CAUSE NO. _____________________
THE STATE OF TEXAS § IN THE DISTRICT COURT OF
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VS. § TOM GREEN COUNTY, TEXAS
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___________________________________ § ___________ JUDICIAL DISTRICT
AFFIDAVIT OF SURETY TO SURRENDER AND APPLICATION FOR ISSUANCE OF WARRANT
On this day, the undersigned Surety personally appeared and, being duly sworn, deposes and states
on his/her oath that he/she is one of the sureties on the appearance bond of the above-named
defendant who is charged, in the Cause Number and Court set out herein-above, with a felony
offense; that the said charge is still pending in said Court; that the Surety seeks to surrender the
defendant into the custody of the Tom Green County Sheriff; and that NO BOND FORFEITURE
HAS BEEN ORDERED IN THIS CAUSE.
________________________________ DBA ______________________________________________
(Surety) (Bail Bond Company)
Said Surety further states on his/her oath that:
1. The defendant is charged with the felony offense of ____________________________________
2. Bond was made on ______________________________________________________________
3. Bond amount is _________________________________________________________________
4. Fee paid on bond to date:__________________________________________________________
5. Defendant’s next appearance date:__________________________________________________
6. The reason for surrender:__________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
7. Notice of the Surety’s intention to surrender the defendant has been provided pursuant to Rule
21a of the Texas Rules of Civil Procedure as follows:
___ The defendant does not have an attorney.
___ The defendant’s attorney was given notice via an electronic filing management system.
___ The defendant’s attorney was given notice via U.S. Mail or a commercial delivery service.
___ The defendant’s attorney was given notice via facsimile.