A bail bond form is an important document that must be filled out by the person who has been arrested. The form includes information about the individual's identity, their arrest date and time, any property they have on them at the time of arrest, and other details pertinent to release from jail. The bail bond company provides this form to insure against a party not returning for their court date. This is also known as collateral surety or collateral security in some areas of law. Bail bonds are not regulated in all states; however, in most cases it is customary for someone else to pay your bail money instead of you doing so yourself.
You'll discover info about the type of form you would like to complete in the table. It will tell you how long it will take to finish bail bond form, exactly what fields you will need to fill in and a few other specific facts.
Question | Answer |
---|---|
Form Name | Bail Bond Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | chargeable, ACIC-CACD-6, company aciccacd 6, hereinabove |
LIST OF FORMS AND DOCUMENTS REQUIRED IN
BAIL BONDING QUALIFICATION PACKETS
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SUGGESTED |
ITEM |
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FORM PAGE |
NO. |
PROPERTY QUALIFIED |
NUMBER |
1 |
GENERAL AFFIDAVIT OF QUALIFICATIONS OF BONDSMEN |
1 - 4 |
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2 |
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INSURANCE QUALIFIED
GENERAL AFFIDAVIT OF QUALIFICATION OF BONDSMEN
SUGGESTED FORM PAGE NUMBER
5 - 7
AFFIDAVIT OF GENERAL BAIL BOND AGENT
3
POWER OF ATTORNEY AND AUTHORIZATION TO EXECUTE…
4
BAIL BOND AGENT AFFIDAVIT OF QUALIFICATION
5
CURRENT LICENSE OF GENERAL BAIL BOND AGENT
6
CURRENT LICENSE OF EACH
8
9 - 10
11 - 12
CURRENT TITLE OPINION ON EACH REALTY PARCEL
7USED TO QUALIFY FROM AN ATTORNEY OR TITLE COMPANY
CURRENT STATEMENT FROM COUNTY APPRAISER
8SHOWING APPRAISED OR FAIR MARKET VALUE AND SHOWING ASSESSED VALUE OF EACH REALTY PARCEL USED TO QUALIFY
PROOF OF TITLE AND AMOUNT OF ANY CASH OR STOCK
9ACCOUNTS USED TO QUALIFY DATED WITHIN 30 DAYS OF SUBMISSION
POWER OF ATTORNEY FROM SPOUSE TO ANY JOINT ASSETS USED; IF REALTY, THE POWER MUST BE
RECORDED ON THE PROPERTY RECORDS OF EACH
10COUNTY WHEREIN THE REALTY LIES; IF CASH OR EQUIVALENT ACCOUNTS, ACKNOWLEDGEMENT OF THE POWER OF ATTORNEY FROM EACH BANK, CREDIT UNION, OR FINANCIAL INSTITUTION.
13 - 14
QUALIFYING POWER OF ATTORNEY TO GENERAL BAIL BOND AGENT FROM SURETY INSURANCE COMPANY
QUALIFYING POWER OF ATTORNEY TO EACH ATTORNEY-
MISSOURI CERTIFICATE OF AUTHORITY ISSUED TO INSURER FOR THE WRITING OF SURETY INSURANCE IN THE STATE
CURRENT AUDITED FINANCIAL STATEMENT FROM SURETY INSURER
LIST OF ALL MISSOURI AND FEDERAL BAIL BONDS WRITTEN AND OUTSTANDING WITH THE DETAIL CONTAINED ON THE SUGGESTED
11FORM. IF THIS LISTING IS MORE THAN ONE PAGE, EACH PAGE MUST HAVE A SUBTOTAL. A TOTAL MUST APPEAR AT THE END OF THE REPORT.
15
GENERAL AFFIDAVIT OF QUALIFICATION OF GENERAL BAIL BONDSMEN
(Property Qualified)
STATE OF MISSOURI |
) |
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) ss. |
COUNTY OF |
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) |
IN THE 16th JUDICIAL CIRCUIT COURT
WITHIN AND FOR THE SAID COUNTY OF JACKSON
I, _____________________________________, being desirous from time to time of
signing various bail bonds in this court during the month next following the filing of this affidavit and questionnaire, do hereby upon my oath state that I have read over and have carefully answered each of the questions in the following questionnaire, and that the answers to the same are true, and that I have made the same for the purpose of establishing my qualification to sign such bonds; and that I have, in addition to signing and swearing of this affidavit, affixed my signature at the end of the questionnaire for the purpose of identification and to guarantee the genuineness and truthfulness thereof.
Initial one only:
_____ Individual
_____ Corporate Officer
_____ LLC Owner or Manager
_____ Partner
By: ____________________________________
Subscribed and sworn to before me this |
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day of |
,20 . |
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Notary Public |
(SEAL) |
My Commission Expires: |
2
PROPERTY QUALIFIED QUESTIONNAIRE
16th JUDICIAL CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
1.State your name: _________________________________
2.Age: ________
3.Company/Corporation you work for:
Self
Name of Corporation/LLC: ______________________________
Partnership Name: ____________________________________
4.Marital status:
Married
Divorced
Single
5.If married or separated, state name of your spouse: ________________________
6.Present residential address: ___________________________________________
7.Length of time you have lived at your current residential address: ________
8.Address immediately prior to moving to your present address: ________________
_____________________________________________________________________________
9.Have you ever been convicted of a criminal offense in the Courts of this or any other State or territory of the United States or of any foreign country (conviction of violations of municipal ordinances not included)? Yes __ or No __
10.Are you an attorney at law, duly admitted to the practice of law by the Supreme Court of Missouri? Yes __ or No __
11.If you have ever been so licensed, has your license ever been suspended or have you been disbarred from the practice of law? Yes __ or No __
12.Are you a party upon any bail bond in any Court of this or any State or any territory of the United States, which after being forfeited, remain unpaid or unsatisfied? Yes __ or No __
13.Have you written any bail bond as the agent of any surety in any Court of this state or any other State or territory of the United States, which after being forfeited, remains unpaid or unsatisfied? Yes __ or No __
3
14.Have you acted as a director, officer, or shareholder of any company or corporate surety which posed a bail bond in any Court of this State or any other State or territory o the United States, where the bond, after being forfeited, remains unpaid or unsatisfied?
Yes __ or No __
15.List here an inventory of all real estate of which you are the sole legal and equitable owner:
**NOTE: Do not list any property in which you or your spouse own as tenants by the entirety or joint tenants, and do not list any property in which you own only a life estate or remainder.**
Tract One:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________
E.Assessed valuation at the last assessment: $___________________________
F.Any encumbrances with amounts and names of persons holding the same (mortgages, mechanics’ liens, tax liens, and other liens): __________________
_______________________________________________________________
Tract Two:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________
E.Assessed valuation at the last assessment: $___________________________
F.Any encumbrances with amounts and names of persons holding the same (mortgages, mechanics’ liens, tax liens, and other liens): __________________
_______________________________________________________________
Tract Three:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________
4
E.Assessed valuation at the last assessment: $___________________________
F.Any encumbrances with amounts and names of persons holding the same (mortgages, mechanics’ liens, tax liens, and other liens):__________________
_______________________________________________________________
Tract Four:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________
E.Assessed valuation at the last assessment: $___________________________
F.Any encumbrances with amounts and names of persons holding the same (mortgages, mechanics’ liens, tax liens, and other liens): __________________
_______________________________________________________________
*(If there is insufficient space for all of your real estate held, give the same information as to additional tracts on an attached separate sheet of paper.)
16.If any of the above real estate is subject to a lease for longer than two years, state the name of the lessee, term of the lease, and the rental amount: ___________________
_______________________________________________________________________
17.Provide an inventory of cash assets or those assets equivalent to cash: ________
_______________________________________________________________________
18.If any of the above listed personal property is subject to any encumbrances or liens, state the nature and amount of the same and by whom held: __________________
_______________________________________________________________________
19.Has any federal tax lien been filed against you? Yes __ or No __
20.Provide the approximate amount of your outstanding debts, other than those listed above: $_____________________________
21.List all bail bonds upon which you are surety and which are now outstanding, specifying separately the amount of each bond, the name of the defendant, the offense with which he is charged, the court in which the prosecution against him is pending, and the name of the
5
22.State whether or not you or anyone on your behalf has received or has been promised any consideration or security for the suretyship herein, and, if so, the nature and amount thereof and the name of the person or persons by whom such promise was made or from whom such security or consideration was received: ___________________
_______________________________________________________________________
I affix my signature at the end of this questionnaire for the purpose of identification and to guarantee the genuineness and truthfulness thereof.
Initial one only:
_____ Individual
_____ Corporate Officer
_____ LLC Owner or Manager
_____ Partner
By: ____________________________________
6
GENERAL AFFIDAVIT OF QUALIFICATION OF GENERAL BAIL BONDSMEN
(Insurance Qualified)
STATE OF MISSOURI |
) |
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|
) ss. |
COUNTY OF |
|
) |
IN THE 16th JUDICIAL CIRCUIT COURT
WITHIN AND FOR THE SAID COUNTY OF JACKSON
I, _____________________________________, being desirous from time to time of
signing various bail bonds in this court during the month next following the filing of this affidavit and questionnaire, do hereby upon my oath state that I have read over and have carefully answered each of the questions in the following questionnaire, and that the answers to the same are true, and that I have made the same for the purpose of establishing my qualification to sign such bonds; and that I have, in addition to signing and swearing of this affidavit, affixed my signature at the end of the questionnaire for the purpose of identification and to guarantee the genuineness and truthfulness thereof.
Initial one only:
_____ Individual
_____ Corporate Officer
_____ LLC Owner or Manager
_____ Partner
By: ____________________________________
Subscribed and sworn to before me this |
|
day of |
,20 . |
|||
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|
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|
|
Notary Public |
(SEAL) |
My Commission Expires: |
7
INSURANCE QUALIFIED QUESTIONNAIRE
16th JUDICIAL CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
1.State your name: _________________________________
2.Age: ________
3.Company/Corporation you work for:
Self
Name of Corporation/LLC: ______________________________
Partnership Name: ____________________________________
4.Marital status:
Married
Divorced
Single
5.If married or separated, state name of your spouse: ________________________
6.Present residential address: ___________________________________________
7.Length of time you have lived at your current residential address: ________
8.Address immediately prior to moving to your present address: ________________
_____________________________________________________________________________
9.Have you ever been convicted of a criminal offense in the Courts of this or any other State or territory of the United States or of any foreign country (conviction of violations of municipal ordinances not included)? Yes __ or No __
10.Are you an attorney at law, duly admitted to the practice of law by the Supreme Court of Missouri? Yes __ or No __
11.If you have ever been so licensed, has your license ever been suspended or have you been disbarred from the practice of law? Yes __ or No __
12.Are you a party upon any bail bond in any Court of this or any State or any territory of the United States, which after being forfeited, remain unpaid or unsatisfied? Yes __ or No __
13.Have you written any bail bond as the agent of any surety in any Court of this state or any other State or territory of the United States, which after being forfeited, remains unpaid or unsatisfied? Yes __ or No __
8
14.Have you acted as a director, officer, or shareholder of any company or corporate surety which posed a bail bond in any Court of this State or any other State or territory o the United States, where the bond, after being forfeited, remains unpaid or unsatisfied?
Yes __ or No __
15.Has any federal tax lien been filed against you? Yes __ or No __
16.Provide the approximate amount of your outstanding debts: $________________
17.List all bail bonds upon which you are surety and which are now outstanding, specifying separately the amount of each bond, the name of the defendant, the offense with which he is charged, the court in which the prosecution against him is pending, and the name of the
18.State whether or not you or anyone on your behalf has received or has been promised any consideration or security for the suretyship herein, and, if so, the nature and amount thereof and the name of the person or persons by whom such promise was made or from whom such security or consideration was received: __________________
______________________________________________________________________
**Attach a true copy of the State of Missouri’s authorization to the corporation, association or company named above to issue surety insurance and a true copy of the qualifying power of attorney issued to the general bail bondsman and to each of the
I affix my signature at the end of this questionnaire for the purpose of identification and to guarantee the genuineness and truthfulness thereof.
Initial one only:
_____ Individual
_____ Corporate Officer
_____ LLC Owner or Manager
_____ Partner
By: ____________________________________
9
AFFIDAVIT OF GENERAL BAIL BOND AGENT
STATE OF MISSOURI |
) |
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) ss. |
COUNTY OF |
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) |
The individual who signs below is either the General Bail Bond Agent, or a specified officer of a corporate General Bail Bond Agent with full authority to act for the corporation, or a partner in a partnership which has been granted a General Bail Bond Agent’s license, or the owner or manager of a limited liability company. Except as listed below, there are no outstanding bail bond forfeitures or unsatisfied judgments thereon entered in any court in this State or of the United States where the undersigned or any of the undersigned’s agents or employees:
posted the bond as surety;
wrote the bond as agent of this or any other surety; or
where the surety was a company or corporation, acted as director, officer or stockholder of that surety.
_____________________________________
[Print Name of General Bail Bond Agent]
Initial one only:
_____ Individual
_____ Corporate Officer
_____ LLC Owner or Manager
_____ Partner
By: ____________________________________
Subscribed and sworn to before me this |
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day of |
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,20 . |
||
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(SEAL) |
Notary Public |
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My Commission Expires: |
10