BAIL & RESCUE APPLICATION & CONTRACT

BAIL & RESCUE APPLICATION & CONTRACT

Appointment ONLY: 315 Deaderick St, Suite 1700, Nashville, TN 37238

Walk In: 504 3rd Ave N, Suite C, Nashville, TN 37201

Phone (615) 207-4174 ● Fax (615) 246-3951

BOND APPLICATION

Notices

39-14-148. False statement in obtaining surety bond -- Penalty.

Any person who makes a false statement or representation of a material fact knowing it to be false or knowingly fails to disclose a material fact, in order to obtain a surety bond, either for that person or foy any other person, commits a Class A misdemeanor. Each such false statement or representation or failure to disclose a material fact constitutes a separate offense.

Class A Misdemeanors carry a penalty of up to 11 months and 29s in jail and/or up $2,500 in fines.

It is the policy of this company to pursue any and all actions and remedies against anyone who attempts to obtain a bond through the use of false and/or misleading information.

Persons who may be liable for any false and/or misleading statements, the failure to correct such statements, or the failure to disclose a material fact concerning this application include:

The defendant;
Any co-principal;
Any reference contacted on behalf of the defendant and/or co-principal; or,
Any other person contacted with regard to this application

Separate and apart from the criminal violation above, the company may choose, without limitation or waiver, to pursue one or more of the following civil remedies:

The surrender of the of the defendant for good cause without the refund of any paid premium;
Indemnification for any costs relating to the surrender; and/or,
Any other remedies available under Tennessee law.

After the application process is complete, the defendant and any co-principal have a continuing duty to notify the professional bondsman making this bond of any changes to the information provided in this application.

I have received a copy of the above notice and I have read and understood it.

Signature*

Printed Name*

Please Type Your Name

Date*

Today's Date

BOND APPLICATION

Notices

Notice pursuant to Tenn. Code Ann. 40-11-151:

NOTICE IF YOU USE A PROFESSIONAL BONDSMAN:

Amount of Charges to You. If you are a Tennessee resident, the premium fee for your bond should be ten perecnt (10%) of the face amount of your bond. For example, if your bond is $2,500, then the premium on the bond should not be more or less than $250. If you are not a Tennessee resident, then the amount of the bond should not be more than fifteen percent (15%) or less than ten percent (10%) of the face amount of your bond. For example, if your bond is $2,500, then the premium on the bond should not be more than $375 or less than $250. In addition to this amount, the law also permits a one-time $25 initiation fee (T.C.A.§ 40-11-316) and the professional bondsman may collect a $12 bail tax (T.C.A. § 67-4-806).

Insist on a Receipt. The law (T.C.A. § 40-11-304) requires a bail bondsman to keep a duplicate receipt. The receipt must show the name of the person paying money or pledging property, the name of the person for whom it was paid, the account or purpose for which it is received, and the suit, action, or matter in which the money is paid.

Collateral That Can Be Required. If a bondsman insists on collateral in addition to the premium fee, then you may wish to talk to another bondsman. However, a bondsman may accept collateral, and if the bondsman accepts collateral, then the bondsman must give you a written receipt for the collateral, and the receipt shall give in detail a full description of the collateral received and the terms of redemption as required by T.C.A. § 40-11-126(8).

A BONDSMAN MAY NOT LOCK YOU BACK UP OR SURRENDER YOU ARBITRARILY OR WITHOUT GOOD CAUSE. GOOD. CAUSE MAY INCLUDE YOUR FAILURE TO PERFORM YOUR OBLIGATIONS UNDER THE CONTRACT YOU HAVE WITH YOUR BONDSMAN (T.C.A.- § 40-11-1-26(7) & § 40-11-132).

I have received a copy of the above notice and I have read and understood it.

Signature*

Printed Name*

Please Type Your Name

Date*

Today's Date

BAIL & RESCUE APPLICATION & CONTRACT

You, the indemnitor, shall be responsible for the entire bail amount and fugitive recovery fees should the defendant fail to appear for court and bond forfeited

Today's Date*

Date

Select One*

JuvenileAdult

Defendant Name*

DOB*

Date of Birth

Address*

Current Address

Street Address Line 2

CityState

Zip

Indemnitor's Information

Your Full Name*

DOB*

Date of Birth

Soc. Sec. No.*

Relationship to Defendant*

Home Phone*

Cell Phone*

Address*

Current Address

Street Address Line 2

CityState

Zip

DL#*

DL State*

Indemnitor Vehicle Information

Plate #*

Make*

Model*

Year*

Color*

Indemnitor Employer Information

Employer*

# of Yrs on Job*

Work Phone*

Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Personal References (Please Enter Two References Below)

Name (1st Reference)*

Phone*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name (2nd Reference)*

Phone*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

You Are Assuming Specific Obligations Read Carefully.

WHEREAS, Bail& Rescue Bail Bonds, LLC, (hereinafter "Funder") at the request of the undersigned, and upon the security hereof, has or is about to secure the funds and/or become Bondsman on a cash bond for ; in the sum of dollars by its certain bond or undertaking, which bond or undertaking and the application made to Funder and/or its Agent in connection therewith are expressly incorporated herein:

NOW THEREFORE, in consideration of the premises and the sum of one dollar in hand paid, receipt whereof by each of us is hereby acknowledged, the undersigned do/does hereby, undertake, agree and bind themselves, their legal representatives, successors and assigns as follows:

1. That the undersigned will have the aforesaid forthcoming before the above court named in said bond, attached hereto, at the time therein fixed, and from day to day and term to term thereafter, as may be ordered by the said court.

2.That the undersigned will at all times indemnity and save the said Funder harmless from and against every and all claim, demand, liability, cost, charge, counsel fee, expense, suit, order, judgment or adjudication whatsoever which the said Funder having executed said bond or undertaking, will, upon demand, place the said requisite funds to meet every claim, demand, liability, cost, charge, counsel fee, expense, suit, order, judgement or adjudication against it, by reason of such suretyship, and before it shall be required to pay the same.

3.The condition of said Indemnity Agreement provides that as long as there is any liability or loss of any nature whatsoever to Bail & Rescue Bail Bonds, LLC, upon the bond referred to herein, the undersigned will not make any transfer, or any attempted transfer of any of the property, real or personal given as security or which the undersigned may subsequently acquite or any interest therein, and it is further agreed that the Company shall have a lien upon all property of the undersigned for any sum due it for which it has become, or may become, liable by reason of its having executed the bond referred to herein.

4. That the voucher or other evidence of any payment made by the said Funder, by reason of such Suretyship, shall be conclusive evidence of such payment against the undersigned and the undersigned's estate both as to the property thereof and as to the extent of the liability thereof to the said Funder.

5. That the said Funder may withdrawal from its suretyship upon said bond or undertaking at any time that it may see fit, as provided by law.

6.That the agreement shall not be returned by the said Funder at the time it shall be satisfied of the termination of its liability under said bond or obligation, but shall be retained as security for any liability that may at any time thereafter occur.

7.That the failure of any of the undersigned to comply with the provisions of this Agreement of indemnitor shall be binding upon the others.

8. If any provision or provisions of this instrument be void or unenforceable under the laws of any place governing its construction or enforcement, the instrument shall not be void or vitiated thereby but shall be construed and enforced with the same effect as though such provision or provisions were omitted.

I understand my responsibilities as an indemnitor on a bail bond. I certify that all information given is true and accurate. Any false information provided can result in revocation of the bond and possible criminal prosecution.

Defendant's Full Name*

Please Enter Defendant's Full Name

Full Bond Amount*

Dollar Amount

Indemnitor/Principal*

Date*

Date

ALL MONIES PAID ARE NON-REFUNDABLE UNLESS BOND NOT POSTED - IN WHICH CASE SERVICE FEE WILL APPLY

THIS SECTION IS FOR THE AGENT, PLEASE MOVE TO CO-PRINCIPAL, INDEMNITOR/GUARANTOR AGREEMENT

Please Mark ALL Courts

Total Amount of ALL Bonds

Total Bond Fee

Total Amount

Amount PAID

Balance

If this is a cash bail the total charges or commissions for a cash bail may not be less than 20% or more than 30% of the bail amount posted by the property bail agent. It shall be unlawful for a property bail agent to post a bail without first charging and receiving at least 20% of the cash bail amount, and entering into a written contract signed by the parties containing all terms and conditions of the bond.

Confidential Application and Indemnity for Bail Bond

(All questions must be answered in full)

THIS SECTION IS FOR DEFENDANT TO READ AND FILL OUT

I, understand do hereby, apply to the Bail & Rescue Bonding, LLC to act as my bail in the amount of $

The following terms and conditions are an integral part of this application for appearance BOND(S) for which Bail & Rescue Bonding, LLC herein after called Funder), or it's Agent shall receive a premium in the amount of Dollars, and the parties agree that said cash bond(s) is conditioned upon full compliance by the principal of all said terms and

1. The Funder, as bail, shall have control and jurisdiction over the principal during the term for which the bond is executed and shall have the right to apprehend, arrest and surrender the principal to the proper officials at any time as provided by law.

2. In the event surrender of principal is made prior to the time set for principal’s appearance, and for reason other than enumerated below in paragraph 3, then principal shall be entitled to a refund of the bond premium, less a modest travel and time expense.

3. It is understood and agreed that the happening of anyone of the following events shall constitute a breach of principal’s obligation to the Funder hereunder, and the Funder shall have the right to forthwith to apprehend, arrest and surrender the principal, and principal shall have no right to any refund of premium whatsoever. Said events which shall constitute a breach of principal’s obligations hereunder are:

a. If the principal shall depart from the jurisdiction of the court without the written consent of the court and the Funder or its agent.

b. If the principal shall move from one address to another within the State of Tennessee without notifying the Funder or its agent

c. If the principal shall commit any act which shall constitute reasonable evidence of principal’s intention to cause a forfeiture of said bond.

d. If principal is arrested and incarcerated for any other offense other than a minor traffic violation.

e. If principal shall make any material false statement in the application.

By signing this document below I agree to appear in the court indicated on court docuements(s) and thereby relinquish any and all personal rights due me should I not appear before said court. I will be responsible for ALL FEES for my capture.

Defendant Information

This is for the Defendant to FILL OUT ONLY

Defendant Name

Defendant's Name

DOB

Defendant's Date of Birth

Home Phone

Please enter a valid phone number.

Cell Phone

Please enter a valid phone number.

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

SSN

Defendant's Social Security Number

Driver's License No

Defendant's DL Number

Driver's License State

State Issued DL

Present Employer

Defendant's Employer

Years on the Job

Years Defendant Worked

Employer Phone No

Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Personal References (Please Enter Two References Below)

Name (1st Reference)

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name (2nd Reference)

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Principal Signature

Date

Date Application Completed

CO-PRINCIPAL, INDEMNITOR/GUARANTOR AGREEMENT

Date*

Date

Full Legal Name of Defendant*

DOB*

Date of Birth

Bond Amount $*

Cash/Secure %*

Premium Amount $ (Amount in Numerals)*

Secured Bond 10-15%

In signing this CO-PRINCIPAL, INDEMNITOR/GUARANTOR AGREEMENT you become an INDEMNITOR on a BAIL BOND. As an INDEMNITOR you are

I understand I am responsible if it becomes necessary to arrest and surrender the defendant that I am responsible for paying for investigation, location and apprehension time: This is billed at a rate of $150.00 per hour per investigator plus expenses or 25% of the bond; whichever is greater.

Investigation costs will begin to accrue after a court forfeiture hearing is scheduled or when the court has issued a Capias warrant for the Defendant arrest. Also if any condition is breached as defined in the Conditions of Release.

You are responsible for the payment of any court costs arising from nonappearance regarding the forfeiture, reinstatement or exoneration of the bond or bonds. (a minimum charge of $250.00) for the bail agency to reinstate or exonerated the bond if necessary. Should it become necessary to apprehend and surrender the DEFENDANT to the Court, you are responsible for any and all expenses up to the full penal amount.

If a FORFEITURE occurs and the matter is not reinstated OR the DEFENDANT is not surrendered to the Court within the time prescribed by law, you are required to pay the full penal amount of each forfeited bond, plus expenses and any unpaid premium.

I agree to forego all rights for any refunds or reimbursements of any premiums paid after the bail bond(s) has been posted for the above named Defendant. I understand that the above named Defendant may not be released from custody and may be transferred to the jurisdiction of the detainer(s) I AGREE THE PREMIUM IS FULLY EARNED AND ALL MONIES ARE NON-REFUNDABLE.

I understand the obligation under this agreement is joint and several. This means that I may be held solely and individually liable for up to the full amount owed for any charges, even if there are co-signers on the agreement.

Agreement of venue: I agree that if legal action between the parties concerning this bail bond is brought, it shall be brought in and before a federal or state court in Davidson County in the State of Tennessee.

The undersigned accepts and agrees to all of the bond terms and financial obligations as stated in the bail bond indemnity agreement and acknowledges that they are part of this INDEMNITOR/GUARANTOR AGREEMENT. I agree to indemnify and hold harmless the surety or its agent for all losses in connection with this bond(s) not otherwise prohibited by law.

Co-Principal, Guarantor/Indemnitor Signature*

Co-Principal, Guarantor/Indemnitor Printed Name*

AUTHORIZATION FOR RELEASE OF INFORMATION AND SEARCH OF PREMISES

Date*

Date

TO WHOM IT MAY CONCERN:

This authorizes any bank, Internet Services (any type), insurance company, employer (past or present Public record databases, public tax informantion, telephone and utility companies, cable television company, credit report, air travel records, state government agency, local government agency, United States government agency including, but not limited to any branch of the armed Veterans Administration, Internal Revenue Service, Federal Bureau of Investigation, criminal background check, driver's license/vehicle registration departments, Social Security Administration, healthcare facility or practioner, attorney, accountant, or any other person or entity to furnish full and complete reports and information from a loan, job or credit card applications concerning me which is hereby requested for the undersigned by or agent of Bail & Rescue Bonding, LLC. This authorization also includes the examination and copying of any information, including opinions. This authorization is given for a valuable consideration and may be recorded in the Registers Office or appropriate office. This authorization can only be revoked or withdrawn by agreement of the Bonding Company.

I hereby release any such above-listed entity form any liability which may be incurred in releasing this information to Bail & Rescue Bonding, LLC or its agent or representative including liability under any Federal law, including but not limited to Title 5, Section 522-A of the USC, commonly known as the Privacy Act. Your full cooperation is requested.

Sworn to and subscribed before me this

Co-Principal*

2nd Co-Principal

AGREEMENT

THIS AGREEMENT is executed and delivered by the undersigned [hereinafter called “Principal(s)” which term shall also include any Co-principal] to the BONDING COMPANY [hereinafter called “company”], as part of the consideration for the company executing as surety the bond(s) or undertaking(s) described in the Principal(s)’ application which is incorporated in and made a part of this agreement.

The Principal(s) represent, covenant, warrant and agree to the following:

1. The Principal(s) shall pay to the company or its duly authorized agent, the fee(s) [hereinafter called “premiums”] specified in the application at the times and in the amounts stated in the application. The premium is fully earned by the company upon the execution of the bond(s) or undertaking(s) and shall not be subject to refund or proration.

2. The Principal(s), jointly and severally, shall at all times indemnify and save the company harmless from and against any and all claims, demands, liabilities, costs, charges, legal fees, disbursements, and expenses of every kind and nature, which the company shall at any time sustain or incur, as well as from all orders, decrees, judgements, and adjudications involving the company by reason or in consequence of having executed the bond(s) or undertaking(s) described in the application. The Principal(s) shall pay over, reimburse, and make good to the company any and all sums and amounts of money required to meet any and every claim, demand, liability, cost, expense, suit, order, decree, adjudication, fee, or payment (including but not limited to legal fees) involving the company by reason of the execution of the bond(s) or undertaking(s) described in the application and any other bond or undertaking executed in the behalf or at the request of the Principal(s) of any of them and before the company shall be required to pay. The liability for legal fees and disbursements includes all legal fees and disbursements that the company may pay or incur, but not limited to a proceeding in which the company may assert or defend its right to collect or charge for any legal fees and/or disbursements incurred in that or any other proceeding.

3. The Principal(s) shall immediately notify the company at its principal office in Nashville, Tennessee, at its Bond Division, of the receipt of any demand, notice, commencement of any proceeding, or fixing of any liability which the company may be required to discharge by reason the execution of the bond(s) or undertaking(s) described in the application.

4. A receipt, cancelled check, or other evidence of payment by the company, in discharge of any obligation under or incurred in connection with any bond(s) or undertaking(s) in the application, or incurred in connection with any security held by the company, shall be conclusive evidence against the Principal(s) of the fact and amount of the obligation of the Principal(s) to the company.

5. If the company executes any bond or undertaking with co-sureties, reinsures any portion of any bond or undertaking, or procures another surety to execute any bond or undertaking, all of the terms and conditions of this agreement shall apply to and operate for the benefit of the company, the procured sureties and/or reinsurers as their respective interests may appear.

6. The company may, at any time, without notice to or the prior consent of the Principal(s), transfer and/or assign this agreement and/or any security pledged by the Principal(s) to any reinsurer, co-surety, insurance company, or transferee which may take over and assume, in whole or in part, the obligation(s) of the company under any bond(s) or undertaking(s) described in this application. After transfer or assignment, the transferee shall become vested with all of the powers and rights of the company, and the company shall be relieved and fully discharged from any liability or responsibility to the Principal(s), including, but not limited to any liability or responsibility for any security pledged pursuant to this agreement.

7. THE COMPANY MAY AT ANY TIME AND IN ITS SOLE DISCRETION, TAKE SUCH STEPS AS IT DEEMS NECESSARY TO PROTECT ITSELF FROM ANY LOSS, COST, OR EXPENSE OR TO OBTAIN ITS RELEASE FROM ANY AND ALL OBLIGATIONS UNDER ANY BOND OR UNDERTAKING. THE COMPANY SHALL NOT BE REQUIRED TO DISCLOSE ANY FACT OR INFORMATION OR GIVE NOTICE OF ANY FACT OR INFORMATION TO THE PRINCIPAL(S) UPON WHICH ANY ACTION TAKEN BY THE COMPANY IS BASED. THE COMPANY MAY ACT OR REFUSE TO ACT IN ANY MANNER THAT IT, IN ITS SOLE DISCRETION DEEMS PROPER, WHICH IN THE CASE OF APPEARANCE BONDS, MAY INCLUDE BUT NOT BE LIMITED TO SURRENDER OF THE DEFENDANT, EITHER BEFORE OR AFTER THE RENDERING OF A CONDITIONAL OR FINAL FORFEITURE AND/OR EITHER BEFORE OR AFTER THE RENDERING OF A EXPENSE WHICH THE COMPANY MAY SUSTAIN OR INCUR IN OBTAINING RELEASE OR IN SECURING ITSELF AGAINST LOSS, COST, OR EXPENSE SHALL BE BORNE AND PAID BY THE PRINCIPAL(S).

8. The Principal(s) hereby authorize and appoint the company as Principal(s)’ attorney in fact to appear for the Principal(s) in and before any court in any action or proceeding, to receive process on behalf of the Principal(s) or waive the issuance and service of process, to enter or confess judgement or permit judgement to be entered against the Principal(s) jointly and severally and in favor of the company, to release all errors, to waive all rights to a stay of execution or appeal, and to do so and perform all acts and execute all documents in the name of the Principal(s) in order to carry into effect the authority granted in this paragraph as fully and completely as the Principal(s) might do if personally present, hereby ratifying and confirmation all that the Principal(s)’/ attorney in fact shall do or cause to be done by virtue of the grant of this power of attorney.

9. This agreement binds the Principal(s), jointly and severally, and the Principal(s)’ heirs, personal representatives, executors, administrators, successors, and, if permitted, assigns.

10. The company reserves the right to refuse to execute the bond(s) or undertaking(s) for which the application is made. The Principal(s) shall not have a claim or cause of action against the company based on the obligee or any third party’s refusal to accept the company as surety or a third party’s rejection of the bond(s) or undertaking(s).

11. As a further inducement to the company to act as surety on the bond(s) or undertaking(s), the Principal(s) represent and warrant that the statements made in this agreement and the answers supplied for insertion in the application are true, made without reservation, and do not misstate or fail to completely state the information given or requested. The Principal(s) acknowledge that the company is relying upon the information supplied to it by the Principal(s) and the representations, warranties, and promises contained in this agreement as a part of the consideration received by it for acting as surety.

12. The company may enforce its rights against any one or all of the Principal(s) as the company, in its sole discretion, shall determine. The company shall not be required to proceed first against any particular Principal(s) before being able to proceed against any other Principal(s). The Principal(s) hereby expressly waive the benefit of any rule or law requiring the company to proceed against one of the Principal(s) before proceeding against any other Principal(s). The Principal(s) hereby irrevocably waive the benefit or advantage of any and all exceptions or exemptions however designated, now in force, hereafter enacted or recognized, and whether created by the statutory, common, or cannon law of this state, any other state, the United States, or any other country.

13. The acceptance of this agreement, the payment of the premium(s) required by this agreement, other collateral as security, or other additional agreement(s) shall not abridge or limit the rights of the company under this agreement, any other agreement, or law. The company shall have every right and remedy which an individual surety acting without compensation would have. All of the company’s rights are cumulative and for the sole benefit of the company, its successors and assigns.

14. If any part of this agreement is declared void or unenforceable by a court of competent jurisdiction, then, at its sole option, the company may take such action as it deems in its best interest. Without limiting the action which the company may take, the company may enforce this agreement with the void or unenforceable provisions omitted or declare this agreement terminated and take such action as may be necessary to restore the parties to the position they occupied prior to the execution of this agreement, retaining as its sole and separate property payment received by it from the Principal(s).

15. PRINCIPAL(S) SHALL NOTIFY THE COMPANY OR ITS AGENT IN WRITING OF ANY CHANGE IN THE APPLICATION INFORMATION AT LEAST FORTY-EIGHT (48) HOURS BEFORE THE CHANGE OCCURS. ANY FAILURE TO NOTIFY THE COMPANY SHALL BE CONSIDERED A DEFAULT BY THE PRINCIPAL(S IF ANY APPEARANCE BOND IS INVOLVED, THIS FAILURE IS CAUSE FOR THE COMPANY TO IMMEDIATELY SURRENDER THE DEFENDANT WITHOUT ANY LIABILITY AND WITHOUT OBLIGATION FOR THE RETURN OF ANY PORTION OF THE PREMIUM.

16. If the Principal(s) fail to pay any monetary obligation owed to the company immediately upon demand, then the amount of that obligation shall bear interest at the rate of fifteen (15%) percent per annum or the highest rate allowed by law.

17. The Principal(s) acknowledge that this application and agreement may act as the receipt required by T.C.A. 40-11-304. If security has been pledged or deposited with the company or the company’s agent, that security is described in the application. The company reserves the right to use the security and to retain any income from the security as the company’s sole and separate property, subject to Principal(s) rights as set forth in this agreement.

18. The failure of the company to insist in any one of more instances upon a strict performance of the terms and conditions or to exercise any option contained in this agreement shall not be considered as a waiver for the future of that term, condition, or option. The terms, conditions, and options contained in this agreement shall continue and remain in full force and effect. The receipt by the company of any payments in whole or in part, or of any substitute performance even with knowledge of the breach of any term of condition, shall not be deemed as a waiver of any breach. No waiver by the company in any provision of this agreement shall be deemed to have been made unless expressed in writing and signed by the company. It is the expressed intention of the parties that the terms of this agreement be enforced without resort to the parties’ course of conduct.

THE FOLLOWING ADDITIONAL PROVISIONS APPLY TO APPEARANCE BONDS

(The Principal placed under the appearance bond is hereinafter referred to as the defendant.)

19. UNLESS THE COURT ENTERS A WRITTEN ORDER TO THE CONTRARY AND THE PRINCIPAL(S) IMMEDIATELY SUPPLY A JUDGE-SIGNED COPY OF THAT ORDER TO THE COMPANY, THE DEFENDANT SHALL REMAIN WITHIN THE JURISDICTION OF THE COURT UNTIL THE CASE IS FINALLY DETERMINED AND THE COMPANY RELIVED.

20. The defendant shall timely attend all court sessions as ordered by the court and maintain reasonable contact with the company to advise the company of all court proceedings.

21. As long as the bond(s) remain in effect, the company may assess and collect from the Principal(s) annually a renewal premium of up to twenty (20%) percent of the original fee and charges.

22. The parties understand and agree that the premiums and fees paid and to be paid to the company before the appearance bond for the trial court only. If the case is appealed to the Court of Criminal Appeals or to the Supreme Court of Tennessee and the company chooses to undertake a new appearance bond for the defendant on appeal, the company may assess and collect an additional premium or fee in an amount up to ten (10%) percent of the appearance bond for the appeal. The annual premium renewal fees shall be charged in accordance with paragraph 21 above.

23. The parties acknowledge, understand, and agree that:

a. The release of the defendant has been obtained by the company acting as the private jailer for the defendant or the defendant’s jailer of choice.

b. Even though the defendant is released from public custody, the defendant’s release to the company is a continuance of the defendant’s original incarceration; and, therefore, the company or its duly appointed agent may, with necessary copy of bod or capias, seize, arrest, and deliver the defendant to the custody of the appropriate public jailer or if that cannot be done at once, the company or its duly appointed agent may imprison the defendant until delivery can be made.

c. The company or its duly appointed agent may pursue the defendant into another jurisdiction in order to arrest the defendant and, if necessary, may break and enter into any place where the defendant has been or may be found either in or outside the state of Tennessee. This authorization includes and extends to, but is not limited to, the defendant’s residence, property, or business and the residence, property or business of any co-principal.

24. The parties understand and agree that if, in the sole judgement of the company, it becomes necessary to investigate in order to determine whether or not the information supplied is accurate, investigate in order to determine the whereabouts of the defendant, search for the defendant, apprehend the defendant, and/or surrender the defendant, then the company shall charge and the principal and any co-principal shall pay a an hour or part thereof for each hour expended by any agent, officer, or employee of the fee of $150.00 company, which fee shall be in additional to any and all other expenses for which the principal and any co-principal may be liable under the terms of this agreement.

THIS AGREEMENT has been executed on the same date as the date of this first bond or undertaking. THIS AGREEMENT CREATES DUTIES AND FINANCIAL OBLIGATIONS. YOU SHOULD SIGN IT ONLY AFTER YOU UNDERSTAND IT AND AGREE TO COMPLY WITH THESE DUTIES AND OBLIGATIONS.

COURT ORDERED NOTICE

25. YOU ARE NOTIFIED THAT A 2013 CHANGE IN THE LAW PREVENTS THIS BONDING COMPANY FROM REMAINING ON YOUR BOND UPON CONVICTION OR A PLEA OF GUILTY AS YOU AWAIT A SENTENCING HEARING. IF YOU PLEASED GUILTY OR ARE CONVICTED THE JUDGE MAY TAKE YOU INTO CUSTODY PENDING THE BOND HEARING WHICH IS USUALLY HEARD WITHIN 45 DAYS. THE JUDGE MAY ALLOW YOU TO MAKE A NEW BOND FOR THAT PERIOD. THIS BONDING COMPANY IS PREVENTED FROM ACCEPTING ADDITIONAL FUNDS OR COLLATERAL AFTER THE ORIGINAL BOND AMOUNT HAS BEEN PAID IN FULL, ONCE YOU HAVE BEEN RELEASED FROM COURT CUSTODY ON THIS CURRENT BOND.

Co-Principal Signature*

Date*

Date

Take Photo of Driver's License FRONT*

Take Photo of Driver's License BACK*

Take Physical Photo of Yourself*

Take Photo of SSN Card FRONT*