Bail Application Review Draft

Tbonds, LLC. Application for Bail

401 East Erie Ave, Lorain, Ohio 44055, phone (440) 240-8714, fax (440) 240-8716
Source Entry Review
Agent Name(s)
Power Number
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Bond Amount
Premium Amount
Amount Received
Balance Due and Date
Client Signature
Court Name
Court Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Attorney Name

First NameMiddle NameLast Name
Attorney Phone
Please enter a valid phone number.Format: (000) 000-0000.
Charges / Case Details
Case Number
Defendant Information
Defendant Name

First NameMiddle NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone
Please enter a valid phone number.Format: (000) 000-0000.
Alias / Nicknames
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employment Status
Employer
Shift
Employment Duration
Employer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employer Phone
Please enter a valid phone number.Format: (000) 000-0000.
Spouse Name

First NameMiddle NameLast Name
Race

Other
Gender

Other
Height (inches)
Weight (lbs)
Scars, Tattoos, Piercings, or Birthmarks
Place of Arrest
Automobile Make / Model / Year
Indemnitor Information
Relationship to Defendant
Driver License or ID Number
Name

First NameMiddle NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
How Long Have You Lived Here?
Rent or Own

Other
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employer
Shift
Employment Duration
Employer Address and Phone

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Co-Indemnitor Information
Full Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Indemnitor Email
example@example.com
Relationship to Defendant
Employer Name
Years at Current Job
Home Ownership Status
References
Reference 1 Name

First NameMiddle NameLast Name
Reference 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Relationship
Reference 2 Name

First NameMiddle NameLast Name
Reference 2 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Relationship
Reference 3 Name

First NameMiddle NameLast Name
Reference 3 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Reference 3 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Relationship
Reference 4 Name

First NameMiddle NameLast Name
Reference 4 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Reference 4 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 4 Relationship
Cognovit Note
Agent must complete note blanks before client signs; separate signer routing is not configured.
$______________________________ Ohio, _________________, 202_____, after date, for value received, the undersigned jointly and severally promises to pay to the order of TBONDS, LLC., at 401 East Erie Ave, Lorain, Ohio 44052, the sum of $ ___________ dollars, payable upon the forfeiture of bond and/or/(CO) _______authorize the release of my credit information from any credit bureau to representatives of TBONDS, LLC. In the event of bond forfeiture, non-payment of balance due, assessment of penalties and cost, of any principal or bond forfeiture hereunder, when due, the entire balance of principal then remaining unpaid with accrued interest thereon, shall at once become due and payable at the option of the holder hereof, with notice or demand. The maker (s) and endorser (s) hereof hereby authorize the use of credit card(s), blank checks and / or money orders given as payment of bond premiums and / or collateral for bond against a contingent liability arising, by TBONDS, LLC, and sum of the bond forfeiture, penalties and cost, enforcement agent (bounty hunter) fees, and / or cost accrued in the processing of this bond notification by said agency of it’s intent. The maker(s) and endorser(s) hereof hereby waive presentment, demand, notice of dishonor, protest and notice of non-payment protest. Each of the undersigned has executed this instrument in the capacity of maker, regardless of the location his /her signature.

Warning – By signing this paper, you give up your right to notice and court trial. If you do not pay on time, a court judgment may be taken against you without your prior knowledge and the powers of a court can be used to collect from you regardless of any claims you may have against the creditor whether for returned goods, failure on his/her part to comply with the agreement, or any other cause.
Indemnitor Signature
Indemnitor Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Co-Indemnitor Signature
Co-Indemnitor Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Witness Signature
Should be Empty:

Tbonds, LLC. Application for Bail

Source Entry Review

Defendant Information

Indemnitor Information

Co-Indemnitor Information

References

Cognovit Note