17.19 Affidavit
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What is the Cause Number? *
What is the name of the defendant? *
What is the amount of the bond? *
On what date was the bond originally posted? *
MM
/
DD
/
YYYY
What is the criminal charge for the Defendant? *
What is the name of the Surety? *
What is the street address for the Surety? *
What is the City/State/Zip of the Surety? *
What is the phone number of the Surety? *
What is the fax number of the Surety?
What is the email address of the Surety? *
This is the email address that will appear on the answer.
What is the County Where this Affidavit will be signed? *
Select the court type *
Confirm Court Type *
If it was a city bond select the first option, JP bond select the second option, County Court the third option and if it is a District Court bond select the fourth option.
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