CAUSE NO. _____________________
THE STATE OF TEXAS § IN THE DISTRICT COURT OF
§
VS. § TOM GREEN COUNTY, TEXAS
§
___________________________________ § ___________ 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.
Said Surety further states on his/her oath that he/she has personal knowledge of the above-stated
facts and information and that all such statements are true and correct.
WHEREFORE, PREMISES CONSIDERED, Surety prays that that this application be, in all things,
granted and that an alias capias warrant be issued to the Sheriff of Tom Green County, Texas (with a copy
issued to the Surety).
_____________________________________________
Surety
SUBSCRIBED AND SWORN TO BEFORE ME THIS THE
_______ day of ____________________, 20___.
_____________________________________________
Notary Public
ORDER
On the date set forth herein-below came on to be heard Surety’s Affidavit of Surety to Surrender
and Application for Issuance of a Warrant. After reviewing the attached Affidavit, the Court
finds that the following order should be entered.
IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED that the Surety’s
application is:
_______ Granted
_______ Denied
SIGNED _____________________________
__________________________________________
JUDGE PRESIDING
New Bond Amount: $_____________________________