A American Bail Bonds Form

A American Bail Bonds
1815 N Cocoa Blvd, Cocoa, FL 32922.

Phone: 321-639-5151

Email: info.aamerican@gmail.com
BAIL BOND AGREEMENT
Bail Bond Agreement
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:

Ed Williams

1850 N Cocoa Blvd

Cocoa, FL 32922

321-639-5151

info.aamerican@gmail.com

License #A285170
Date*

MonthDayYear
Date
Allegheny Insuance Company

PO Box 5600, Thousand Oaks CA, 91359

800-935-2245

info@aiasurety.com

Allegheny Casualty Company is the insurance provider for A American Bail Bonds. In consideration of Allegheny Casualty Company ("Surety"), through Surety's duly appointed independent bail producer ("Bail Producer"), (Surety and Bail Producer are sometimes together referred to as "Surety"), issuing, or causing to be issued, a criminal appearance bail bond described as:
Defendant's Name*
Defendant's Name
Defendant's Date of Birth*

MonthDayYear
Defendant's DOB
Defendant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total Bond Amount
Indemnitor Name*
Your name
Indemnitor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I/we represent and warrant that I/we have read, approve and agree to all of the terms and conditions found on ALL pages

Signed, sealed and delivered this
Defendant Signature
Print Name
Indemnitor Signature*
Print Name*
Your Name
Indemnitor Signature
Print Name
Name
Indemnitor Signature
Print Name
Name
Translation Needed
Translation Certification. The undersigned translator makes this affidavit and hereby certifies, under penalty of perjury, that he/she read verbatim and translated this entire document, including the reverse side, and all related bond application documents including disclosures, promissory notes, security instruments and trust deeds, to the Indemnitor signing below in his/her primary language.
Translator Print Name
Name
Translator Signature
Translator Full Address
Date

MonthDayYear
Date
Confirmo por mi colocación de mis iniciales que las dos caras de este acuerdo han sido traducidos completamente a mi satisfacción. (I confirm by my affixing my initials that this contract has been translated to my satisfaction.)
INDEMNITOR Initials
A AMERICAN BAIL BONDS

1815 N. Cocoa Blvd, Cocoa, FL 32922
DATE*

MonthDayYear
Today's Date
Amount of Bond
* To Be Filled in by the Agent Only*
Premium
* To Be Filled in by the Agent Only*
Bond Number
* To Be Filled in by the Agent Only*
Company
* To Be Filled in by the Agent Only*
I understand in signing this bond for obtaining the release of*
Defendant's Name
I am responsible for him/her appearing in Court each time he/she is SO ordered; also I understand I am responsible for payment of any court costs for non-appearance if he/she fails to follow any and all instructions or orders of the Court or forfeits this bond, and it becomes necessary to apprehend and surrender him/her to the Court. I understand I am responsible for any and all expenses incurred as a result of such forfeiture and further, if such a forfeiture occurs and defendant is not surrendered to the Court within time prescribed by law, I understand I am required to pay the FULL AMOUNT of the bond posted, including unpaid bail premium, if applicable in this state. Should state laws supersede this or any part of the agreement; all other terms are still in full force and effect.

COLLATERAL cannot be returned until such time as the Company receives written notice from

I am not a paid signer. I have no connection with a Bail Bond Consultant.

I have read the above contract and understand it, and agree to fulfill ALL the provisions therein.
SIGNED*
Drivers License Upload - Front*

Front of Drivers License
Cancelof
Drivers License Upload - Back*

Back of Drivers License
Cancelof
AGENT
* To Be Filled in by the Agent Only*
PRODUCER NAME ADDRESS PHONE AND PRODUCER LICENSE NUMBER MUST BE PRINTED HERE
Format: (000) 000-0000.
PRODUCER NAME, ADDRESS, PHONE, AND PRODUCER LICENSE NUMBER MUST BE PRINTED HERE

Ed Williams

1850 N Cocoa Blvd

Cocoa, FL 32922

321-639-5151

info.aamerican@gmail.com

License #A285170
BAIL BOND INFORMATION SHEET
Defendant
Defendant
Power Number(s)
* To Be Filled in by the Agent Only*
As principal (defendant) and/or indemnitor (guarantor) on a bail bond, you must be given a copy of any collateral documents that you sign relating to the above bond(s When all agreements have been fulfilled, bond is discharged in writing by the court, and without loss expense on the bond(s), your collateral will be returned to you. BE AWARE: YOUR COLLATERAL IS AT RISK if the principal fails to appear in court or if the principal commits any breach (violation) of agreement.

ANY OF THE FOLLOWING HAPPENINGS IS A BREACH OF AGREEMENT:

1. If principal fails to appear in court;

2. If principal shall depart the jurisdiction of the court without the written consent of the court and the Surety, or its agent;

3. If principal shall move from one address to another without notifying the Surety, or its Agent, in writing, prior to said move;

4. If principal shall commit any act which shall constitute reasonable evidence of principal's intention to cause a forfeiture of the bond(s);

5. If principal is arrested and incarcerated for any offence other than a minor traffic violation;

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

7. If principal shall violate any special restriction or condition of the bond(s) imposed by the Court.

For general information regarding your collateral, contact the agency as shown on the top of this sheet.

For further inquiry / complaint, contact:

Department of Financial Services

Bail Bond Section

200 East Gaines Street

Tallahassee, FL 32399-0320

Phone: (850) 413-5660

PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT

I (We) agree to receive a digital copy of this information sheet. I (We) agree to receive a digital copy of all collateral documents that I (We) signed regarding the above bond(s).
SIGNATURE*
PRINT NAME*
Print Name
SIGNATURE
PRINT NAME
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:

Ed Williams

1850 N Cocoa Blvd

Cocoa, FL 32922

321-639-5151

info.aamerican@gmail.com

License #A285170
Mandatory fields for this form * Today’s Date * Defendant’s name * Defendant’s Date of Birth * Defendant’s Address * Indemnitor’s name (Your name) * Indemnitor’s Address (Your address) * Print name (Your name) * Today’s Date (it is technically a second page, requiring thedate again) * I understand in signing this bond for obtaining the release of (Defendant’s name) * Signed (Your signature) * Print name (Your name)
Should be Empty:

A American Bail Bonds

Bail Bond Agreement

A AMERICAN BAIL BONDS

BAIL BOND INFORMATION SHEET