BAIL BOND ONLINE

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Bail Agreement Application

All fields are mandatory. If a section does not apply to you, write NONE

"*" indicates required fields

1Defendant Information

2Indemnitor Application

3Banking and Credit Information

4Indemnitor Employment Information

5Payment

Bail Bond Application

Defendant Information

Defendant's Name*

First Last

Court Ordered Total Amount of Bond Needed to Release Defendant*

(The TOTAL amount of bond needed to be posted)

Date of Birth*

MM slash DD slash YYYY

Is More Than One Bond Needed?*

How Many Bonds? (click to choose from dropdown)*

Charges*

Court and City*

Where Held?*

US Citizen*

Yes

Race*

Case #*

Residence Alien #*

Sex*

Weight*

Height*

Hair*

Eyes*

Address*

Street Address City State ZIP Code

Cellular Phone #*

ID Marks/Tattoo*

Yes

Where*

What*

Defendant Vehicle

Make*

Model*

Year*

Color*

License*

State*

Indemnitor Information

(Person Purchasing Bond)

Indemnitor Name*

First Last

Civil Status*

Unmarried

Married

Separated

Relationship to Defendant*

Date of Birth*

MM slash DD slash YYYY

SSN #*

Driver's License # or Identification #*

Facebook/Twitter*

Cellular Phone*

Email Address*

Current Address*

Same address as defendant

Street Address City State ZIP Code

Check One*

Own

Rent

Living with Family

Monthly Payment or Rent*

How long?*

Sex*

Height*

Weight*

Hair*

Eyes*

Indemnitor Vehicle

Vehicle Make*

Model*

Year*

Color*

Indemnitor Reference List

Reference Name #1*

First Last

Relationship*

Cell #*

Reference Name #2*

First Last

Relationship*

Cell #*

Indemnitor Bank Information

How would you rate your credit?*

Excellent

Good

Fair

Poor

Bank Name*

City*

Checking/Savings Balance*

Indemnitor Employment Information

Employment Type*

W2 Employee

1099/Self Employed

Fixed income

Retired/Unemployed

Other

Current Employer*

Employer Phone #*

Employer Address*

Street Address City State ZIP Code

Supervisor Name*

First Last

Supervisor Phone #*

How long?*

Position*

Check One*

Hourly

Salary

Annual Income*

Income (Monthly)*

Source of income*

File*

Drop files here or

Max. file size: 64 MB.

Please upload your driver license or identification card, paycheck sub, and a utility bill. If you do not have a scanner please take a photo with your phone, then text to (901) 523-2245. If you do not have all of this information, we will use other means to verify identity.

Fee Information

Tennessee Revised Status requires all Bail Bond Agencies charge 10% of the bond plus a $25.00 bond fee plus $12.00 state tax. Please understand that this is the law, Bail Bond Agencies may not charge more or less than 10% of the bond. The State of Tennessee require a $25.00 Bond Fee and $12.00 State Tax is charged on every bond posted at any jail or court.

Premium*

1 Bond Fee + State Tax*

2 Bonds Fee + State Tax*

3 Bonds Fee + State Tax*

4 Bonds Fee + State Tax*

5 Bonds Fee + State Tax*

6 Bonds Fee + State Tax*

7 Bonds Fee + State Tax*

8 Bonds Fee + State Tax*

9 Bonds Fee + State Tax*

10 Bonds Fee + State Tax*

Total*

Payment Information

Pay in full?*

Yes

Payment Amount*

Pay your down payment after signing the documents on the next step.

Please contact our office at your earliest convenience to make payment arrangements.
The bond will not be posted until payment arrangements are made.

"*" indicates required fields

1Defendant Information

2Indemnitor Application

3Banking and Credit Information

4Indemnitor Employment Information

5Payment

Bail Bond Application

Defendant Information

Defendant's Name*

First Last

Court Ordered Total Amount of Bond Needed to Release Defendant*

(The TOTAL amount of bond needed to be posted)

Date of Birth*

MM slash DD slash YYYY

Is More Than One Bond Needed?*

How Many Bonds? (click to choose from dropdown)*

Charges*

Court and City*

Where Held?*

US Citizen*

Yes

Race*

Case #*

Residence Alien #*

Sex*

Weight*

Height*

Hair*

Eyes*

Address*

Street Address City State ZIP Code

Cellular Phone #*

ID Marks/Tattoo*

Yes

Where*

What*

Defendant Vehicle

Make*

Model*

Year*

Color*

License*

State*

Indemnitor Information

(Person Purchasing Bond)

Indemnitor Name*

First Last

Civil Status*

Unmarried

Married

Separated

Relationship to Defendant*

Date of Birth*

MM slash DD slash YYYY

SSN #*

Driver's License # or Identification #*

Facebook/Twitter*

Cellular Phone*

Email Address*

Current Address*

Same address as defendant

Street Address City State ZIP Code

Check One*

Own

Rent

Living with Family

Monthly Payment or Rent*

How long?*

Sex*

Height*

Weight*

Hair*

Eyes*

Indemnitor Vehicle

Vehicle Make*

Model*

Year*

Color*

Indemnitor Reference List

Reference Name #1*

First Last

Relationship*

Cell #*

Reference Name #2*

First Last

Relationship*

Cell #*

Indemnitor Bank Information

How would you rate your credit?*

Excellent

Good

Fair

Poor

Bank Name*

City*

Checking/Savings Balance*

Indemnitor Employment Information

Employment Type*

W2 Employee

1099/Self Employed

Fixed income

Retired/Unemployed

Other

Current Employer*

Employer Phone #*

Employer Address*

Street Address City State ZIP Code

Supervisor Name*

First Last

Supervisor Phone #*

How long?*

Position*

Check One*

Hourly

Salary

Annual Income*

Income (Monthly)*

Source of income*

File*

Drop files here or

Max. file size: 64 MB.

Fee Information

Premium*

1 Bond Fee + State Tax*

2 Bonds Fee + State Tax*

3 Bonds Fee + State Tax*

4 Bonds Fee + State Tax*

5 Bonds Fee + State Tax*

6 Bonds Fee + State Tax*

7 Bonds Fee + State Tax*

8 Bonds Fee + State Tax*

9 Bonds Fee + State Tax*

10 Bonds Fee + State Tax*

Total*

Payment Information

Pay in full?*

Yes

Payment Amount*

Pay your down payment after signing the documents on the next step.

Please contact our office at your earliest convenience to make payment arrangements.
The bond will not be posted until payment arrangements are made.

Office Location

You can visit our main office at 238 Poplar Ave. Memphis, TN 38103 and talk to us in person or call us at (901) 523-2245 and we can help you over the phone.