Quick Application

Date:____________________

Defendant and Indemnitor Information & Approval Sheet

Name of Defendant:_________________________________ Jail Number #:____________________

Location:__________________________________________________________________________

Date of Birth:______/____/______ Age:______ Soc. Sec. #:_______-________-________________

Place of Birth:_________________________________ How Long in Miami:____________________

Home Address:_____________________________________________________________________

Does he Sleep There?:___________ If Yes, Where:________________________________________

Does Defendant Work?:__________ If Yes, Where:________________________________________

How long at the same job:__________________ Type of work:_______________________________

Phones:   Home:__________________ Cell:__________________ Work:______________________

Charges: 1:___________________________________ 2:___________________________________

               3:___________________________________ 4:__________________________________

Bond Amount $:_____________________

Idemnitor Information:   Name:_________________________ Relationship:_____________________

Home owner?: ____Yes _____ No  Home Address:________________________________________

Home Phone:__________________________________ Cell:________________________________

Type of Work:________________________________________________ How Long:_____________

Collateral that is available:_____________________________________________________________

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Miami Bail Bonds, Inc.
24 Hour / 7 Days a week
BAIL BOND SERVICE CALL:
Tel: 305-510-8869
Fax: 305-836-0550