(Note: Relevant documents can be submitted with this Motion and Order form)
IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
OF THE STATE OF FLORIDA IN AND FOR PINELLAS COUNTY
STATE OF FLORIDA CASE NO: ______________
vs
____________________ POWER# _______________
Defendant
MOTION FOR REMISSION OF BOND ESTREATURE (903.28)
COMES NOW the petitioner, ____________________, with Attached Affidavit moves the
Court to Enter an Order for Remission on Bond Estreature in this matter:
Date of Estreature: _______________ Date Estreature Paid to Clerk: ________________
Was Judgment Entered? YES/NO Amount of Payment: _______________________
(Note: If Yes, please submit Motion to Vacate Judgement)
Date and Place of Arrest/Surrender: _______________________________________________
______ I HEREBY AGREE that if the defendant is/was in custody outside Pinellas County at the time of
arrest/surrender, the costs of transportation will be deducted from any remission amount.
_____ I HEREBY CERTIFY that a true and correct copy of the above has been furnished by U.S. Mail/Hand
Delivery to OFFICE OF THE STATE ATTORNEY at post Office Box 5028, Clearwater, FL 33758, this ____ day
of _________________, 20__
___________________________ __________________________
Name of Bond Agency Signature of Surety Agent
ORDER FOR REMISSION OF BOND ESTREATURE (903.28)
THIS CAUSE coming on to be heard upon the Petitioner’s Motion for Remission of
Bond, and the Court being fully advised in the premises,
IT IS THEREFORE ORDERED AND ADJUDGED that the petitioner Motion is ____________
IT IS FURTHER ORDERED that ______% of the Bond be remitted. The total amount of bond
to be remitted is $__________ paid to ______________________ _______________________.
Name Address
IT IS ALSO ORDERED transportation costs (if applicable) in the amount of $_____________
must be paid within 10 days of Notice by the Clerk or deducted from remission.
DONE AND ORDERED in Chambers, Pinellas County, Florida this ____ day of ________ 20__
___________________________
Honorable Circuit Court Judge
CC: State Attorney’s Office ___________________ Bond Agency
