210514-1
Bail Bond Complaint Form
Before me the undersigned authority, personally appeared __________________
[Name of complainant], who, being by me duly sworn, deposed as follows:
“My name is _____________________ [name of complainant]. I am of sound
mind, capable of making this affidavit, and personally acquainted with the facts herein
stated:
My home address is:
My home telephone number is:
(____) ____ - ________
I may also be reached by telephone at:
(____) ____ - ________
I am complaining of a bond made by:
[Bail bonding company]
On the following date:
For the following individual:
[Date bond was written]
[Defendant]
On the following criminal cause number:
[Misdemeanor or Felony cause number]
My complaint is as follows:
210514-1
Affiant
SUBSCRIBED AND SWORN TO before me on the _____ day of ____________,
20_____, to certify which, witness by hand and official seal.
______________________________
Notary Public in and for the
State of Texas
My commission expires:
______________________________