slide 1: FINANCIAL SERVICES DEPT. PROMISSORY NOTE Date: Agent: Defendant Name: Self Indemnitor Auto Pay Bail Amount: Supervised Bail Ankle Bracelet Bond Number: Total Premium Amount 1 st additional down payment: 2 nd additional down payment Initial Down Payment BALANCE DUE Due Date: Due Date: The Undersigned promises to pay the balance due of In installments of each With the first installments due as follows: I have deposited as security against this premium balance: I we have obtained a bail bond for the release of the above defendant and promise to pay the balance due as prescribed above. I we understand that if my monthly payments are not received at the address stated below within five days of the scheduled due date I we will be charged a 25.00 late fee based on the scheduled payment amount. Should my account become 30 days past due a demand for full payment and any additional costs may be made at that time. I authorize a verification of my employment if needed in regards to my outstanding balance. Any legal/collection/surrender costs incurred associated to my account will be my responsibility. Any secondary collateral may be sold to satisfy my outstanding balance. Any deficiency after the sale will be my responsibility. Failure to make payments may result in bond surrender. All payments should be mailed to: BAIL HOTLINE BAIL BONDS FINANCIAL SERVICES DEPT. P.O. BOX 872 RIVERSIDE CALIFORNIA 92501 Call Toll Free 1‐ 888‐ 570‐4 142 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND AGREE WITH THE TERMS OF THIS PROMISSORY NOTE. Signature: Defendant: Date: Tel.Cell Email: Signature: Indemnitor: Date: Tel. Cell Email: Signature: _ Indemnitor: Date: Tel. Cell Email: Signature: Indemnitor: Date: Tel. Cell _ Email: