Fill - Free fillable TOM GREEN COUNTY BAIL BOND LICENSE APPLICATION FOR (Tom Green County) PDF form

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TOM GREEN COUNTY BAIL BOND LICENSE

APPLICATION

FOR INDIVIDUALS

****Note: You Must Submit One Original and Fourteen Copies To The

County Treasurer Office with your filing fee****

Date of Application _________________ New Application _____ Renewal Application ______

If renewal, please list license number and expiration date _______________________________

Name of Applicant ______________________________________________________________

Business Name _________________________________________________________________

Applicant's Address _____________________________________________________________

Phone Number __________________________ Fax Number _________________________

Email Address _________________________________________________________________

Physical address where business is conducted within the County__________________________

_____________________________________________________________________________

(Tex. Occ. Code Ann.§ 1704.213 (Vernon Supp. 2005).

***FOR BACKGROUND CHECK ONLY***

Name, address, and background information of the person who is in charge of your business in

Tom Green County.

Name ________________________________________________________________________

Mailing Address ________________________________________________________________

Phone Number ________________ Sex _______ DOB ____________ SSN________________

DL # _________________________________________________________________________

Home Address _________________________________________________________________

Name and Address for agent for service of process for Tom Green County matters:

Will you be waiving citation as contemplated by Tex. Code Crim. Proc. Ann art. 22.03 (Vernon

Supp 2005)? Yes ______ No _____

Name __________________________________________ Phone ________________________

Address for service _____________________________________________________________

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The following are names of all employees and agents actively engaged with the applicant in

processing the giving or making of bail bonds within the county

______________________________________________________________________________

Applicant further attaches hereto the personal information sheet (Exhibit "A") for the applicant

and each employee and agent. The applicant agrees that he will file with the Tom Green County

Bail Bond Board additional personal information sheets on all employees and agents

subsequently employed. Such information shall be filed within thirty (30) days of each such

employment.

Applicant agrees that all licensed sureties or agents who execute bonds on his/her behalf, are

required to have on file a current personal information sheet and fingerprint card on the forms

provided by the Board before they will be permitted to execute bonds, as directed by the Board.

Do you intend to pledge property to secure your bonds? Yes ___________ No _________

If so, list on Exhibit "B" all non-exempt real estate owned by you that you intend to convey in

trust to the Bail Bond Board to secure payment of any obligations incurred by you in the bonding

business if the license is granted. If the license is approved, you must execute to the Board the

deeds of trust to the property listed in Exhibit "B" (Minimum value $50,000). Tex. Occ. Code

Ann. §1704.160 (c) (Vernon Supp. 2005).

Provide current tax statements of all taxes due from each taxing unit with power to assess or

collect taxes against the real property indicating that there are no taxes owed and that there are

no outstanding tax liens against the real property. Tex. Occ. Code. Ann. §1704.155 (Vernon

Supp. 2005).

County tax receipts and statements______________________ Date ___________________

City tax receipts and statements_________________________ Date ___________________

School tax receipts and statements_______________________ Date ___________________

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Is applicant married? Yes ______ No ________

If yes, the spouse must execute a sworn statement agreeing to transfer to the board, as part of the

trust, any right, title, or interest that the spouse may have in this property; and the spouse must

execute the deeds of trust to any community property placed in the security deposit. Exhibit "C".

Tex. Occ. Code Ann. §1704.160 (e) (Vernon Supp. 2005).

You must also provide a current appraisal of the property made by a real estate appraiser who is

a member in good standing of a nationally recognized profession appraiser society or trade

organization that has an established code of ethics, educational program, and professional

certification program. If you desire to use the values as set out by the tax appraisers, please

check the box below. Tex. Occ. Code Ann. §1704.155(2)(8) (Vernon Supp. 2005).

I request that the Bail Bond Board use the values

on the real property as set out by the tax appraiser.

[You must attach a copy of the tax appraisal.]

Do you intend to pledge cash, cashier’s check, or certificates of deposit to secure your deposit?

Yes ___________ No __________

(Minimum $50,000) Tex. Occ. Code Ann. §1704.16(b) (Vernon Supp. 2005).

If yes, the amount of cash value of any certificates of deposit or cashier’s check you, as the

applicant, intend to place on deposit with the Tom Green County Treasurer

____________________________________

Certificates of Deposit or Cashier’s Checks:

I.D. Number _________________________________ Amount ______________________

[Certificates of Deposit or Cashiers Checks must read: “Individual’s name or Tom Green County

Treasurer”]

]

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The cash deposit or the funds realized from the trust shall be used to pay the final judgment of

any bond forfeitures that result from the licensee's execution of a bail bond. Tex. Occ. Code

Ann. §1704.204 (b) (Vernon Supp. 2005).

If the license is approved, deliver the original certificate of deposit, cashier's check, cash or cash

equivalent to the Treasurer's office within 90 days following the Board’s tentative approval of

the license. Tex. Occ. Code Ann. §1704.160 (a)(1)(A) (Vernon Supp. 2005).

Have you ever been convicted or granted probation for any criminal offense. (Traffic convictions

in Justice or Municipal Courts need not be listed) Yes ___________ No _____________

If yes, list the name of the offense, the court, the date and disposition.

______________________________________________________________________________

Are you involved in any civil litigation at this time, including bail bond litigation?

Yes _____________ No________________

If yes, give the date of filing each suit, names of the parties and court in which pending and brief

description of the nature of the litigation. Tex. Occ. Code Ann. §1704.153 & §1704.25

(Vernon Supp. 2005).

If yes, list the name of the offense, the court, the date, and disposition.

______________________________________________________________________________

Is the applicant currently in the bail bond business? Yes __________ No __________

If yes, list name of Bail Bond Company and all counties with which you are currently associated.

Tex. Occ. Code Ann. § 1704.152 (Vernon Supp. 2005).

______________________________________________________________________________

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______________________________________________________________________________

Has applicant been previously engaged in the bail bond business? Yes _______ No ______

If yes, list the name of the company (companies) previously associated with

______________________________________________________________________________

If applicant or person in charge of this business has been licensed under Tex. Occ. Code Ann.

§1704 (Vernon Supp. 2005). in another county, the application shall be accompanied by a sworn

statement from the applicant that he/she has no unpaid final judgments. Tex. Occ. Code Ann.

§1704.152 (Vernon Supp. 2005). [Exhibit “D”]

Has applicant been denied or refused a license to act as a bondsman? (This includes revocation

or suspension of a license) Yes _____ No _____

If yes, where and when did such action occur.

______________________________________________________________________________

Has applicant withdrawn an application before a bail bond board voted on it? Yes ____ No ____

If yes, where and when such action occurred and give the details.

______________________________________________________________________________

Applicant shall submit a fee of $500.00 made payable to the Tom Green County Treasurer for

the filing of any original or renewal application, and a copy of the receipt shall be submitted with

this application. Tex. Occ. Code Ann. §1704.154 (b)(4)(D) (Vernon Supp. 2005).

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Applicant shall submit Exhibit “E” acknowledging that the applicant has the required

apprenticeship and continuing legal education. Applicant shall also submit Exhibit “F” from the

supervising licensed surety. Tex. Occ. Code Ann. §1704.152 (Vernon Supp. 2005).

Applicant shall submit a photograph and fingerprints of the applicant taken by the Sheriff's

Office, along with this application. Tex. Occ. Code Ann §1704.154(b)(4)(E) and (F) (Vernon

Supp. 2005).

Applicant shall attach letters of recommendation containing current addresses and current

telephone numbers, from three (3) reputable persons who have known the applicant for a period

of at least (3) years, recommending the applicant “has a reputation of honesty, truthfulness, fair

dealing and competency,” and recommending the Board grant approval of the license to the

applicant. Tex. Occ. Code Ann. §1704.154(c)

(Vernon Supp. 2005).

Applicant shall attach a complete sworn financial statement. Exhibit "G". Tex. Occ. Code Ann.

§1704.154 (b) (4) (A) (Vernon Supp. 2005).

Applicant declares that he and all employees have read and will comply with Tex. Occ. Code

Ann. §1704 (Vernon Supp. 2005), Tex. Code Crim. Proc. Ann. §17 and §22 (Vernon Supp.

2005), and the rules prescribed by the Board.

Applicant agrees that no bondsman may execute, in any county, bail bonds in the aggregate that

exceed ten (10) times the value of the property or cash equivalent held as security of deposit or in

trust. Tex. Occ. Code Ann. §1704.203 (Vernon Supp. 2005).

Applicant shall submit to the board a valid assumed name certificate or certified copy thereof,

properly filed with the County Clerk of Tom Green County indicating the name in which the

applicant will conduct business in Tom Green County. Tex. Occ. Code Ann. §1704.154

(Vernon Supp. 2005).

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Applicant shall insure and provide proof of insurance with this application and keep current the

insurance on any improvements on the property against any damage or destruction while the

property remains in trust, in the full amount of the value claims for improvements. Tex. Occ.

Code Ann. §1704.155(3) (c) (Vernon Supp. 2005).

Applicant agrees he will not further encumber property after conveying it in trust to the Tom

Green County Bail Bond Board without notifying and obtaining the Board's permission. Tex.

Occ. Code Ann. §1704.155 (3)(B) (Vernon Supp. 2005).

Applicant agrees to keep taxes paid and current on the property while it remains in trust. Tex.

Occ. Code Ann. §1704.155 (3) (Vernon Supp. 2005).

Applicant agrees and consents that in the event this application is found to contain any false

statements, omission of material information or misrepresentation of any kind, this application

may be disapproved, suspended or revoked. Tex. Occ. Code Ann. §1704.252 (Vernon Supp.

2005).

Applicant agrees that no licensee may use a telephone number, address or office of a non-

licensee to conduct any bail bond activities and will not advertise or solicit under an unlicensed

name, telephone number, address, or logo. Tex. Occ. Code Ann. §1704.303 & 1704.109

(Vernon Supp. 2005). The applicant understands that such advertising or solicitation may result

in the suspension or revocation of his/her license. Tex. Occ. Code Ann. §1704.109 & 1704.303

(Vernon Supp. 2005).

____________________________________

APPLICANT

The State of Texas)

County of Tom Green)

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Before me, the undersigned authority, a Notary Public in and for the State of Texas, on

this day personally appeared ___________________________________, who, after being by me

duly sworn, on oath deposes and says:

My name is ____________________________________. I am capable of making this

affidavit and am competent to testify to matters stated herein; I am personally acquainted with

the facts stated in this application and know such facts to be true and correct. I further swear all

facts and information are true and correct.

____________________________________

APPLICANT

Given under my Hand and Seal of Office, this the ______ day of ________________, 20____.

____________________________________

Notary public in and for the State of Texas

SEAL

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EXHIBIT “A”

BAIL BOND I.D. APPLICATION

TOM GREEN COUNTY

DATE:_______________

EMPLOYER:______________________

NAME:________________________________RACE:__________SEX:_____________

Last, First, Middle, Maiden

TELEPHONE:

Home________________________Work___________________________

By what other names have you been known (nicknames, alias * refer to next question)

________________________________________________________________________

Have you legally changed your name?________ If yes, date:_______________________

Place:_____________________________ Court:________________________________

Date of Birth:_____________ Age:_____ Social Security Number:__________________

Place of Birth: City______________ County____________ State___________________

Height:______________ Weight:________________

Current Drivers License:__________________ State______ Expiration date:__________

Naturalized: No____ Yes____ If Yes,

Where____________________________________

Are You: Single____ Married____ Divorced____

Full Name of Spouse:______________________________________________________

Last, First, Middle, Maiden

Date of Birth:_____________ Age:_____ Social Security Number:__________________

Current Drivers License:__________________ State______ Expiration date:__________

List all the address where you have lived during the past five (5) years:

From-To Street Address City, State

________________________________________________________________________

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EXHIBIT “B”

Non-Exempt real estate owned by me:

Property - Legal Description:

______________________________________________________________________________

Net worth: ____________________________________________________________________

Outstanding Liens: Yes _________ No __________

Total Outstanding Liens: _________________________________________________________

Lien Holder: ___________________________________________________________________

Non-Exempt real estate owned by me:

Property - Legal Description:

______________________________________________________________________________

Net worth: ____________________________________________________________________

Outstanding Liens: Yes ____________ No _______________

Total Outstanding Liens: _________________________________________________________

Lien Holder: ___________________________________________________________________

Non-Exempt real estate owned by me:

Property - Legal Description:

______________________________________________________________________________

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I, ____________________________________, agree that I will keep all taxes paid on each of

the properties listed below, while they remain in trust to the Tom Green County Bail Bond

Board;

I will not further encumber the property after it is in trust to the Tom Green County Bail

Bond Board, without notifying and obtaining permission of the board,

I will insure and keep current the insurance on any improvements on the property against

damage or destruction while the property remains in trust, for the full amount of improvements.

______________________________

APPLICANT'S SIGNATURE

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EXHIBIT "C"

I, ___________________________________, am the spouse of the named applicant, and I agree

to transfer to the Tom Green County Bail Bond Board, in trust, any right, title or interest I have

in the property listed in Exhibit "B" as attached to named applicant's application for a license to

act as a bail bondsman in Tom Green County.

___________________________________

SPOUSE'S SIGNATURE

The State of Texas)

County of Tom Green)

Before me, a Notary Public, on this day personally appeared _____________________________

Known to me to be the person whose name is subscribed to the foregoing instrument and

acknowledged to me that he or she executed the same for the purposes and consideration therein

expressed.

____________________________________

SPOUSE'S SIGNATURE

Given under my Hand and Seal of Office, this ______day of __________________, 20___.

____________________________________

Notary Public in and for the State of Texas

SEAL

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EXHIBIT “D”

CERTIFICATE OF NO OUTSTANDING

FINAL JUDGMENTS

This is to certify that I, the Applicant, have no final judgments that have been unpaid for

more than 30 days and that arose directly or indirectly from any bond executed by me in any of

the counties of the State of Texas.

___________________________________

Affiant's Signature

The State of Texas §

County of Tom Green §

____________________________________, being duly sworn, deposes and says: The foregoing

certification of no outstanding final judgments, marked Exhibit "D" is true and correct and is

within my personal knowledge.

Subscribed and sworn to, before me, this the ___________day of __________________, 20___.

____________________________________

Notary Public in and for the State of Texas

SEAL

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EXHIBIT “E”

APPLICANT’S STATEMENT OF APPRENTICESHIP AND

CONTINUING LEGAL EDUCATION

1. In the two (2) years preceding this application, I have had at least one year of continuous

employment in the bail bond business under the supervision of a licensed surety for not less than

30 hours per week, excluding annual leave, and have performed duties that encompass all phases

of the bonding business.

Dates of continuous work experience:

______________________________________________________________________________

A. Name, address, and telephone number of company where experience was

obtained:

______________________________________________________________________________

B. Name, address and telephone number of supervisor where experience was

obtained:

______________________________________________________________________________

2. I have completed in person at least eight (8) hours of continuing legal education in

criminal law courses or bail bond law courses that are approved by the State Bar of Texas and

that are offered by an accredited institution of higher education accredited in the State.

Name of the course(s) of continuing legal education taken and number of hours per course:

______________________________________________________________________________

Where the course(s) of continuing legal education were taken:

______________________________________________________________________________

A. Dates the course(s) were taken:

______________________________________________________________________________

___________________________________

Affiant's Signature

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The State of Texas §

County of Tom Green §

____________________________________, being duly sworn, deposes and says: The foregoing

statement, marked Exhibit "E" is a full and complete statement of my apprenticeship and

continuing legal education. This statement is true and correct and is within my personal

knowledge.

Subscribed and sworn to, before me, this the ___________day of __________________, 20___.

____________________________________

Notary Public in and for the State of Texas

SEAL

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EXHIBIT "F"

The State of Texas§

County of Tom Green§

SUPERVISOR’S AFFIDAVIT OF APPRENTICESHIP

My name is _____________________________________ and I am authorized and competent to

make this affidavit. I am a licensed surety in the County of _______________________, Texas.

In the two (2) years preceding his/her application, I have supervised

___________________________________________, whom I have employed continuously for

one (1) year. He/She has worked not less than 30 hours per week, excluding annual leave, and

has performed duties that encompass all phases of the bonding business.

___________________________

Affiant

SUBSCRIBED AND SWORN under penalty of perjury the ______ day of ____________, 20___.

______________________________________

Notary Public

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EXHBIT “G”

The State of Texas§

County of Tom Green§

____________________________________, being duly sworn, deposes and says: The attached

statement, marked Exhibit "F" is a full and complete financial statement of

______________________________, and the same is true and correct to his or her personal

knowledge.

___________________________________

APPLICANT'S SIGNATURE

Subscribed and sworn to, before me, this the ___________day of __________________, 20___.

____________________________________

Notary Public in and for the State of Texas

SEAL

Revised 7/2005

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