Lidio Ortiz, dba: Bring'Em Home 24/7 Bail Bonds, Corp. Agnt. Bankers Insurance Company, License #255a

Indemnitor/co-signer

1. INDEMNITOR/CO-SIGNER NAME AND ADDRESS

This information is about you, the co-signer
RELATIONSHIP TO DEFENDANT(Required)
Your Name(Required)
Defendant name(Required)
MM slash DD slash YYYY
Current Home Address(Required)
Rent or Own?(Required)
Your Address
Rent or Own?

2. PERSONAL DESCRIPTION

MM slash DD slash YYYY
US Citizen?

3. EMPLOYMENT

Frequency Of Pay
Employer Address(Required)
Supervisor's Name

4. MARITAL STATUS

Marital Status(Required)
Spouse/Girl/Boyfriend's Name
Address (if different)

5. AUTOMOBILE

6. REFERENCES

In order to get approved we need minimum 3 required.
Name(Required)
Address(Required)
Name(Required)
Address(Required)
Name(Required)
Address(Required)
Name
Address

IT IS THE CO-SIGNER'S RESPONSIBILITY TO

1. Make certain that the Defendant knows to come to one of our offices located in Fort Worth, Mckinney, Austin or Dallas, Texas within two 48 hours from the time of release to complete their portion of the bonding application process and all paperwork. Failure to do so will result in us terminating the bond and issuing an arrest warrant for the Defendant.

2. Make certain that the Defendant knows to bring a government issued form of identification with a photo to our office.

3. Make certain the Defendant brings a working cell phone and an email address with them to our office so they can download and install the check in app before they leave our office. X.

4. Making certain the Defendant knows that all information on their application will be verified and false information will result in us terminating the bond and a warrant issued for the arrest of the Defendant IMMEDIATELY!

Notice Regarding Aliens Who Make Bond

An alien incarcerated for criminal charges in the United States may be subject to detention and deportation by the United States government. Detention and deportation are particularly likely for aliens who are in the United States illegally.

Bonds for Criminal charges have no effect on detention and deportation proceedings or possibilities. An alien who makes bond on all state criminal charges may, in some cases, never obtain release from jail before disposing of his or her criminal case. Furthermore, he or she may be subject to deportation at any time.

A person facilitating a bail bond for an alien and the bondsman may remain liable on the bond if/when the alien fails to appear for court proceedings as guaranteed by contract, in a bail bond

Notification Referente A Personas Indocumentadas Que Utilizan Fianzas

Una persona indocumentada que haya sido encarcelada por cargos criminals dentro de los Estados Unidos, puede ser detenida y deportada por el goblerno federal. La detencion y deportcation son muy probebies para aquellas personas que esten de manera illegal en los Estados Unidos.

Las Fianzas para cargos criminals no tienen efecto alguno en los procedimientos posibilidades de detencion y/o deportacion. Una persona indocumentada que untilizaq una fianza en cualquier cargo criminal podria, en algumos caso, e incluso, podria ser deportada en cualquier momento.

Una persona indocumentada que utiliza fianza y su afianzador, pueden ser hechos responsables de cubrir la fianza cuando la persona indocumentada no se presente ante la corte debido a que haya sido deportada.

Finalmente, se debe aclarar que cualquier persona que ayuda o incentive a que una persona indocumetada ingrese de manera illegal a los Estado Unidos, puede ser perseguida criminalmente. De la minma manera, tambien se puede pesguir criminalmente a cualquier persona que incentive o ayuda a que una persona indocumentada, con conocimiento o de nabera intencional, no se presente a corte de acerdo a prometido en su fianza.

Authorization To Release Information

I hereby authorize any of Bring 'Em Home Bail Bonds, agents or employees, bearing this release, or copy thereof, within eight years of it's date, to obtain any information in the files of the Department of Human Services, the Social Security Administration, SSI, Postal Service Records, Telephone records, Telephone Records from local and long distance carriers, employment records including, but not limited to academic achievement, attendance, athletic, personal history, medical records, credit history, rental office, pawn shop and other records normally covered by the Freedom of Information Act. I hereby direct you to release information upon request of the barrier of this sheet. This release is executed with full knowledge and understanding if for the official use of Bring 'Em Home Bail Bonds. Consent is granted for _________________. To furnish such information as is directed to third parties to the course of fulling it's official responsibilities.

I hereby release you, as custodian of such records, and any local school, college, university, medical and other repository medical records, credit bureau, lending agencies, consumer reporting agencies, retail establishments, including it's officers, employees, orrelated personnel, both individually and collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information or any attempt to comply with it.

I waive any and all rights to privacy granted by but not limited to, the 1989 Right To Privacy Act, the Fair Credit Reporting Act, or any and all legislation be it federal, state or local.
Print Full Name(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
PLEASE ADD THE TOTAL BOND AMOUNT, NOT THE AMOUNT YOU'RE PAYING TODAY.
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      (817) 615-9969