LARGE BOND APPROVAL FORM Defendant & Bond Information Defendant's Name Requested Bond Amount Original Amount (if reduced) County State Date Arrested How Old Are Charges Jurisdiction Out of State Yes No Out of County Yes No Fugitive Warrant Yes No Charges Charges Attorney Attorney Retained Yes No Attorney Name Attorney Phone Attorney Fees Paid Yes No Name of Law Firm Sentencing Mandatory Sentence Yes No Min / Max Sentence Prior Record Prior Time Served When Where Most Serious Prior Arrests Pledged PropertyComplete only the properties being pledged. Property owners must also be listed as indemnitors. Property 1 Owner(s) Name Address Purchase Date Tax Value Purchase Price Current Value Lien / Mortgage Amount Net Equity Taxes Up to Date Yes No Mortgages / Taxes Verified Current Yes No Property 2 (optional) Owner(s) Name Address Purchase Date Tax Value Purchase Price Current Value Lien / Mortgage Amount Net Equity Taxes Up to Date Yes No Mortgages / Taxes Verified Current Yes No Property 3 (optional) Owner(s) Name Address Purchase Date Tax Value Purchase Price Current Value Lien / Mortgage Amount Net Equity Taxes Up to Date Yes No Mortgages / Taxes Verified Current Yes No Property 4 (optional) Owner(s) Name Address Purchase Date Tax Value Purchase Price Current Value Lien / Mortgage Amount Net Equity Taxes Up to Date Yes No Mortgages / Taxes Verified Current Yes No Indemnitors 1 – 4At least one indemnitor is required. Leave the rest blank if unused. Indemnitor 1 Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitor 2 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitor 3 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitor 4 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitors 5 – 8Optional. Leave blank if not applicable. Indemnitor 5 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitor 6 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitor 7 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Indemnitor 8 (optional) Name Phone Address Rent or Own Rent Own Date of Birth SSN Relationship to Defendant Employer Job Title How Long Monthly Income Job #2 (if applicable) Property #2 (if applicable) Submit & Generate PDF
