SEABROOK MUNICIPAL COURT
Dick H. Gregg, III, Presiding Judge
Jessica Ancira, Court Administrator
1700 1
st
Street, Seabrook, Tx 77586 Phone 281-291-5674
CASH BOND AUTHORIZATION FORM
CITATION
NUMBER:
STATE OF TEXAS
§
IN THE MUNICIPAL COURT
vs.
§
CITY OF SEABROOK
Defendant
Name
§
HARRIS COUNTY, TEXAS
(COMPLETE AND FAX THIS FORM TO SEABROOK MUNICIPAL COURT AT FAX # 281-291-5645)
I, hereby authorize payment of all
(name of individual posting bond)
fines and costs in the above-referenced cause from the cash bond I have posted for the Defendant.
Dated: , 20 _.
Signature
Printed
Name
Address
Address
Telephone
E-Mail
****Please include a copy of your drivers license or identification card with this
form.
Any refunds will be mailed within 30 days from the City of Seabook Finance
Department.
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signature
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