Defendant Application

PG-13 Bail Bonds Defendant Application
Before you begin, please ensure you are using a device with access to a camera as a photo of you and your Driver's License/ID card is required to complete the application. If you are using a smartphone, you may be prompted to give this page access to your camera.

Bail Condition
1) You must call our office every Monday & Thursday to check in with us from an
unblocked telephone number between the hours of 09:00 a.m. and 04:00 p.m. If
you call before or after indicated hours, you will not be checked in. You must
check in with PG-13 Bail Bonds until your case is disposed.

2) You must notify us immediately of any changes to your address, phone
numbers and employment information.

3) If you are planning to leave the county in which you reside for more than 2
days, you have and must notify PG-13 Bail Bonds.

4) If your case is being continued with the court, you must update your court
appearance date to PG-13 Bail Bonds.

IF YOU FAIL TO FOLLOW ANY OF THE ABOVE RULES, YOU WILL BE SURRENDERED
BACK INTO CUSTODY AND ADDITIONAL FEES MAY BE APPLIED

SPECIAL NOTICE: After posting bond, if Defendant is released to ICE authority, the paid premium is NOT REFUNDABLE.

I/We have read the above rules and understood that any violation of these rules
will result in the termination of this bond agreement.
Defendant Name*
Defendant Phone Number*
Please enter a valid phone number.
Defendant Signature*

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Photo of Driver's License/ID*
Photo of Defendant (Selfie)*
Date*

MonthDayYear
Date
Date*

MonthDayYear
Date
Date

MonthDayYear
Date
Visitor Info
Visitor Information Card

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Defendant's Name and Address
You, the undersigned Defendant (“Defendant” or “you”), hereby represent and warrant that the following declarations made and answers given are true, complete
and correct and are made for the purpose of inducing United States Fire Insurance Company (“Surety”) to issue, or cause to be issued, a bail bond or undertaking for you, using power of attorney number(s) (if known) power of attorney number(s) , in the total amount of Dollars ($ Number ) in the Court of ("Bond).
Defendant's Name*

First NameMiddle NameLast Name
Nickname/Alias*
Home Phone*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Work Phone*
Please enter a valid phone number.
Email*
name@example.com
Social Media Accounts*
Current Home Address*
How Long*
Rent or Own*
Landlord*
Former Address (less than 5 years)
How Long
Rent or Own
Landlord
How long resided in current city?*
How long in current state?*
How long in U.S.?*

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Personal Description
Date of Birth*

MonthDayYear
Where Born (City & State)*
Sex*
Race*
Social Security Number*
Driver's License Number*
Issuing State*
Passport Issuing Country(s)
Passport ID(s)
Height*
Weight*
Eye Color*
Hair Color*
Scars, Marks, Tattoos*
U.S. Citizen?*

YesNo
Nationality*
Alien #
Any Medical Conditions/Disabilities
Union?
Local #
Military Service
Branch
Active?
Discharge Date

MonthDayYear

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Employment
All Occupations for the past 5 years*
Current Employer*
Name*
How Long?*
Position*
Supervisor's Name*
Phone Number*
Please enter a valid phone number.
Most Recent Former Employer*
Name*
How Long?*
Position*
Supervisor's Name*
Phone Number*
Please enter a valid phone number.
Supervisor's Name*
Phone Number*
Please enter a valid phone number.

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Marital Status/Children
Marital Status*

MarriedDivorcedSeparatedWidowedSingleCohab
Spouse/Girl/Boyfriend's Name

First NameMiddle NameLast Name
How Long Married/Together
Address (if different)
Email
name@example.com
Home Phone Number (if different)
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Social Security Number
Occupation
Employer
How Long?
Supervisor's Name
Work Phone Number
Please enter a valid phone number.
Child's Name
Date of Birth

MonthDayYear
School/Employer
Other Parent's Name
Additional Child

YesNo
Child's Name
Date of Birth

MonthDayYear
School/Employer
Other Parent's Name

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Defendant Vehicle Information
Make*
Model*
Year*
Color*
Plate #*
State*
Where Financed?
Amount Owed
Insurance Agent's Name*
Insurance Agent's Phone Number*
Please enter a valid phone number.

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Arrest Information
Date of Arrest*

MonthDayYear
Booking Name (if different)
Arresting Agency*
Jail Location*
Charges*
Previous Arrests
Charges*
Date of Arrest*

MonthDayYear
Where*
Additional Arrest

YesNo
Charges*
Date of Arrest*

MonthDayYear
Where*
Pending Charges in Other Counties*
Are you on parole/probation?*

YesNo
Parole/Probation Officer Name and Phone Number*
Are you now under any bond?*

YesNo
Bonded Before By*
When*

MonthDayYear
Have you ever failed to appear in court?*

YesNo

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Attorney
Attorney Name and Firm*
Attorney Phone Number*
Please enter a valid phone number.
Attorney Email*
example@example.com
Amount of Retainer Paid*

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Relatives and Friends
Father/Guardian's Name*
If deceased, write "DECEASED"
Home Phone Number*
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Work Phone Number*
Please enter a valid phone number.
Email*
name@example.com
Mother/Guardian's Name*
If deceased, write "DECEASED"
Home Phone Number*
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Work Phone Number*
Please enter a valid phone number.
Email*
name@example.com
Add Additional Relatives?

YesNo
Other Relative/Friend's Name
Relation
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Add Additional Relatives?

YesNo
Other Relative/Friend's Name
Relation
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Add Additional Relatives?

YesNo
Other Relative/Friend's Name
Relation
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

TERMS AND CONDITIONS
In consideration of Surety, through its producers, representatives or designees, issuing or causing to be issued the Bond, you Agree to the following terms and conditions:
1. The premium is fully earned upon your release from custody. Premiums are not refundable except as stated below.
2. Surety, as bail, shall have control and jurisdiction over you during the term for which the Bond is in effect and shall have the right to apprehend, arrest and surrender you to the proper officials at any time as provided by law. In the event your surrender is made prior to your failure to appear in court, and for reason other than as stated in paragraph 3, then you may be entitled to a refund of the bond premium if required by applicable law (if any) as stated in an attached addendum.
3. Unless otherwise provided by applicable law (if any) as stated in an attached addendum, the following events shall constitute a breach of your obligations to the Surety, and the Surety shall have the right to immediately apprehend, arrest and surrender you, and you shall have no right to any refund of premium whatsoever: (a) you depart the jurisdiction of the court without the prior written consent of the court and the Surety; (b) you move from your current address without prior written consent of the Surety or you fail to notify Surety of any material information; (c) you commit any act that constitutes reasonable evidence of your intention to cause a forfeiture of the Bond; (d) you are arrested and incarcerated for any other offense (other than a minor traffic violation); (e) you make any materially false statement in this application; (f) any indemnitor for you makes any materially false statement in the Indemnitor Application and Agreement; (g) your bail is increased; (h) any indemnitor requests that you be surrendered; (i) there is a material increase in the risk assumed by the Surety (as determined by the Surety in its sole and absolute discretion) including, by way of example but not limitation, any collateral or security given for the Bond depreci- ates in value or becomes impaired.
4. You shall indemnify the Surety and keep the Surety indemnified and hold it harmless from and against any and all losses, demands, liabilities, fees and expenses relating to, or arising out of, Surety’s issuance or procurement of the Bond including, but not limited to, the following: (a) the principal amount of any forfeiture of, or judgment on, the Bond, plus any related court costs, interest and legal fees incurred, (b) a fugitive recovery fee if there is a forfeiture of the Bond (which fee is typically ten percent of the amount of the Bond for an in-state recovery), plus any out of pocket expenses, (c) any and all extradition costs that may be incurred to apprehend and return you, and (d) if a collection action is required, reasonable and actual attorneys’ fees plus any other costs, expenses and/or assessments that may be incurred as a result of any forfeiture of the Bond subject to applicable law (if any) as stated in an attached addendum. The voucher, check or other evidence of any payment made by Surety or its producer, by reason of such suretyship, shall be conclusive evidence of such payment in any lawsuit against you both as to the propriety of such payment and as to the extent of your liability to Surety for such payment. Further, you will, upon demand, place with Surety the requisite funds to meet any such claim, demand, liability, attorneys’ fees, expense or judgment, whether that demand is made before or after Surety has paid or advanced such funds.
5. To the maximum extent permitted by applicable law, you hereby waive any and all rights you may have under federal law (including, but not limited to, Title 28 Privacy Act, Freedom of Information Act, Title 6, Fair Credit Reporting Act) and any local or state law relating to Surety’s obtaining, and you consent to and authorize Surety to obtain, any and all private or public information and/or records concerning you from any party or agency, private or governmental (local, state, federal), including, but not limited to, credit reports, Social Security Records, criminal records, civil records, driving records, tax records, telephone records, med- ical records, school records, worker compensation records, and employment records. You further authorize, without reservation, any party or agency, private or governmental (local, state, federal), contacted by Surety to furnish in accordance with applicable law any and all private and public information and records in their possession concerning you to the Surety and direct that a copy of this document shall serve as evidence of said authorization. You irrevocably grant to Surety and its designees the right to enter your residence, or any other property that you own or occupy, without notice, at any time, for the purpose of locating, arresting, and returning you to custody, and subject to applicable law, you waive any and all causes of action in connection therewith including, without limitation, torts of trespass and false imprisonment.
6. You agree that Surety may attach a location tracking device on any vehicle owned or driven by you, at any time, without notice, and monitor the location of the vehicle through any available technology. You further agree that Surety may use location technologies to locate your wireless device at any time during the period of your bail and any applicable remission period, and the Bond is conditioned upon your full compliance with the following terms and conditions: (i) Surety, at its discretion, will use network-based location technologies to find you; (ii) this is the only notice you will receive for the collection of your location information; (iii) Surety will retain location data only while the Bond is in force and during any applicable remission period; (iv) Surety will disclose location information only to the courts as required by court order; (v) Surety and its licensed producers, designees and representatives will be the only persons with access to your location information; (vi) YOU WILL NOT HAVE THE OPTION TO OPT OUT OF LOCATION USE DURING THE BAIL PERIOD; and (vii) all questions relating to location capability should be directed to Surety.
7. If you leave the State, subject to applicable law, you waive any right to extradition proceedings and consent to the application of such force as may be necessary to return you to Surety and the court where the Bond was posted.
8. You hereby acknowledge and agree that neither the Surety nor any of its agents, producers, designees or representatives has recommended or suggested any specific attorney or firm of attorneys to represent you in any capacity.
9. In the event any provision herein shall be deemed to exceed any applicable state or federal law, then such provision shall automatically be deemed to have been revised to comply with such law so as to provide Surety with the maximum protection from any loss or liability. The invalidity or unenforceability of any provision herein (or portion thereof) shall in no way effect the validity or enforceability of any other provision (or portion thereof). Surety may assign any of its rights herein or arising out of any of the transactions contemplated hereby to any party including, without limitation, any of the Surety’s agents, producers, des- ignees or representatives (“Assignee”) without notice to or consent from you. Subject to any limitations imposed upon Assignee by Surety, Assignee shall have the right to enforce in any action or proceeding any of Surety’s rights herein or arising out of any of the transactions contemplated hereby, and you shall not, and expressly waives any right to, assert the claim or defense that Assignee does not have the right to enforce such rights in any such action or proceeding.
Signature of Defendant*

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ELECTRONIC MONITORING ADDENDUM TO BAIL BOND APPLICATION AND AGREEMENT - DEFENDANT
This Electronic Monitoring Addendum (“Addendum”) is attached to and forms part of the Bail Bond Application and Agreement signed, sealed and delivered by you as Defendant (“Agreement”) and is incorporated into the Agreement by this reference. Any terms used in this Addendum without definition and defined in the Agreement shall have the meanings assigned to these terms by the Agreement.

In consideration of Surety’s issuing or causing to be issued the Bond, you agree that Surety and its producers, agents, designees or representatives (collectively, “Representatives”), in their sole and absolute discretion, may require you, for any reason or no reason, to wear an electronic monitoring device (“EM Device”) in accordance with applicable law (if any). If Surety or its Representatives require you to wear an EM Device, you understand that you shall be monitored continuously by a tamper-proof, non-removable transmitter that is to be worn without interruption during the entire period of electronic monitoring

Upon notice by Surety and/or its Representatives that you must wear an EM Device, you shall follow all instructions provided by Surety and/or its Representatives in order to establish the electronic monitoring and install the EM Device including, without limitation, your immediately making your person and premises physically available to any third party electronic monitoring vendor (“EM Vendor”) designated by Surety and/or its Representatives.

You shall not remove, disconnect, destroy or tamper with the EM Device in any way, and you agree that the EM Device may be inspected at any time and at any place by the EM Vendor, Surety and/or its Representatives. You shall be responsible for the cost of any damaged equipment and shall indemnify and hold Surety and its Representatives harmless for any and all damages as a result of wearing or tampering with the EM Device.

You shall comply with all terms and conditions imposed upon you by the EM Vendor and/or any other party relating to the electronic monitoring. You acknowledge and agree that you are solely responsible for all fees, costs and expenses relating to the electronic monitoring including, without limitation, any installation, maintenance and monitoring fees charged by the EM Vendor and/or any other party relating to the electronic monitoring (“Fees”). Below is a schedule of Fees, and you shall pay Fees to ______________________________________________.

Your failure to comply with the provisions of this Addendum shall constitute a breach of your obligations to Surety, and Surety shall have the right to immediately apprehend, arrest and surrender you, and you shall not be entitled to any refund of premium unless required by applicable law.

This Addendum supplements the terms and conditions of the Agreement, all of which terms and conditions remain in full force and effect. In the event of a conflict between the terms and conditions of the Agreement and this Addendum, this Addendum shall control.
Defendant Signature*

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PROMISSORY NOTE & INSTALLMENT PAYMENT PLAN FOR UNPAID PREMIUM
Bond Amount*
City
State
1. FOR VALUE RECEIVED, I (we), the undersigned Debtor(s), jointly and severally (together and separately), promise to pay to the order of (“Bail Producer”) the principal sum of amount*$(
amount in number*) owed for the bail bond (“Bond”) of Defendant Name (“Defendant”) at the address shown above in the Bail Producer Stamp box or at such other place as Bail Producer may from time to time designate in writing according to the following payment plan:
Payment #1
Amount of payment in dollars
Date payment due

MonthDayYear
Payment #2
Amount of payment in dollars
Date payment due

MonthDayYear
Payment #3
Amount of payment in dollars
Date payment due

MonthDayYear
Payment #4
Amount of payment in dollars
Date payment due

MonthDayYear
2. The entire amount of the then outstanding balance under this note shall become due and payable immediately under any one or more of the following events: (i) upon Defendant’s failure to appear in the court for which the Bond was posted at any time required by such court; (ii) upon forfeiture of the Bond; or (iii) if any payment is not received by Bail Producer within ten days following its due date or is returned for insufficient funds, stopped or refused for any reason upon presentment to a financial institution

3. I (we), jointly and severally (together and separately), hereby waive presentment, protest and demand, notice of protest, dishonor and nonpayment of this note, and expressly agree that, without in any way affecting my (our) liability under this note, Bail Producer may (i) extend the due date or the time of payment of any payment due under this note, (ii) accept security or partial payments, (iii) release any party liable under this note or any guarantee of this note and (iv) release any security now or later securing this note. The failure of the Bail Producer to enforce any provision of this note, or to declare a default under this note, shall not be construed as a waiver of the Bail Producer’s entitlement to payment, shall not be construed as a waiver or modification of the terms of this note, and shall not impair the right of the Bail Producer to declare a default or to strictly enforce the terms of this note.

4. All obligations under this note remain in full force and are not terminated, modified or otherwise affected: (i) by revocation of the Bond; (ii) by any change in the status of the Bond or the surety’s liability under the Bond; (iii) by any change in the status of court proceedings for which the Bond was posted; or (iv) by any change in whereabouts or status of the Defendant. This note shall become null and void only if all premium amounts and obligations under the Bond have been paid or satisfied, and otherwise, this note shall remain in full force and effect.

5. If any portion of this note or any application of such provision shall be declared by a court of competent jurisdiction to be invalid or unenforceable, such invalidity or unenforceability shall not affect any other applications of such provision or the remaining provisions which shall, to the fullest extent, remain in full force and effect. Any amendment or modification of this note must be in writing and signed by both Bail Producer and me (us).

6. I (we) agree to all terms and conditions of this note and acknowledge receipt of a copy of this note. I (we) also agree to pay all collection costs
including, without limitation, court costs, reasonable and actual attorneys’ fees and expenses, and any other fees permitted by applicable law.
Defendant Signature*

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CALIFORNIA PRIVACY NOTICE
As required by law, we keep the financial information of our current and former customers private. This notice describes how we collect, use and share your personal information and also explains your rights. It also explains our legal duties and privacy practices. Personal information means information that allows someone to identify or contact you (“Information”). We are required by state laws to give you this notice.

THE INFORMATION WE COLLECT AND DISCLOSE

We collect Information about you from the following sources:
- From you through applications and other forms (e.g. your name, address, social security number, family member information, assets, income, and property locations and values);
- From your transactions and experiences with us and others, (e.g. your account balance, insurance coverage, payment history, the premium you pay, and claims information); and
- From consumer reporting agencies, medical providers, or others (e.g. your credit score and medical and employment information).
We may disclose this Information as described in this notice.

PARTIES TO WHOM WE MAY DISCLOSE INFORMATION

We keep your Information in our files. Your Information will only be disclosed as authorized by you or as required or allowed by law. We do not disclose your Information to any affiliates or unrelated third parties for marketing purposes. We use your Information to process your application, post your bond, and resolve bond claims or breaches of contract. We may give your Information to our producers, agents, investigators, attorneys and others for these purposes. We may also disclose it to persons to perform transactions you request or authorize. When we use service providers to help us service your account, your Information stays confidential. Our service providers agree to keep your Information private and not use it for any other purpose. We may also share your Information for other reasons such as:
- with state insurance departments or other governmental or law enforcement authorities in the event of a bond forfeiture or breach of contract;
- with state insurance departments or other governmental or law enforcement authorities if required by law or to protect our legal interests or in cases of suspected fraud or illegal activities;
- if ordered by a subpoena, search warrant or other court order; or
- business activities that we may legally undertake.
We may also share your Information with insurance support organizations that maintain information to, among other things, detect or prevent fraud or criminal activity in connection with insurance underwriting or claims. Information disclosed to or obtained from such entities may be kept by them and given to other persons.

CONFIDENTIALITY AND SECURITY

We maintain administrative, technical and physical safeguards to protect your Information. We ensure that your Information is treated responsibly and in line with our privacy policy. We also restrict access to your Information within our organization to those persons who must have the Information to provide services to you, or to conduct our business. Persons who have access to your Information may use it only for our business purposes. We safeguard Information in accordance with applicable laws.

YOUR RIGHT TO ACCESS AND AMEND YOUR INFORMATION

If you believe any of your Information that we have is inaccurate, you can send us a written request to review certain recorded information that we can reasonably locate and provide to you. You can request that we amend, correct or delete anything that you believe to be wrong. If we agree with you, we will amend, correct or delete the Information in question, unless otherwise required by law. We are not required to agree to your request. If we do not agree with your request, we will notify you of our reasons. We may charge a small fee to collect and send the Information to you. Please send your request to the address provided below and include your name, address, telephone number and bond number.

INVESTIGATIVE CONSUMER REPORT

We may prepare or request an investigative consumer report about you (the “Report”) in connection with your application or agreement with us. You can request to be interviewed in connection with the preparation of the Report. You are entitled to receive a copy of the Report if you submit a written request to us. Please send your request to the address provided below and include your name, address, telephone number and bond number.

ABOUT OUR WEBSITE

We may collect information via technology about how you use our website, including the elements you have interacted with, metadata, and other details about these elements, clicks, change states, and other user actions. This information is used primarily to provide, maintain, protect, and improve our current products and to develop new ones.

We may use cookies on certain pages of our site. Cookies are stored on your computer, not on our site. Most cookies are “session cookies” which means that they are automatically deleted at the end of each session. A cookie itself does not have the ability to automatically collect personal information about you. A cookie can store certain information that identifies your computer to us so that you do not need to re-enter that information as frequently when you use our site. The cookie does not contain your password.

We reserve the right to change our policy regarding cookies and the collection of information from visitors at any time without advance notice. Should any new policy be put into effect, we will post it on this website, and the new policy will apply only to information collected thereafter. You may opt out of receiving cookies or delete any prior cookies by changing your specific internet browser settings. The privacy of communication over the internet cannot be guaranteed. If you are concerned about the security of your communication, we encourage you to send your correspondence through the postal service or use the telephone to speak directly to us. We do not represent or warrant that the site, in whole or in part, is appropriate or available for use in any particular jurisdiction. Those who choose to access the site, do so on their own initiative and at their own risk, and are responsible for complying with all local laws, rules and regulations. We do not assume any responsibility for any loss or damage you may experience or incur by the sending of personal information over the internet by or to us. This Usage Agreement shall be governed by the laws of the United States and of the State of New Jersey, without giving effect to its conflict of laws provisions.

FOR CALIFORNIA RESIDENTS ONLY:

If you are a California resident, you may be entitled to additional rights over your Information. We do not, and will not, sell Information collected from you.

The California Consumer Privacy Act (CCPA) provides California residents, upon a verifiable consumer request, certain rights that include:

The right to request that we disclose:
1. The categories of personal information that we have collected about you; and
2. The categories of personal information that we have disclosed about you for a business purpose
The right to request that we delete the personal information it has collected from you, subject to certain legal exceptions, for example, when such personal information is necessary to fulfill or comply with our legal obligations.

The right to be protected from discrimination for exercising your CCPA rights. If you choose to exercise your privacy rights, we will not charge you different prices or provide different quality of services unless those differences are related to your information.

You may designate an authorized agent to act on your behalf and make a request of us under the CCPA.

To exercise your rights under the CCPA or to seek assistance, please do one of the following:
- If you would like to make a Request to Know, go to http://www.cfins.com/request-to-know-california-residents/ or call 1.844.254.5754
- If you would like to make a Request to Delete, http://www.cfins.com/request-to-delete-california-residents/ or call 1.844.254.5754
- Fill out and send back to us the Request to Know / Request to Delete form to:
Crum & Forster Legal Department
PO Box 1973
305 Madison Avenue
Morristown, NJ 07962
privacyinformation@cfins.com

We will attempt, where practical, to respond to your requests and to provide you with additional privacy-related information. We will confirm receipt of verifiable consumer requests within ten (10) days of receipt. You may only make a verifiable consumer request for personal information twice within a twelve (12) month period. We cannot respond to your request if we cannot verify your identity or authority to make the request and confirm the personal information relates to you. Any consumer with a disability may access this notice by contacting us at the address, email or toll free number listed above.

We may change this California Privacy Notice and our privacy practices over time. Our most current Privacy Policy and California Privacy Notice can
be found on our website at http://www.cfins.com/terms/.
Defendant Initials*

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CALIFORNIA NOTICE TO COSIGNER

(Civil Code §1799.91)
NOTICE TO COSIGNER (Traducción en Inglés Se Requiere Por La Ley)

You are being asked to guarantee this debt. Think carefully before you do. If the borrower doesn’t pay the debt, you will have to. Be sure you can afford to pay if you have to, and that you want to accept this responsibility.

You may have to pay up to the full amount of the debt if the borrower does not pay. You may also have to pay late fees or collection costs, which increase this amount.

The creditor can collect this debt from you without first trying to collect from the borrower. The creditor can use the same collection methods against you that can be used against the borrower, such as suing you, garnishing your wages, etc. If this debt is ever in default, that fact may become a part of your credit record.

This notice is not the contract that makes you liable for the debt.

AVISO PARA EL FIADOR (Spanish Translation Required By Law)

Se le está pidiendo que garantice esta deuda. Piénselo con cuidado antes de ponerse de acuerdo. Si la persona que ha pedido este préstamo no paga la deuda, usted tendrá que pagarla. Esté seguro de que usted podrá pagar si sea obligado a pagarla y de que usted desea aceptar la responsabilidad.

Si la persona que ha pedido el préstamo no paga la deuda, es posible que usted tenga que pagar la suma total de la deuda, mas los cargos por tardarse en el pago o el costo de cobranza, lo cual aumenta el total de esta suma.

El acreedor (financiero) puede cobrarle a usted sin, primeramente, tratar de cobrarle al deudor. Los mismos metodos de cobranza que pueden usarse contra el deudor, podran usarse contra usted, tales como presentar una demanda en corte, quitar parte de su sueldo, etc. Si alguna vez no se cumpla con la obligación de pagar esta deuda, se puede incluir esa información en la historia de credito de usted.

Este aviso no es el contrato mismo en que se le echa a usted la responsabilidad de la deuda.

I acknowledge and certify that I have read and understand the above notice.
Signature of Defendant*

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PG-13 Bail Bonds Defendant Application

Before you begin, please ensure you are using a device with access to a camera as a photo of you and your Driver's License/ID card is required to complete the application. If you are using a smartphone, you may be prompted to give this page access to your camera.

Bail Condition

Indemnitor/Guarantor Checklist

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Military Service

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

Previous Arrests

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

DEFENDANT BAIL BOND APPLICATION AND AGREEMENT

ELECTRONIC MONITORING ADDENDUM TO BAIL BOND APPLICATION AND AGREEMENT - DEFENDANT

PROMISSORY NOTE & INSTALLMENT PAYMENT PLAN FOR UNPAID PREMIUM

CALIFORNIA PRIVACY NOTICE

CALIFORNIA NOTICE TO COSIGNER