Apply for a Bail Bond - Indemnity Form Step 1 of 3 - Indemnitor Information 0% Indemnitor Information 1Please complete all sections for the individual posting the bond for the defendant. Ensure all information is current and accurate.Indemnitor Name(Required) First Middle Last Indemnitor Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long at this address? Home PhoneCell Phone(Required)Email(Required) Enter Email Confirm Email Indemnitor Date of Birth(Required) MM slash DD slash YYYY Driver's License #(Required) Driver's License Issuing State(Required)AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificEmployer Employer PhoneEmployer Address Defendant InformationPlease complete all fields for the defendant to be bonded. Ensure all information is current and accurate.Defendant Information(Required) First Middle Last Sex/Gender(Required) Male Female Height(Required) Feet and inchesWeight(Required) PoundsRace(Required)AsianBlack or African AmericanHispanic, Latino, or Spanish originMiddle EasternWhiteAnother race or ethnicityPlease let us know the race of the defendant Eye Color(Required) Hair Color(Required) Scars, Tattoos, etc. Description, location on bodyDefendant Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code *Current place of residenceHow long at this address? Home PhoneCell Phone(Required)Email Enter Email Confirm Email Defendant Date of Birth MM slash DD slash YYYY Driver's License # Driver's License StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDefendant's Employer Defendant's Employer PhoneDefendant's Employer Address Automobile Year Automobile Make/Model Automobile Color Auto License Plate # License Plate State Mother's InformationMother's Name First Last Mother's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's PhoneFather's InformationFather's Name First Last Father's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's PhoneSignificant Other's InformationSignificant Other's Name First Last Husband/Wife/Boyfriend/Girlfriend, etc.Significant Other's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Significant Other's PhoneAttorney InformationAttorney's Name Attorney's PhoneProbation Officer's Name Probation Officer's Phone Contract for Bail Bond and Indemnity AgreementYou are assuming specific obligations- PLEASE READ CAREFULLY As the indemnitor, it is your responsibility to ensure the defendant satisfies all obligations of the bond as stated in the following paragraph below: Obligations of defendant: The Defendant agrees to remain within the jurisdiction of the court of arrest, to appear before said court promptly at such times as may be required by the court or Surety (RON OWENS BAIL BONDS) and further agrees to keep Surety advised of his/her residence address and place of employment and immediately notify Surety of any change thereof. Defendant’s failure to appear in court as herein required or to notify Surety of change of address or place of employment or issuance of a warrant for Defendant’s arrest on criminal charges by any court subsequent to date of this agreement shall be considered breach of this agreement and the conditions of the bond, entitling and/or Indemnitor for all expenses incurred in locating and returning Defendant to custody.Contract(Required) I understand the indemnitor obligations below and agree to comply As the indemnitor, it is your responsibility to ensure the defendant satisfies all obligations of the bond as stated in the following paragraph below: Obligations of defendant: The Defendant agrees to remain within the jurisdiction of the court of arrest, to appear before said court promptly at such times as may be required by the court or Surety (RON OWENS BAIL BONDS) and further agrees to keep Surety advised of his/her residence address and place of employment and immediately notify Surety of any change thereof. Defendant’s failure to appear in court as herein required or to notify Surety of change of address or place of employment or issuance of a warrant for Defendant’s arrest on criminal charges by any court subsequent to date of this agreement shall be considered breach of this agreement and the conditions of the bond, entitling and/or Indemnitor for all expenses incurred in locating and returning Defendant to custody. As the indemnitor, it is your responsibility to ensure the defendant satisfies all obligations of the bond as stated in the following paragraph below: Obligations of defendant: The Defendant agrees to remain within the jurisdiction of the court of arrest, to appear before said court promptly at such times as may be required by the court or Surety (RON OWENS BAIL BONDS) and further agrees to keep Surety advised of his/her residence address and place of employment and immediately notify Surety of any change thereof. Defendant’s failure to appear in court as herein required or to notify Surety of change of address or place of employment or issuance of a warrant for Defendant’s arrest on criminal charges by any court subsequent to date of this agreement shall be considered breach of this agreement and the conditions of the bond, entitling and/or Indemnitor for all expenses incurred in locating and returning Defendant to custody.Signature(Required)