Defendant Contract - Jam Bonding


Jam Bonding

Defendant Contract

 

Directions:  Fill out form completely. If line item in unknown you may need to type "Unknow" if the question is required.

Choose One

Probation/Parole Officer: Attorney:  

Defendants Name:  

Date:

Case#:  

Bond: Fee:  

Other Charges Pending:  

Felony/Misd:  

 

Legal Name: Nickname:  

Social Security Number: Date of Birth:

Email: Facebook:  

Address:  Length at Residents:  

Home: Cell:  

Previous Address:  

Race: Sex:  

Height:   Weight:   Eyes: Hair:

Tatoos:  

 

Driver License: State Issued:  

Vehicle:  

 

Employer:

Employer Address:

Employer Phone Number:

Length at Job: Position: Supervisor:  

 

List References with Address and Phone numbers (Other then Mother, Father,  or Co-Signer) All references must be at least 18 years old.

Reference #1

Name:  Phone Number:  

Relationship to Defendant: Years Known:   

Address: City State: Zip Code:  

 

Reference #2

Name: Phone Number

Relationship to Defendant: Years Knows:  

Address: City: State: Zip Code:  

 

Reference #3

Name: Phone Number:  

Relationship to Defendant: Years Known:  

Address: City: State: Zip Code:  

 

Reference #4

Name: Phone Number:  

Relationship to Defendant: Years Known:  

Address: City: State: Zip Code:  

 

Reference #5

Name: Phone Number:  

Relationship to Defendant: Years Known:  

Address: City: State: Zip:  

 

Defendant's Parents

Mother's Name: Phone Number:  

Email:  

Address:  

 

Father's Name: Phone Number:  

Email:  

Address:  

 

Defendant's Children

1st Child's Name: Phone Number:  

Age: Who do they live with?:

Address if other then your own:  

 

2nd Child's Name: Phone Number:  

Age: Who do they live with?:  

Address if other then your own:  

 

3rd Child's Name: Phone Number:  

Age: Who do they live with?:

Address if other then your own:  

Failure to Notify Jam Bonding, of any change of address and or phone will automatically revoke my bond. If I am not present in court on any and all court dates, I will pay all expenses accrued by Jam Bonding from said revocation.  I understand that there will be no refund if it becomes necessary for Jam Bonding to revoke bond.  I further understand that any false information will result in my bond being revoked by Jam Bonding, Inc. and that I forfeit any and all money paid.

Extradition Waiver 

 

I have been duly informed of my rights to demand and secure legal counsel to test the legality of my arrest through habeas corpus proceedings and to the issuance and service of a warrant of extradition, and do hereby voluntarily and of my own free will, without any threats, promises, undeu justice, or coercion of any kind of nature, waive my rights to extradition from any state in the United States of America or any foreign country, to the State of Georgia, county of and consent to return to the State of Georgia, County of in the custody of Jam Bonding, or a Georgia law enforcement agency to answer to the charge(s) which have been brought against me.

March 1, 2024

 

Bail Agent Signature:______________________________________________

 

Leave this empty:

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Signed by Jam Bonding
Signed On: July 7, 2023


Signature Certificate
Document name: Defendant Contract - Jam Bonding
lock iconUnique Document ID: 2b490e956ded765028b4750436b01bf139260226
Timestamp Audit
July 2, 2023 6:13 pm CSTDefendant Contract - Jam Bonding Uploaded by Jam Bonding - bondingjam@gmail.com IP 66.115.181.165
July 7, 2023 3:31 pm CSTJam Bonding - bondingjam@gmail.com added by Jam Bonding - bondingjam@gmail.com as a CC'd Recipient Ip: 66.115.181.165