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Gender
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Weight
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Eye Color
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Street Address
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Armed Forces Americas
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ZIP Code
Your Email
*
Driver License #
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State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
New Hampshire
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Texas
Utah
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Virginia
Washington
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Vehicle Make
*
Year
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Model
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Employment Information
Current Employer Name
*
Supervisor
Phone
Address
Street Address
City
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Alaska
American Samoa
Arizona
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California
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Connecticut
Delaware
District of Columbia
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Georgia
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Louisiana
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Maryland
Massachusetts
Michigan
Minnesota
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Virginia
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How Long Employed?
Previous Employer Name
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Supervisor
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How Long Employed?
Case Information
Are you on bond with another company?
*
Yes
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Company Name
County
Phone
Address
Street Address
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Alaska
American Samoa
Arizona
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California
Colorado
Connecticut
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District of Columbia
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
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Northern Mariana Islands
Ohio
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Oregon
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Rhode Island
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
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On probation?
*
Yes
No
If yes, why?
*
On parole?
*
Yes
No
If yes, why?
*
Officer's Name
Officer's Phone
Attorney's Name
*
Attorney's Phone
*
Family Information
Marital Status
*
Single
Married
Common Law Married
Divorced
Separated
Spouse's Full Name
*
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
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State
ZIP Code
Mother's Name
*
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Father's Name
*
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Sibling 1 Name
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Sibling 2 Name
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Reference 1 Name
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Reference 2 Name
Home Phone
Cell Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
DEFENDANT’S BAIL BOND STIPULATION AND BAIL BOND CONTRACT
I understand that I am liable for the FULL FEE agreed upon with Bail Bonds by Renell at the time of my release.
I understand that the fee WILL NOT be reduced or refunded if my case is dismissed or my bond is reduced.
If for any reason a NEW BOND is required, said new bond will be subject to ADDITIONAL FEES. Should one or more of the bonds posted by Bail Bonds by Renell on your behalf become forfeited you agree to pay all expenses incurred by Bail Bonds by Renell relating to your capture and return to custody.
DEFENDANT'S CONDITIONS OF RELEASE
The following conditions apply to your release from jail. If you fail to meet any of these conditions, Bail Bonds by Renell will petition the court to revoke your bond, and capture and return you to custody.
Failure to check in every Thursday.
Failure to immediately report any change of address, phone number or employment. This includes starting a new job if you were unemployed at the time of release.
Failure to make payments against your outstanding balance as agreed.
Giving any false information of any kind. If mail is returned undeliverable, if a phone is disconnected, or if the person answering the phone claims to not know who you are, then Bail Bonds by Renell will immediately request the court to revoke your bond as outlined above.
Failure to notify Bail Bonds by Renell immediately of any subsequent arrest while Bail Bonds by Renell is surety on one or more bonds for you will result in our requesting the court to revoke your bond as outlined above. Further, in the event you are rearrested on a new criminal charge, Bail Bonds by Renell will review the circumstances at the time and may ask the court to release me from liability for your existing bonds.
Failure to report to Bail Bonds by Renell within 24 hours of your release from jail to complete the additional information needed for your file.
Failure to gain consent from this office before leaving the state for any reason.
Failure to call this office afer each court date and report disposition immediately (within 24 hours). Failure to respond to any attempt by this office to call you. You should come by this office or call the office immediately.
DEFENDANT’S CONTRACT
I understand that the bond is ordered or forfeited and it is not ordered reinstated or exonerated that I must pay the full amount of the bail forfeited to the bail bond company.
I understand that if I breach the bail bond stipulations and contract by non payment or any other action as defined above, I am responsible for any collection, actions taken, including attorney fees and costs, court costs, and interest.
I understand that collateral cannot be released until all bonds posted on my behalf for the defendant have been exonerated, and written notice from the court provided to the bail agency is received.
I understand and agree that a minimum of $250 on misdemeanor and $300 on felonies will be charged on any bond forfeiture or reinstatement.
I agree that if legal action between the two parties concerning this bail bond or bail bonds is brought, it shall be brought in and before a federal or sate court in Montgomery County, in the State of Texas.
I agree that this bond is binding for a one year period. At the end of that period, I am required to pay the bail premium every year, in advance hereafter, until Bail Bonds by Renell is legally discharged from all liability.
RELEASE OF INFORMATION
Should this bail bond or bail bonds be forfeited for any reason, I do hereby authorize the bonding company to gather any information that is needed by the bonding company or their investigators. This will include: credit reports, marriage and divorce records, employment history, phone records, medical records, school records, tax records, and any other information that may be deemed necessary by the bonding company or their investigators.
I authorize the bond company investigators to enter and search any residence owned by me and listed on this application.
I agree to hold harmless he bail bond company and/or its investigators to enter and search any residence owned by me and/or listed be forfeited.
I agree that a minimum of $250.00 on misdemeanors and $300.00 on felonies will be charged on any bond forfeiture or reinstatement.
I authorize Bail Bonds by Renell to charge my credit card on any future payments that I fail to make on time and the full amount.
I authorize Bail Bonds by Renell to charge my credit card or any investigation, court, or legal fees resulting from a bond forfeiture.
I understand as the client I must check in every Thursday. I understand as a cosigner I must make sure the client checks in.
I understand as the client and cosigner that payments must be made on time and in the full amount.
I understand that if the defendant's bail bond(s) are forfeited for any reason I am personally liable, and legally as well as financially responsible to pay any and all court, investigation, or legal fees on any other expenses related to the apprehension of the said defendant or related to the reinstatement of any forfeited bail bonds.
I understand completely that if this defendant's bail bond(s) are forfeited for any reason that I am responsible legally and financially for the full bond amount(s).
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