(3/2011)
TOM GREEN COUNTY SURETY ASSIGNMENTS
Please print the information below.
Surety Company Name:
Surety Company Contact:
Surety Company Email/phone Number:
Bank Phone Number:
ASSIGNOR BAIL BOND CO NAME
LICENSE NUMBER
ASSIGNMENT OF CERTIFICATE OF DEPOSIT
The holder (cited above) hereinafter called “Assignor”, does hereby assign and set over to the Treasurer of Tom Green County, Texas,
all right and title, of whatever nature, of Assignor, in and to the insured account cited above of Assignor, evidenced by a certificate of
deposit / time deposit as cited above. Assignor agrees that this assignment carries with it the right to the assurance of the amount by
the FDIC and includes and gives the right to the Treasurer of Tom Green County to present for payment the certificate of deposit / time
deposit cited above if the Assignor fails to pay a final judgment on a forfeiture of a bail bond executed by the Assignor in Tom Green
County not later than the 30
th
day after the date of the final judgment, as required by the Texas Occupations Code Chapter 1704; or, if
the Assignor ceases to engage in the bonding business in Tom Green County and ceases to maintain the license number cited above.
This assignment is valid as to all renewals of said certificate of deposit / time deposit. The certificate of deposit / time deposit becomes
the property of the Tom Green County Treasurer if not renewed
; Interest earned is payable to Surety.
RECEIPT FOR NOTICE OF ASSIGNMENT
Receipt (by the bank cited above) is hereby acknowledged to the Treasurer of Tom Green County, Texas, of written notice of the
assignment to said Treasurer of the certificate of deposit / time deposit number cited. The bank has noted in our records the
importance of the certificate of deposit / time deposit as shown by this assignment and shall not release the same without the
approval of the Treasurer. We certify that we have received no notice of any lien, encumbrance, hold, claim or obligation of the
referenced certificate of deposit / time deposit prior to the assignment to the Treasurer of Tom Green County. We agree to make
payment by mail upon request by the Treasurer of Tom Green County, Texas to the Treasurer, pursuant to the Texas Occupations
Code Chapter 1704. We agree that this certificate of deposit / time deposit and the renewals thereof are excluded from any claim of set
off or other claim arising from any debt owed to the Bank by the Assignor. This lien on the certificate of deposit / time deposit is valid
until released in writing by the Tom Green County Bail Bond Board.
The certificate of deposit / time deposit becomes the property
of the Tom Green County Treasurer if not renewed. Interest is payable to Surety. The Bank will not alter the original structure of the
certificate of deposit / time deposit nor add an addendum to the deposit agreement without the written consent of the Tom Green
County Bail Bond Board.
The Bank agrees that any litigation involving this certificate of deposit / time deposit will be governed by the laws of the State of Texas
and will have as venue Tom Green County, Texas.
Assignor agrees not to encumber this certificate of deposit / time deposit in any way. Assignor hereby notifies the above-
named bank of the assignment.
ASSIGNOR /SURETY SIGNATURE
PRINTED NAME AND TITLE OF BANK OFFICER SIGNATURE OF BANK OFFICER
PRINTED NAME AND TITLE OF WITNESS SIGNATURE OF WITNESS
Sworn to and subscribed before me this the ________ day of ______________________, A.D. 20_________.
Affix Notary Seal
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