party whose names are subscribed to the Bail Agreement executed herewith each represents: I have read the Bail Agreement and I know the contents thereof that I hereby acknowledge receipt of a copy of said Bail Agreement that I am the true and lawful owner of the property whether real or personal which is set forth in the Application for Bail which Application is made a part hereof by reference as though herein fully set forth is my property and that I own such property free and clear of all liens or encumbrances except as so noted and I further promise not to transfer or encumber any of said property until my liability on said Bail Agreement has been released. I understand the Second Party and or Surety is permitting the said bail to remain in force upon reliance of the statements made by me and I do hereby this day of set my hand. DEFENDANT SIGNATURE DEFENDANT NAME PRINT OR TYPE ADDRESS CITY ZIP INDEMNITOR: SIGNATURE PRINT OR TYPE NAME ADDRESS CITY Z1P PHONE D.L. ______ DOB 5 slide 3: DSB-106-CA 06/02 Financial Casualty Surety Inc. fcs A Stock Company Houston Texas APPLICATION AND AGREEMENT FOR SURETY BAIL BOND CALIFORNIA DEFENDANT’S NAME POWER OF ATTORNEY NO. AMOUNT EXEC. DATE ARR. DATE BOOKING NAME AKA NAMES BOOKING WHERE HELD CHARGES COURT JUD. DIST. AT COUNTY CASE DATE TO APPEAR TIME F.B.I. CII ARRESTED BY WHERE ARR . BOOKING INFORMTION CO-DEFENDANTS ST. ADD. CITY PHONE HOW LONG FORMER ADD. HOW LONG YEARS IN CITY COUNTY STATE LAST COUNTY LAST STATE EMPLOYED BY OCC PHONE HOW LONG EMPLOYER’S ADD SUPERIOR HOW LONG BANK NAME ______ ACCT. __ TYPE D O.B SEX HEIGHT WEIGHT HAIR___ EYES S.S. D.L. ID. MARKS RACE MOUSTACHE GLASSES WHERE BORN PREV ARREST CHRO. COURT COUNTY WHEN DISPOSITION PRV. BAIL WITH WHOM AMT. CASE PENDING ON PROBATION WHERE PROBATION OFFICER WHERE ARRESTED CO-DEFENDANTS VEHICLE MAKE MODEL YEAR COLOR LIC. DEFENDANT INFORMATION EMAIL ADDRESS __ ______ CELL PHONE ___ UNION LOCAL SPOUSE/EX ADDRESS PHONE HOW LONG EMPLOYER ADDRESS PHONE HOW LONG MARRIAGE DATE WHERE MAIDEN NAME D.O.B EMAIL ADDRESS __________ CELL _______ CHILDREN NAME AGE MOTHER ADDRESS PHONE FATHER ADDRESS PHONE SPOUSE’S MOTHER ADDRESS PHONE SPOUSE’S FATHER ADDRESS PHONE REFERENCE ___________ ADDRESS PHONE REFERENCE _________ ADDRESS PHONE REFERENCE _ ADDRESS PHONE DEFENDANT’S FAMILY INFORMATION DEFENDANT’S ATTORNEY CITY PHONE SIGNATURE OF DEFENDANT DATE INDEMNITOR’S NAME DOB S.S. D.L. ADDRESS PHONE REL. TO DEF. EMPLOYED BY ADDRESS PHONE OCCUPATION HOW LONG SUPERIOR MONTHLY INCOME CELL ________ EMAIL ADDRESS ______ _________ SPOUSE ADDRESS PHONE EMPLOYED BY ADDRESS PHONE VEHICLE MAKE MODEL YEAR COLOR LIC. REGISTERED OWNER LEGAL OWNER LIENS REAL PROPERTY IN WHO’S NAME HOW LONG BANK BRANCH_______ ACCT____ ACCT. BALANCE TYPE VALUE EQUITY FINANCED BY INDEMNITOR INFORMATION NOTATIONS I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND TRUE. I FURTHER UNDERSTAND THIS IS AN APPLICATION FOR A TYPE OF CREDIT AND AUTHORIZE A REVIEW OF MY CREDIT HISTORY. SIGNATURE OF INDEMNITOR DATE STATEMENT OF INFORMATION REQUIRED BY SECTION 2100 CALIFORNIA ADMINISTRATION CODE Full name of person supplying information Name of person negotiating bail Name of person receiving information Address Address Date and time information received Connection or relationship to defendant Connection or relationship to defendant Manner in which information received If same was defendant how did he communicate Name of licensee who negotiated transaction Name of other agent involved commission paid Was consideration other than money received Name of Attorney Name and sum paid unlicensed persons and service performed YES  No  If yes explain in detail and attach statement. 4 slide 4: DSB-110-CA 06/02 SURETY BAIL BOND AGREEMENT The undersigned Called “First Party” make application to Called “Second Party” for execution by FINANCIAL CASUALTY SURETY INC. a Texas Corporation called “Surety” of a Bail Undertaking herein referred to as “Bail Bond” in the penal amount of for called “Principal” and in consideration of Second Party arranging for execution of or continuance of this Bail Bond First Party does jointly and severally agree as follows: FIRST: To pay Second Party for this Bail Bond. The premium is fully earned upon the release of Principal. The fact that Defendant may have been improperly arrested or his bail reduced or his case dismissed shall not obligate the return of any portion of said premium. This Bond is renewable each year. First Party agrees to pay to Second Party a renewal premium in the amount stated above twelve months after the date on which this Bond was executed. If said renewal premium is not paid upon written demand therefor Second Party or Surety has the right to surrender Principal as provided in the California Penal Code Section 1300 and exonerate the Bond. SECOND:To reimburse Second Party and Surety for actual expenses incurred by Second Party or Surety in connection With the arranging and or execution of Bail Bond or renewal or substitution thereof whether or not said Principal refuses to be released after arrangements have been initiated by Second Party in accordance With the regulations of the Insurance Commissioner in effect at the time such expenses are incurred. THIRD:To reimburse Second Party and Surety for actual expenses incurred and caused by a breach by the Principal of any of the terms for which the application and Bail Bond were written not in excess of the penal amount of the Bail Bond including all expenses or liabilities incurred as a result of searching for recapturing or returning Principal to custody incurred by Second Party or Surety or as necessary in apprehending or endeavoring to apprehend Principal including legal fees incurred by Second Party or Surety in making application to a court for an order to vacate or to set aside the order of forfeiture or Summary Judgment entered thereon. However no expenses or liabilities incurred for recapturing or returning Principal to custody shall be chargeable after the entry of Summary Judgment. FOURTH:To pay Second Party or Surety in the event that it is necessary for them to institute a suit or collection for a breach of this agreement a reasonable attorney’s fee or collection fees which shall in no event be less than the sum of twenty-five dollars 25.00. FIFTH:To pay Second Party or Surety as collateral upon demand the penal amount of Bail Bond whenever Second Party or Surety as a result of information concealed or misrepresented by the First Party or Principal or other reasonable cause any one of which was material to hazard assumed deems payment necessary to protect the Second Party or Surety hereunder. Where as a result of judicial action bail has been increased and no collateral or insufficient collateral in the sole discretion of Second Party or Surety is furnished to indemnify against such increase in the bail. Second Party or Surety may demand such collateral as will indemnify them against such increased bail. SIXTH: To pay to the Second Party or the Surety immediately upon the declaration of forfeiture of said Bail Bond the penal amount thereof. SEVENTH:To aid Second Party or Surety in securing release or exoneration of Second Party or Surety from all liability under Bail Bond including the surrender of Principal to Court should Second Party or Surety deem such action advisable. EIGHTH:That all money or other property which the First Party has deposited or may deposit with the Second Party or the Surety may be applied as collateral security or indemnity for matters contained herein and to accomplish the purposes contained herein the Second Party and or the Surety a authorized to lawfully levy upon said collateral in the manner provided by law and to apply the proceeds therefrom and any and ail money deposited to payment of or reimbursement for the hereinabove liabilities losses costs damages and expenses. If collateral received by Second Party is in excess of the bail forfeited such excess shall be returned to the depositor immediately upon the application of the collateral to the forfeiture subject to any claim of Second Party and Surety for unpaid premium or the hereinabove charges. NINTH:Second Party or Surety shall not surrender Principal to custody prior to the time specified in the Bail Bond for the appearance of the Principal or prior to any other occasion when the presence of the Principal in court is lawfully required without returning all premium paid therefor unless as a result of judicial action information concealed or misrepresented by the Principal or other reasonable cause any one of which was material to the hazard assumed the hazard was substantially increased and the additional premium if any for such increased hazard was not paid within a reasonable time. TENTH:The obligations hereunder are joint and several and any amounts due shall bear interest at the maximum rate of interest allowed by law. The Second Party and the Surety shall not be first obliged to proceed against the Principal on Bail Bond before having recourse against the First Party or any one of them the First Party hereby expressly waiving the benefit of law requiring the- Second Party or the Surety to make claim upon or to proceed or enforce its remedies against the Principal before making demand upon or proceeding and or enforcing its remedies against any one or more of the First Party. ELEVENTH:In making application for Bail Bond each of US warrants all statements made by him or heron this application and financial statement to be true and we agree to advise Second Party or Surety of any change including but not limited to change of address telephone number or employment of either the Principal or of any of the First Party or any other material change in circumstances within forty-eight 48 hours after knowledge such change shall have occurred and the First Party agrees that any failure to so notify shall be reasonable cause for the immediate surrender of the Principal. TWELFTH:The undersigned agree that these obligations apply to all other Bail Bonds executed for the same charge for which the above mentioned Bail Bond was executed or any charge arising out of the same transaction regardless of whether said Bail Bonds are filed before or after conviction but not in a greater amount. IN WITNESS WHEREOF the First Party whose names are subscribed to the Bail Agreement executed herewith each represents: I have read the Bail Agreement and I know the contents thereof that I hereby acknowledge receipt of a copy of said Bail Agreement that I am the true and lawful owner of the property whether real or personal which is set forth in the Application for Bail which Application is made a part hereof by reference as though herein fully set forth is my property and that I own such property free and clear of all liens or encumbrances except as so noted and I further promise not to transfer or encumber any of said property until my liability on said Bail Agreement has been released. I understand the Second Party and or Surety is permitting the said bail to remain in force upon reliance of the statements made by me and I do hereby this day of set my hand. DEFENDANT SIGNATURE DEFENDANT NAME PRINT OR TYPE ADDRESS CITY ZIP INDEMNITOR: SIGNATURE PRINT OR TYPE NAME ADDRESS CITY Z1P PHONE D.L. ______ DOB 5 slide 5: DSB-106-CA 06/02 Financial Casualty Surety Inc. fcs A Stock Company Houston Texas APPLICATION AND AGREEMENT FOR SURETY BAIL BOND CALIFORNIA DEFENDANT’S NAME POWER OF ATTORNEY NO. AMOUNT EXEC. DATE ARR. DATE BOOKING NAME AKA NAMES BOOKING WHERE HELD CHARGES COURT JUD. DIST. AT COUNTY CASE DATE TO APPEAR TIME F.B.I. CII ARRESTED BY WHERE ARR . BOOKING INFORMTION CO-DEFENDANTS ST. ADD. CITY PHONE HOW LONG FORMER ADD. HOW LONG YEARS IN CITY COUNTY STATE LAST COUNTY LAST STATE EMPLOYED BY OCC PHONE HOW LONG EMPLOYER’S ADD SUPERIOR HOW LONG BANK NAME ______ ACCT. __ TYPE D O.B SEX HEIGHT WEIGHT HAIR___ EYES S.S. D.L. ID. MARKS RACE MOUSTACHE GLASSES WHERE BORN PREV ARREST CHRO. COURT COUNTY WHEN DISPOSITION PRV. BAIL WITH WHOM AMT. CASE PENDING ON PROBATION WHERE PROBATION OFFICER WHERE ARRESTED CO-DEFENDANTS VEHICLE MAKE MODEL YEAR COLOR LIC. DEFENDANT INFORMATION EMAIL ADDRESS __ ______ CELL PHONE ___ UNION LOCAL SPOUSE/EX ADDRESS PHONE HOW LONG EMPLOYER ADDRESS PHONE HOW LONG MARRIAGE DATE WHERE MAIDEN NAME D.O.B EMAIL ADDRESS __________ CELL _______ CHILDREN NAME AGE MOTHER ADDRESS PHONE FATHER ADDRESS PHONE SPOUSE’S MOTHER ADDRESS PHONE SPOUSE’S FATHER ADDRESS PHONE REFERENCE ___________ ADDRESS PHONE REFERENCE _________ ADDRESS PHONE REFERENCE _ ADDRESS PHONE DEFENDANT’S FAMILY INFORMATION DEFENDANT’S ATTORNEY CITY PHONE SIGNATURE OF DEFENDANT DATE INDEMNITOR’S NAME DOB S.S. D.L. ADDRESS PHONE REL. TO DEF. EMPLOYED BY ADDRESS PHONE OCCUPATION HOW LONG SUPERIOR MONTHLY INCOME CELL ________ EMAIL ADDRESS ______ _________ SPOUSE ADDRESS PHONE EMPLOYED BY ADDRESS PHONE VEHICLE MAKE MODEL YEAR COLOR LIC. REGISTERED OWNER LEGAL OWNER LIENS REAL PROPERTY IN WHO’S NAME HOW LONG BANK BRANCH_______ ACCT____ ACCT. BALANCE TYPE VALUE EQUITY FINANCED BY INDEMNITOR INFORMATION NOTATIONS I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND TRUE. I FURTHER UNDERSTAND THIS IS AN APPLICATION FOR A TYPE OF CREDIT AND AUTHORIZE A REVIEW OF MY CREDIT HISTORY. SIGNATURE OF INDEMNITOR DATE STATEMENT OF INFORMATION REQUIRED BY SECTION 2100 CALIFORNIA ADMINISTRATION CODE Full name of person supplying information Name of person negotiating bail Name of person receiving information Address Address Date and time information received Connection or relationship to defendant Connection or relationship to defendant Manner in which information received If same was defendant how did he communicate Name of licensee who negotiated transaction Name of other agent involved commission paid Was consideration other than money received Name of Attorney Name and sum paid unlicensed persons and service performed YES  No  If yes explain in detail and attach statement. 4 slide 6: DSB-110-CA 06/02 SURETY BAIL BOND AGREEMENT The undersigned Called “First Party” make application to Called “Second Party” for execution by FINANCIAL CASUALTY SURETY INC. a Texas Corporation called “Surety” of a Bail Undertaking herein referred to as “Bail Bond” in the penal amount of for called “Principal” and in consideration of Second Party arranging for execution of or continuance of this Bail Bond First Party does jointly and severally agree as follows: FIRST: To pay Second Party for this Bail Bond. The premium is fully earned upon the release of Principal. The fact that Defendant may have been improperly arrested or his bail reduced or his case dismissed shall not obligate the return of any portion of said premium. This Bond is renewable each year. First Party agrees to pay to Second Party a renewal premium in the amount stated above twelve months after the date on which this Bond was executed. If said renewal premium is not paid upon written demand therefor Second Party or Surety has the right to surrender Principal as provided in the California Penal Code Section 1300 and exonerate the Bond. SECOND:To reimburse Second Party and Surety for actual expenses incurred by Second Party or Surety in connection With the arranging and or execution of Bail Bond or renewal or substitution thereof whether or not said Principal refuses to be released after arrangements have been initiated by Second Party in accordance With the regulations of the Insurance Commissioner in effect at the time such expenses are incurred. THIRD:To reimburse Second Party and Surety for actual expenses incurred and caused by a breach by the Principal of any of the terms for which the application and Bail Bond were written not in excess of the penal amount of the Bail Bond including all expenses or liabilities incurred as a result of searching for recapturing or returning Principal to custody incurred by Second Party or Surety or as necessary in apprehending or endeavoring to apprehend Principal including legal fees incurred by Second Party or Surety in making application to a court for an order to vacate or to set aside the order of forfeiture or Summary Judgment entered thereon. However no expenses or liabilities incurred for recapturing or returning Principal to custody shall be chargeable after the entry of Summary Judgment. FOURTH:To pay Second Party or Surety in the event that it is necessary for them to institute a suit or collection for a breach of this agreement a reasonable attorney’s fee or collection fees which shall in no event be less than the sum of twenty-five dollars 25.00. FIFTH:To pay Second Party or Surety as collateral upon demand the penal amount of Bail Bond whenever Second Party or Surety as a result of information concealed or misrepresented by the First Party or Principal or other reasonable cause any one of which was material to hazard assumed deems payment necessary to protect the Second Party or Surety hereunder. Where as a result of judicial action bail has been increased and no collateral or insufficient collateral in the sole discretion of Second Party or Surety is furnished to indemnify against such increase in the bail. Second Party or Surety may demand such collateral as will indemnify them against such increased bail. SIXTH: To pay to the Second Party or the Surety immediately upon the declaration of forfeiture of said Bail Bond the penal amount thereof. SEVENTH:To aid Second Party or Surety in securing release or exoneration of Second Party or Surety from all liability under Bail Bond including the surrender of Principal to Court should Second Party or Surety deem such action advisable. EIGHTH:That all money or other property which the First Party has deposited or may deposit with the Second Party or the Surety may be applied as collateral security or indemnity for matters contained herein and to accomplish the purposes contained herein the Second Party and or the Surety a authorized to lawfully levy upon said collateral in the manner provided by law and to apply the proceeds therefrom and any and ail money deposited to payment of or reimbursement for the hereinabove liabilities losses costs damages and expenses. If collateral received by Second Party is in excess of the bail forfeited such excess shall be returned to the depositor immediately upon the application of the collateral to the forfeiture subject to any claim of Second Party and Surety for unpaid premium or the hereinabove charges. NINTH:Second Party or Surety shall not surrender Principal to custody prior to the time specified in the Bail Bond for the appearance of the Principal or prior to any other occasion when the presence of the Principal in court is lawfully required without returning all premium paid therefor unless as a result of judicial action information concealed or misrepresented by the Principal or other reasonable cause any one of which was material to the hazard assumed the hazard was substantially increased and the additional premium if any for such increased hazard was not paid within a reasonable time. TENTH:The obligations hereunder are joint and several and any amounts due shall bear interest at the maximum rate of interest allowed by law. The Second Party and the Surety shall not be first obliged to proceed against the Principal on Bail Bond before having recourse against the First Party or any one of them the First Party hereby expressly waiving the benefit of law requiring the- Second Party or the Surety to make claim upon or to proceed or enforce its remedies against the Principal before making demand upon or proceeding and or enforcing its remedies against any one or more of the First Party. ELEVENTH:In making application for Bail Bond each of US warrants all statements made by him or heron this application and financial statement to be true and we agree to advise Second Party or Surety of any change including but not limited to change of address telephone number or employment of either the Principal or of any of the First Party or any other material change in circumstances within forty-eight 48 hours after knowledge such change shall have occurred and the First Party agrees that any failure to so notify shall be reasonable cause for the immediate surrender of the Principal. TWELFTH:The undersigned agree that these obligations apply to all other Bail Bonds executed for the same charge for which the above mentioned Bail Bond was executed or any charge arising out of the same transaction regardless of whether said Bail Bonds are filed before or after conviction but not in a greater amount. IN WITNESS WHEREOF the First Party whose names are subscribed to the Bail Agreement executed herewith each represents: I have read the Bail Agreement and I know the contents thereof that I hereby acknowledge receipt of a copy of said Bail Agreement that I am the true and lawful owner of the property whether real or personal which is set forth in the Application for Bail which Application is made a part hereof by reference as though herein fully set forth is my property and that I own such property free and clear of all liens or encumbrances except as so noted and I further promise not to transfer or encumber any of said property until my liability on said Bail Agreement has been released. I understand the Second Party and or Surety is permitting the said bail to remain in force upon reliance of the statements made by me and I do hereby this day of set my hand. DEFENDANT SIGNATURE DEFENDANT NAME PRINT OR TYPE ADDRESS CITY ZIP INDEMNITOR: SIGNATURE PRINT OR TYPE NAME ADDRESS CITY Z1P PHONE D.L. ______ DOB 5 slide 7: DSB-106-CA 06/02 Financial Casualty Surety Inc. fcs A Stock Company Houston Texas APPLICATION AND AGREEMENT FOR SURETY BAIL BOND CALIFORNIA DEFENDANT’S NAME POWER OF ATTORNEY NO. AMOUNT EXEC. DATE ARR. DATE BOOKING NAME AKA NAMES BOOKING WHERE HELD CHARGES COURT JUD. DIST. AT COUNTY CASE DATE TO APPEAR TIME F.B.I. CII ARRESTED BY WHERE ARR . BOOKING INFORMTION CO-DEFENDANTS ST. ADD. CITY PHONE HOW LONG FORMER ADD. HOW LONG YEARS IN CITY COUNTY STATE LAST COUNTY LAST STATE EMPLOYED BY OCC PHONE HOW LONG EMPLOYER’S ADD SUPERIOR HOW LONG BANK NAME ______ ACCT. __ TYPE D O.B SEX HEIGHT WEIGHT HAIR___ EYES S.S. D.L. ID. MARKS RACE MOUSTACHE GLASSES WHERE BORN PREV ARREST CHRO. COURT COUNTY WHEN DISPOSITION PRV. BAIL WITH WHOM AMT. CASE PENDING ON PROBATION WHERE PROBATION OFFICER WHERE ARRESTED CO-DEFENDANTS VEHICLE MAKE MODEL YEAR COLOR LIC. DEFENDANT INFORMATION EMAIL ADDRESS __ ______ CELL PHONE ___ UNION LOCAL SPOUSE/EX ADDRESS PHONE HOW LONG EMPLOYER ADDRESS PHONE HOW LONG MARRIAGE DATE WHERE MAIDEN NAME D.O.B EMAIL ADDRESS __________ CELL _______ CHILDREN NAME AGE MOTHER ADDRESS PHONE FATHER ADDRESS PHONE SPOUSE’S MOTHER ADDRESS PHONE SPOUSE’S FATHER ADDRESS PHONE REFERENCE ___________ ADDRESS PHONE REFERENCE _________ ADDRESS PHONE REFERENCE _ ADDRESS PHONE DEFENDANT’S FAMILY INFORMATION DEFENDANT’S ATTORNEY CITY PHONE SIGNATURE OF DEFENDANT DATE INDEMNITOR’S NAME DOB S.S. D.L. ADDRESS PHONE REL. TO DEF. EMPLOYED BY ADDRESS PHONE OCCUPATION HOW LONG SUPERIOR MONTHLY INCOME CELL ________ EMAIL ADDRESS ______ _________ SPOUSE ADDRESS PHONE EMPLOYED BY ADDRESS PHONE VEHICLE MAKE MODEL YEAR COLOR LIC. REGISTERED OWNER LEGAL OWNER LIENS REAL PROPERTY IN WHO’S NAME HOW LONG BANK BRANCH_______ ACCT____ ACCT. BALANCE TYPE VALUE EQUITY FINANCED BY INDEMNITOR INFORMATION NOTATIONS I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND TRUE. I FURTHER UNDERSTAND THIS IS AN APPLICATION FOR A TYPE OF CREDIT AND AUTHORIZE A REVIEW OF MY CREDIT HISTORY. SIGNATURE OF INDEMNITOR DATE STATEMENT OF INFORMATION REQUIRED BY SECTION 2100 CALIFORNIA ADMINISTRATION CODE Full name of person supplying information Name of person negotiating bail Name of person receiving information Address Address Date and time information received Connection or relationship to defendant Connection or relationship to defendant Manner in which information received If same was defendant how did he communicate Name of licensee who negotiated transaction Name of other agent involved commission paid Was consideration other than money received Name of Attorney Name and sum paid unlicensed persons and service performed YES  No  If yes explain in detail and attach statement. 4 slide 8: DSB-110-CA 06/02 SURETY BAIL BOND AGREEMENT The undersigned Called “First Party” make application to Called “Second Party” for execution by FINANCIAL CASUALTY SURETY INC. a Texas Corporation called “Surety” of a Bail Undertaking herein referred to as “Bail Bond” in the penal amount of for called “Principal” and in consideration of Second Party arranging for execution of or continuance of this Bail Bond First Party does jointly and severally agree as follows: FIRST: To pay Second Party for this Bail Bond. The premium is fully earned upon the release of Principal. The fact that Defendant may have been improperly arrested or his bail reduced or his case dismissed shall not obligate the return of any portion of said premium. This Bond is renewable each year. First Party agrees to pay to Second Party a renewal premium in the amount stated above twelve months after the date on which this Bond was executed. If said renewal premium is not paid upon written demand therefor Second Party or Surety has the right to surrender Principal as provided in the California Penal Code Section 1300 and exonerate the Bond. SECOND:To reimburse Second Party and Surety for actual expenses incurred by Second Party or Surety in connection With the arranging and or execution of Bail Bond or renewal or substitution thereof whether or not said Principal refuses to be released after arrangements have been initiated by Second Party in accordance With the regulations of the Insurance Commissioner in effect at the time such expenses are incurred. THIRD:To reimburse Second Party and Surety for actual expenses incurred and caused by a breach by the Principal of any of the terms for which the application and Bail Bond were written not in excess of the penal amount of the Bail Bond including all expenses or liabilities incurred as a result of searching for recapturing or returning Principal to custody incurred by Second Party or Surety or as necessary in apprehending or endeavoring to apprehend Principal including legal fees incurred by Second Party or Surety in making application to a court for an order to vacate or to set aside the order of forfeiture or Summary Judgment entered thereon. However no expenses or liabilities incurred for recapturing or returning Principal to custody shall be chargeable after the entry of Summary Judgment. FOURTH:To pay Second Party or Surety in the event that it is necessary for them to institute a suit or collection for a breach of this agreement a reasonable attorney’s fee or collection fees which shall in no event be less than the sum of twenty-five dollars 25.00. FIFTH:To pay Second Party or Surety as collateral upon demand the penal amount of Bail Bond whenever Second Party or Surety as a result of information concealed or misrepresented by the First Party or Principal or other reasonable cause any one of which was material to hazard assumed deems payment necessary to protect the Second Party or Surety hereunder. Where as a result of judicial action bail has been increased and no collateral or insufficient collateral in the sole discretion of Second Party or Surety is furnished to indemnify against such increase in the bail. Second Party or Surety may demand such collateral as will indemnify them against such increased bail. SIXTH: To pay to the Second Party or the Surety immediately upon the declaration of forfeiture of said Bail Bond the penal amount thereof. SEVENTH:To aid Second Party or Surety in securing release or exoneration of Second Party or Surety from all liability under Bail Bond including the surrender of Principal to Court should Second Party or Surety deem such action advisable. EIGHTH:That all money or other property which the First Party has deposited or may deposit with the Second Party or the Surety may be applied as collateral security or indemnity for matters contained herein and to accomplish the purposes contained herein the Second Party and or the Surety a authorized to lawfully levy upon said collateral in the manner provided by law and to apply the proceeds therefrom and any and ail money deposited to payment of or reimbursement for the hereinabove liabilities losses costs damages and expenses. If collateral received by Second Party is in excess of the bail forfeited such excess shall be returned to the depositor immediately upon the application of the collateral to the forfeiture subject to any claim of Second Party and Surety for unpaid premium or the hereinabove charges. NINTH:Second Party or Surety shall not surrender Principal to custody prior to the time specified in the Bail Bond for the appearance of the Principal or prior to any other occasion when the presence of the Principal in court is lawfully required without returning all premium paid therefor unless as a result of judicial action information concealed or misrepresented by the Principal or other reasonable cause any one of which was material to the hazard assumed the hazard was substantially increased and the additional premium if any for such increased hazard was not paid within a reasonable time. TENTH:The obligations hereunder are joint and several and any amounts due shall bear interest at the maximum rate of interest allowed by law. The Second Party and the Surety shall not be first obliged to proceed against the Principal on Bail Bond before having recourse against the First Party or any one of them the First Party hereby expressly waiving the benefit of law requiring the- Second Party or the Surety to make claim upon or to proceed or enforce its remedies against the Principal before making demand upon or proceeding and or enforcing its remedies against any one or more of the First Party. ELEVENTH:In making application for Bail Bond each of US warrants all statements made by him or heron this application and financial statement to be true and we agree to advise Second Party or Surety of any change including but not limited to change of address telephone number or employment of either the Principal or of any of the First Party or any other material change in circumstances within forty-eight 48 hours after knowledge such change shall have occurred and the First Party agrees that any failure to so notify shall be reasonable cause for the immediate surrender of the Principal. TWELFTH:The undersigned agree that these obligations apply to all other Bail Bonds executed for the same charge for which the above mentioned Bail Bond was executed or any charge arising out of the same transaction regardless of whether said Bail Bonds are filed before or after conviction but not in a greater amount. IN WITNESS WHEREOF the First Party whose names are subscribed to the Bail Agreement executed herewith each represents: I have read the Bail Agreement and I know the contents thereof that I hereby acknowledge receipt of a copy of said Bail Agreement that I am the true and lawful owner of the property whether real or personal which is set forth in the Application for Bail which Application is made a part hereof by reference as though herein fully set forth is my property and that I own such property free and clear of all liens or encumbrances except as so noted and I further promise not to transfer or encumber any of said property until my liability on said Bail Agreement has been released. I understand the Second Party and or Surety is permitting the said bail to remain in force upon reliance of the statements made by me and I do hereby this day of set my hand. DEFENDANT SIGNATURE DEFENDANT NAME PRINT OR TYPE ADDRESS CITY ZIP INDEMNITOR: SIGNATURE PRINT OR TYPE NAME ADDRESS CITY Z1P PHONE D.L. ______ DOB 5 slide 9: Page 1 of 2 BAIL HOTLINE CONDITIONS OF RELEASE 1 Defendant must check-in within twenty-four 24 hours of release. Failure to do so may be considered a violation of this agreement. 2 Defendant must appear in person to any and all court dates. Defendant must call after appearing in court and provide the new court date. 3 Defendant and Indemnitors are solely responsible for any and all expenses incurred as a result of Defendant’s failure to appear in court. These expenses include but are not limited to a reinstatement fees b exoneration fees c attorney’s fees d recovery fee’s. 4 Defendant must have a current residence and home telephone number at all times. If the current residence and/or telephone number changes Defendant and/or Indemnitors must call within twenty-four 24 hours of the change. Failure to do so will be considered a violation of this agreement. 5 Defendant and Indemnitors are solely responsible for the total bond liability until a certified exoneration by the court is received. 6 Defendant and Indemnitors understand that any and all premium paid or owing on the bail bond is fully earned upon release of the Defendant from custody. Moreover despite the fact Defendant may have been improperly arrested bail is reduced and/or case dismissed the premium will not be returned. 7 Defendant may not travel outside of California without prior written authorization by Bail Hotline. Defendant shall not commit any further offense upon release of custody. 8 Failure to abide by any of the conditions of release may result in the surrender of the Defendant to the appropriate authorities. 10 slide 10: Page 2 of 2 I acknowledge that I have read or have had read to me the above conditions of release. By signing below I certify that I understand each of the above conditions and I hereby agree to comply with the conditions of release. Date: ________________________ _________________________________ Defendant _______________________ _________________________________ Indem ___________________________ _________________________________ Indem ___________________________ _________________________________ Indem ___________________________ _________________________________ Indem ___________________________ _________________________________ Indem ___________________________ _________________________________ Indem ___________________________ 11 slide 11: BAIL HOTLINE Notice of Pre-Trial Release Release on Bail Revocation Re-Arrest Surrender I Name of Defendant am an adult individual and a Defendant in the above-entitled action. I understand that I must comply with each of the Terms and Conditions of my pre-trial release on the bond posted by Bail Hotline Bail Bonds “Bail Hotline” OR my bond will be revoked I will be re-arrested then surrendered to the custody of the County Sheriff Terms and Conditions 1. Complete all forms requested of me by Bail Hotline or its’ agent/investigator within 24 hours of my release from custody and 2. Maintain contact with my agent/investigator at all times and not leave the jurisdiction of the Court wherein my cases is pending without written consent by that agent/investigator and 3. Inform my agent/investigator of any changes in status in regards to my employment residence and telephone numbers. 4. Provide only truthful information to my agent/investigator. Any false fraudulent or misleading information given by me shall constitute good cause for my bail to be revoked re-arrest and surrender without notice or warning to the County Sheriff and 5. I shall not commit any criminal act as defined under any Federal State or Local laws rules and regulations and 6. Attend ALL court hearings and immediately thereafter check in with my agent/investigator and provide him/her with my next court date if any and 7. Surrender my Passport to Bail Hotline if my bail is 100000 or higher within 24 hours of my release and/or Surrender my Passport to Bail Hotline if I was not born in the United States within 24 hours of my release regardless of the bail amount and I agree not to leave the state of California without written consent of the Bail Hotline and 8. I understand that pre-trial release on bail bond is considered an extension of custody and my freedoms are limited while on pre-trial release. I understand my Fourth Amendment to the Constitution of the United States of America and Article 1 Sec. 13 of the California Constitution rights against unreasonable seizures and searches and I hereby waive those rights anytime day or night as a condition of my pre-trial release. By signing this form I indicate I have read understood and accept each and every term set forth above and I will comply with as required or I agree to my being returned to the custody of the County Sheriff or City Jail Facility of the Chief of Police.. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this _____day of _________ 20_____ at ___________________ State of California. ______________________________________ Defendant slide 12: Financial Casualty Surety Insurance Company Plain Talk Contract Contract Date Power Bond Amount Premium Amount I understand that in signing this bond to obtain the release of Defendant ________ . I understand that I am responsible for him/her appearing in Court each time he/she is so ordered. Also if he/she fails to follow any and all instructions or orders of the Court or forfeits this bond and it becomes necessary to apprehend and surrender him/her to the Court I understand that I am responsible for any and all expenses incurred as a result of such forfeiture. Furthermore if such forfeiture occurs and the defendant is not surrendered to the Court within the time prescribed by law I understand that I am required to pay FULL AMOUNT of the bond posted including any unpaid bail premium. I understand that the premium owing and/or paid on this bond is fully earned upon release of the defendant from custody. The fact that the defendant may have been improperly arrested or his/her bail reduced or his/her case dismissed shall not obligate the return or forgiveness of any portion of the premium. IMPORTANT NOTICE: There is a waiting period of approximately 30 days from the date the bond is exonerated before collateral can be returned. WE MUST receive written notice from the Clerk of Court. I am not a paid signer. I have no connection with the Bail Consultant. I have read the above contract and understand it and agree to fulfill ALL of the provisions therein. I hereby acknowledge the authority of the surety to arrest the defendant at any time and at any place and therefore specifically and irrevocably grant the bail permission and authority to enter and search any and all real property and chattel that is or reasonably believed by the surety to be under possession control or occupancy at any time by the Defendant. Defendant is required to attend a post custody interview. Failure to comply with the requirement will subject the Defendant to arrest and surrender to custody. Any breach of the above mentioned terms and surrender by the surety of the defendant will forfeit all rights of premiums paid._______________ Initials Signed: _________________________ Defendant Indemnitor Indemnitor Indemnitor Indemnitor Indemnitor Bail Agent: 12 slide 13: BAIL HOTLINE WAIVER OF EXTRADITION I _________________________Defendant’s Name have been arrested for a Felony/Misdemeanor offense and as a condition of my bail bond consent to the following: 1. I understand that it is a violation of my bond to leave California without the prior approval of the Court and the Surety. Additionally I understand that if I am arrested in another state I can be returned to California through the extradition process and/or return voluntarily with Recovery Agents from the Surety Company. 2. I agree not to resist or fight any effort by any state to return me to California and waive all formal extradition proceedings. 3. I understand that if I am in-custody in a state other than California I will not attempt to bail out pending extradition to California 4. I agree to waive any right I may have to contest my extradition and I waive this right freely voluntarily and intelligently. I acknowledge that I have read or have had read to me the above waiver of extradition. By signing below I certify that I understand the waiver of my rights. PRINT NAME: SIGNATURE: DATE: I certify the foregoing Waiver of Extradition is a Condition of the Bail Bond and is executed and subscribed before me. DATE: SIGNATURE: TITLE: 13 slide 14: LITTLE FINGER RING FINGER MIDDLE FINGER INDEX FINGER LEFT THUMB RIGHT THUMB INDEX FINGER MIDDLE FINGER RING FINGER LITTLE FINGER DATE DEFENDANT CHECK-IN I.D. PRINTS BOND DATE: RIGHT HAND DEFENDANT SIGNATURE DEFENDANT: LEFT HAND slide 15: FAILURE TO COMPLY WITH CHECK IN REQUIREMENTS WILL RESULT IN A BREACH OF CONTRACT. BAIL HOTLINE SUPERVISED BAIL DEFENDANT NAME: DATE BAILED OUT: OFFICE LOCATION: CASE: COUNTY: BAIL AMOUNT: CHARGES: CASE: COUNTY: BAIL AMOUNT: CHARGES: CASE: COUNTY: BAIL AMOUNT: CHARGES: CASE: COUNTY: BAIL AMOUNT: CHARGES: CASE: COUNTY: BAIL AMOUNT: CHARGES: CASE: COUNTY: BAIL AMOUNT: CHARGES: POWER NUMBERS: TOTAL BAIL AMOUNT: Defendant will check in on: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY NOTES: DEFENANT PRINT SIGNATURE DATE INDEMNITOR PRINT SIGNATURE DATE INDEMNITOR PRINT SIGNATURE DATE INDEMNITOR PRINT SIGNATURE DATE 15 slide 16: BAIL HOTLINE -- DEFENDANT CHECK-IN Social Security :________________________ DL or ID :_____________________________ RESIDENCE LAST 10 YEARS 1. ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ 3. ___________________________________________________________________________________________ MINOR CHILDREN Child’s Name: ____________________________ Age:______ Child’s Residence:________________________________________ Child’s Name: ____________________________ Age:______ Child’s Residence:________________________________________ Child’s Name: ____________________________ Age:______ Child’s Residence:________________________________________ PARENT INFORMATION Mother: _________________________ Address:_______________________________________ Phone: ______________________ Father: _________________________ Address:_______________________________________ Phone: ______________________ IN-LAWS/PARTNER’S PARENTS Name: _________________________ Address:_______________________________________ Phone: ________________________ Name: _________________________ Address:_______________________________________ Phone: _______________________ TEN REFERNCES FAMILY MEMBERS CLOSE FRIENDS All references will be VERFIED at Check-In Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ Name/Relation: _________________________ Address:_______________________________________ Phone: ________________ ALL INFORMATION PROVIDED TO BAIL HOTLINE BAIL BONDS WILL REMAIN CONFIDENTIAL AND WILL BE HELD IN A SECURE LOCATION. I certify that all the information provided is true and correct to the best of my knowledge. Any false or misleading information given for my check-in may result in the immediate arrest and surrender of my bail bond. ____________________________________ _______________________________ ______________ DEFENDANT NAME DEFENDANT SIGNATURE DATE ____________________________________ ________________________________ _______________ AGENT/ASSISTANT NAME AGENT/ASSISTANT SIGNATURE DATE slide 17: BAIL HOTLINE DEFENDANT’S COURT DATE By signing this document I am acknowledging that I have court on: Court Date:____________________________ Time to Appear:________________________ Courthouse: ___________________________ Case Number:__________________________ Charges:______________________________ Bond Amount: _________________________ By signing this document I am acknowledging that I have court on: Court Date:____________________________ Time to Appear:________________________ Courthouse: ___________________________ Case Number:__________________________ Charges:______________________________ Bond Amount: _________________________ By signing this document I am acknowledging that I have court on: Court Date:____________________________ Time to Appear:________________________ Courthouse: ___________________________ Case Number:__________________________ Charges:______________________________ Bond Amount: _________________________ _____________________________ ______________________________ Date Defendant Name ______________________________ Defendant Signature slide 18: BAIL HOTLINE – COVER SHEET DEFENANT NAME: _______________________________________ DATE:____________________________________________________ BOND NUMBER: __________________________________________ DATE / NOTES __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ __________/___________________________________________________________________ Note: Please initial all entries made on the cover sheet. 17 slide 19: BAIL HOTLINE LARGE BOND BACK-UP FORM COPY OF PROMISSORY NOTE COPY OF BAIL APPLICATION COPY OF BAIL AGREEMENT COPY OF BOND AND FACE SHEET COPY OF FRONT PAGE OF CREDIT REPORT FOR ALL SIGNERS COPY OF RECORDED TRUST DEED IF TAKEN. COPY OF SUPERVISED BAIL IF CLIENT IS ON S/BAIL COPY OF UTILITY BILL COPY OF LARGE BOND APPROVAL COPY OF MINUTES AND BACKGROUND CHECK COPY OF THE CAPTIRA RAP SHEET COPY OF DEFENDANT CHECK-IN SHEET MUST BE FAXED TO HOME OFFICE WITH 48 HOURS OF BOND DATE ALL REFERENCES VERIFIED ANKLE BRACLET IF NEEDED AUTO PAY INFORMATION AGENT NAME: ____________________________ DATE AND TIME:_________________ APPROVED BY:____________________________ FAXED BY:_______________________ DEFENDANT:______________________________ DATE OF BOND:__________________ COMMENTS:_____________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ NOTE: ALL ITEMS MUST BE COMPLETED BEFORE FAXING. slide 20: BAIL HOTLINE LARGE BOND BACKGROUND CHECK Date:_____________________________________________________ Office Location: ___________________________________________ Bail Agent: _______________________________________________ Bond Amount: ____________________________________________ Defendant Name: __________________________________________ Social Security Number:____________________________________ Birthdate:________________________________________________ Birth Place City and State:_________________________________ Legal Status: ______________________________________________ Defendant’s Address:_______________________________________ __________________________________________________________ 1 Has the Defendant resided out of State If so where and when. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2 Residence last five years. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3 Criminal History any arrests convictions probation parole. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4 Most Recent Conviction:__________________________________________________ 5 Other Notes:____________________________________________________________ __________________________________________ Name of Person Conducting Background Check slide 21: BAIL HOTLINE LARGE BOND CHECK LIST Large Bond Back-Up Form Large Bond Background Check Bail Agreement Signed by all Parities Bond Signed and Completely Filled Out Promissory Note Application Agreement for Surety including 2100 Section Face Sheet Signed and Completely Filled Out Conditions of Release Plain Talk Contracts Signed by all Parties Waiver of Extradition Ratification Form Signed Fingerprint Form Picture of Defendant Proof of Income Notice of Terms and Conditions Copy of Current Utility Bill Identifications for all Parties Media Survey Supervised Bail if applicable Defendant Check-In 10 References Required Defendant’s Court Dates Rebate Form if applicable Ankle Bracelet Agreement if applicable Credit Reports for all Parties if applicable Collateral Agreement see collateral check list – if applicable o Collateral Agreement o Vehicles: Pink Slip Vehicle Registration o Real Property: Deed of Trust Real Quest Mortgage Statement Credit Card if applicable o Copy of Credit Card o Credit Card Authorization Verification of Employment signed by all parties ___________________________ Agent _____________________

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