defendant application

Throughout Colorado

dennis blackwell bail bonds

DEFENDANT BAIL BOND APPLICATION

Case #1

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Time
:

Case #2

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Time
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Case #3

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Time
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“ALL HIGHLIGHTED QUESTIONS MUST BE ANSWERED IN FULL” “ FALSE INFORMATION MAY TERMINATE THIS BOND!”

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Address
Gender:
Array

Employer Address:

Are you on bond or signed for a bond:
Array
Address:
Are you on Probation/Parole
Array
Address:

Home Address:
Employer Address:

REFERENCES -------------------------------------------------------------------------------------------------------------------

Address:

Address:

Address:

Address:

Address:

Address:

Address:

Address:

The following certification must be completed if a signatory cannot read or speak English.

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 all related documents, bail contracts, indemnity agreements, disclosures, promissory notes, security instruments and trust deeds, to the Indemnitor (s) signing below in his/her primary language.

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Address:

The undersigned hereby certify the truth of all statements in the application, authorize the Professional Cash Bail Agent to verify this information and to obtain additional information from any source.

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Solicitud de traducción. [check box if translation is required] Si no puede leer ni entender inglés, favor de marcar este cuadro.

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