Type your full name
Date Format: MM slash DD slash YYYY
Make sure to provide name of business,address and the telephone number.
Please include 3 friends or family references. 2 of the references must have name, addresses and telephone numbers.
Include, make, model, color and tag number
Please check all boxes to confirm you understand your responsibilities
I, Indemnitor/Defendant am responsible for the Defendant and/or Myself to appear in Court every time he or she is ordered to do so by the Courts. I also understand that I am responsible for payment of any court costs for non-appearance/forfeiture. I understand that I am responsible for any and all expenses incurred as a result of such forfeiture and further, 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 THE FULL AMOUNT OF THE BOND POSTED, including any unpaid bail premium due. Should State Law supersede this or any part of the agreement, all other terms are still in Fill Force & Effect in accordance with all terms on said Bail Bond Agreement.
I, Indemnitor/Defendant fully understand that criminal charges of Aiding and Abetting or Accessory can be brought against any person or persons; who helps in the commission of a crime through legal distinctions that vary by State Law. I understand that a person charges with Aiding and Abetting or Accessory is usually not present when the crime itself is committed but has knowledge of the crime before or after the fact. I understand that my assistance in a commission of a crime through advice, actions or financial support will constitute in the filing of criminal charges.
I, Indemnitor understand that the said Defendant mentioned above is REQUIRED by Contract to report to 561BAIL BONDS INC. within 24 HOURS OF BEING RELEASED to complete their portion of the Contract and Present Valid Identification.
I affirm that ALL FOREMENTIONED INFORMATION PROVIDED AND HERD IS TRUE AND CORRECT AND THAT ANY FALSE INFORMATION GIVEN ON YOUR APPLICATION FORMS IS A 3RD DEGREE FELONY AND YOU WILL BE CHARGED WITH FRAUD.