Indemnitor Form - $Mz Bee's Bail Bonds

Application for Appearance Bond

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Step 1 of 5

Bond Amount (Numbers)

Bond Amount Written Out

City of the Court

Type of Court

Charged with

Bond Number

Date

Name of Defandant

Nickname / Alias

If none, Type N/A

Defendant Address

Defendant City

Defendant Zip Code

Defendant State

Defendant How long at this address?

Defendant Former Address

If none, Type N/A

Defendant Former City

Defendant Former Zip Code

Defendant Former State

Defendant How long at Former Address?

Defendant Phone

Defendant Email

Defendant Employed by

Defendant How long at this job?

Defendant Employed Boss Name

Defendant Employer's Address

Defendant Employer's Phone

Defendant Previous Employment

Defendant How long at Previous Employment?

Defendant Date of Birth

Defendant's Hair Color

Defendant Height

ex: 5' 8"

Defendant Eye Color

Defendant Weight

LBS

Defendant's Race

Defendant Left Handed

Type Yes or No

Defendant Dentures

Type Yes or No

Defendant Beard/Mustache

Type Yes or No

Defendant Right Handed

Type Yes or No

Defendant Glasses

Type Yes or No

Defendant Identifying Marks or tattoos

Describe in detail or N/A

Defendant Social Security Number

Defendant Spouse's Name

Spouse's Employment Name

Spouse's Employment Address

Spouse's Employment Phone

Children's Names and Ages

If None, Type N/A

Children's School

If None, Type N/A

Children's School 2

If None, Type N/A

Defendant Parent's Name

Defendant Parent's Address

Defendant Parent's Phone

Defendant Spouse's Parents

Defendant Spouse's Parents Address

Defendant Spouse's Parents Phone

Defendant Brother of Sister

If None, Type N/A

Defendant Brother of Sister Address

If None, Type N/A

Defendant Brother of Sister's Phone

If None, Type 000-000-0000

Defendant Brother or Sister 2

If None, Type N/A

Defendant Brother or Sister 2 Address

If None, Type N/A

Defendant Brother or Sister 2 Phone

If None, Type 000-000-0000

Defendant Brother or Sister 3

If None, Type N/A

Defendant Brother or Sister 3 Address

If None, Type N/A

Defendant Brother or Sister 3 Phone

If None, Type 000-000-0000

Defendant Best Friend

Defendant Best Friend Address

Defendant Best Friend Phone

Defendant Attorney

Defendant Attorney Address

Defendant Attorney Address Phone

Defendant Arrested Before

Defendant Convicted

Defendant Offense

Defendant Automobile Year

Defendant Automobile Model

Defendant Automobile Make

Defendant Automobile Color

Defendant Automobile License No.

When and Where did you buy the car?

Defendant Automobile Amount owing

Defendant Automobile Amount owing to

Defendant Driver's License No.

Defendant Driver's License State

Defendant Social Media Login (Email)

Defendant Social Media Password

Are you under any bail bond currently?

Agent or Surety

If None, Type N/A

Remarks

If None, Type N/A

Signed and delivered this date

Defendants Signature

Clear Signature

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INDEMNITOR'S INFORMATION FORM

Relationship to the Defendant

Indemnitor's Date of Birth

Indemnitor's Name

First Middle Last

Indemnitor's Address

Street

Indemnitor's City

Indemnitor's State

Indemnitor's Zip Code

Rent

Mark X if you rent

Own

Mark X if you own

Years

Months

U.S. Citizen

U.S. Resident

Indemnitor's Home Phone

Indemnitor's Cell #

Indemnitor's Work #

Indemnitor's Employer

Indemnitor's Occupation

Indemnitor's Years at Current employment

Indemnitor's Email

Indemnitor's Driver's License #

Indemnitor's Social Security #

Indemnitor's Date of Birth

Indemnitor's Place of Birth

Indemnitor's Vehicle Info

Make, Model, Years, Color, Tag/License Plate

Indemnitor's Sponse's Name

Indemnitor's Sponse's Phone

Indemnitor's Sponse's Employer

Indemnitor's Sponse's Occupation

Indemnitor's Sponse's Years at current job

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Application for Appearance Bond