Fillable TOM GREEN COUNTY ATTORNEYS BAIL BOND APPLICATION (Tom Green County)

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TOM GREEN COUNTY ATTORNEYS BAIL BOND APPLICATION (Tom Green County)

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TOM GREEN COUNTY
ATTORNEY’S BAIL BOND APPLICATION
Date application prepared: ____________________
1. Name of applicant: ________________________________Bar Card#____________
Date of Birth: _____________________DL#___________________________________
2. Business Address: _______________________________Phone# (___) ____________
City: ______________________Zip:_________Email:_____________________________
Home Address: ___________________________________Phone# (___) ___________
City: ______________________Zip:_________
3. Do you have any bond forfeitures pending at this time? ______
If yes, please provide to us the County, case#, defendant’s name, date, and amount of bond.
4. Do you have any unsatisfied judgments pending against you?
If so, How many? ______. Please provide to us the County, case#, defendant’s name, date, and
amount of bond.
.
As a test of solvency and in order to secure payment of any obligation incurred by me in writing bail
bonds for my clients, it is my intention to place on deposit with the Tom Green County Treasurer’s Office
the below listed security in the amount indicated:
U.S. Currency: $_________________
Cashier’s Check: $_________________
Certificate of Deposit: $__________________CD No. #__________________________
Bank Name and Location: __________________________________________________
It is agreed and understood that I will not act as surety for defendant’s of other attorneys and that I will
only act as surety for those person that I actually represent in criminal cases.
I hereby authorize the Tom Green County Bail Bond Board to check any and all records necessary to
ascertain the validity of any of the statements made on this application, including a credit check to
determine the degree of solvency. I have read and do hereby declare that I will comply fully with
regulations of the Tom Green County Bail Bond Board and Bail Bond Act which pertains to persons
Licensed to Practice Law.
The undersigned certifies that the information contained in this application has been carefully read and
is complete without material omissions, true and correct.
__________________ _____________________________________________________
Date Applicant’s Signature
Subscribed and sworn to before me this the _______ day of ______________
A.D., 20_______, by ____________________________, Affiant.
Witness my hand and seal of office this the _________day of ______________
A.D., 20_______.
_______________________________________
Notary Public for the State of Texas
My Commission expires: _______________
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PERSONAL FINANCIAL STATEMENT OATH
INDIVIDUAL SURETY APPLICATION
Name
Address
Business DBA
Date of Birth
Married ________ Unmarried ________ Separated ________ Number of Dependents ____________
_________________________________________________________________________________________
Tom Green County Bail Bond Board Members,
For the purpose of obtaining an Individual Surety Bail Bond License from the Tom Green
County Bail Bond Board, I submit to the Board the attached statement of my financial condition as of
______________________, 20____
.
Should this application be approved, I further swear that I will notify the Tom Green County
Bail Bond Board, in writing, of any material unfavorable change in my financial condition. In the absence of
such notice, the Board may consider this a continuing statement and substantially correct. The Board is
authorized to verify with other persons any information at any time furnished by me in support of this
application. This financial statement and any other information furnished to the Board shall be your property.
The Board is authorized to answer questions about this financial statement, and to investigate any information
obtained from me or any other person pertaining to my credit or financial responsibilities.
THE PENALTY FOR MISREPRESENTING INFORMATION ON THIS FINANCIAL STATEMENT WILL BE
DENIAL OF A BAIL BOND SURETY LICENSE. WITH KNOWLEDGE OF THIS PENALTY, I HEREBY CERTIFY
THAT ALL INFORMATION PROVIDED IN THIS FINANCIAL STATEMENT AND THE ATTACHED
SCHEDULES IS TRUE AND CORRECT AT THE ABOVE STATED DATE.
SIGNATURE OF INDIVIDUAL SURETY APPLICANT
DATE
Subscribed and sworn to before me this day of ,
20 , by ______________________________
, Affiant.
Notary Public in and for the County of
, and the State of
My Commission Expires:
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STATE OF TEXAS
COUNTY OF TOM GREEN
AFFIDAVIT
I, ________________________, Affiant, affirm that as of the date of the application, I,
_________________ applicant, have no unpaid final judgments of forfeiture against me in any
county in which I hold or have held a bail bond license.
____________________________________
Affiant
Before me, Notary Public, on this _______Day of _________________________, A.D. 20_____
Personally appeared _________________________________, known to me to be the person whose
name is subscribed to the foregoing document and, being by first duly sworn, declared that the
statements therein contained are true and correct.
SEAL
_______________________________________
Notary Public, State of Texas
My Commission expires: _________________
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TOM GREEN COUNTY ATTORNEYS BAIL BOND APPLICATION (Tom Green County)

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Completed 18 July 2020

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