Client Application 2021 *Note: If a box doesn't pertain to you please fill with n/a.Are you on Probation now?* Previously?* Are you on parole now?* Previously?* Where?* Your name* First Last Facebook/IG Name* Date of birth* MM slash DD slash YYYY Your address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Property Type* Rent Own Family How long (months)?* Landlord or Mortgage Co.* Cell#*Other#*Email* DL#*Max. file size: 32 MB.State* SS* State of birth* Height* Weight* Sex* Race* Eye color* Hair color* Your employer* First Last Address of employer* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Employer's phone#*Position* Supervisor* Income* Length of employment (years/months)* Auto* Color* Lic. plate* Where financed?* Antenna* Yes No Onstar* Yes No Spouse - Girl/Boy friend* Spouse Cell#*Ex Spouse* Ex Spouse Cell#*Kids*School* Child support?* Employer* Address* Phone#*Supervisor* Income* Length of employment* Personal References (All 5 required)Relationship* Name* Address* Phone#*Relationship* Name* Address* Phone#*Relationship* Name* Address* Phone#*Relationship* Name* Address* Phone#*Relationship* Name* Address* Phone#*DisclaimerIn finding that any information including, but not limited to, phone number, references, or address on this application is false, a WARRANT WILL BE ISSUED for your arrest!HiddenDisclaimerDisclaimer: In finding that any information including, but not limited to, phone number, references, or address on this application is false, a WARRANT WILL BE ISSUED for your arrest!Date* MM slash DD slash YYYY BAIL BOND CONTRACT AND AGREEMENTYour bond is valid for one year from the date the bond was posted.HiddenBAIL BOND CONTRACT AND AGREEMENTBAIL BOND CONTRACT AND AGREEMENT: Your bond is valid for one year from the date the bond was posted.Start date* MM slash DD slash YYYY Expiration date* MM slash DD slash YYYY AgreementI, Defendant/Principle, hereby agree to the following terms and conditions in consideration for Alexis Bail Bonds and its agents acting as Surety on my bond:HiddenAgreementAgreement: I, Defendant/Principle, hereby agree to the following terms and conditions in consideration for Alexis Bail Bonds and its agents acting as Surety on my bond: To APPEAR IN COURT on all dates indicated by Alexis Bail Bonds, my attorney, the court, or clerk of the court for any and all courts where I have a case or cases pending. I understand that I am “on bond” until all of my cases are disposed of, meaning that I have received a dismissal or a judgment which has been signed by a judge, filed with the clerk, and a copy given to my bail bond company. To CHECK IN with my bail bond company ONCE A WEEK (TUESDAY ONLY) UNTIL ALL CASES HAVE BEEN RESOLVED. THERE ARE SEVERAL METHODS AVAILABLE FOR YOU TO CHECK IN: BAILBOOKS DEFENDANT APP TEXT ONLY TO 936-788-8221 E-MAIL: alexis@alexisbailbonds.com To REPORT ANY CHANGES in address, telephone number, employment, or attorney to Alexis Bail Bonds. To PAY as agreed in the attached “Payment Agreement.” I understand the payment I have made thus far is A FEE and is non-refundable. Late fees will be applied at $25 per week for late payment. To NOTIFY Alexis Bail Bonds within 24 HOURS if ARRESTED. I authorize Alexis Bail Bonds to post my bond in the event of a subsequent arrest prior to the notification above. I understand if I violate any conditions of bond or get arrested on a new case, the surety will surrender my bonds for that reason alone. I understand that failure to comply with any of these requirements may result in Alexis Bail Bonds filing an Affidavit of Surety to Surrender, which will result in a warrant being issued for my arrest. I understand that if this occurs, no fees, premiums, cash deposits or collateral are refundable. I understand that if I fail to comply with any portion of this agreement, any and all legal remedies available by law will be pursued against both me and the person who signed as my Indemnitor/CoSigner. I understand that BAIL JUMPING is an offense punishable by law. Service Agreement I further agree that in the event I fail to appear in any court that this Surety Company has bonds outstanding in, the cosigner will pay the Surety, in certified funds, the face value of all bonds forfeited plus the cost of court for each bond within 10 days of the failure to appear date. In addition, the Cosigner, shall be responsible for a retainer. I understand that this bond is for a TWELVE MONTH (ONE YEAR) period. If my case continues BEYOND ONE YEAR from the date of the bond, Alexis Bail Bonds has the option of charging a RENEWAL FEE. Failure to pay the renewal fee will result in the Surety/Agent filing an Affidavit of Surety to Surrender. I UNDERSTAND THAT IF I FAIL TO CHECK IN EACH WEEK A $20.00 FEE WILL BE CHARGED TO MY ACCOUNT. IF ANY LEGAL PROCESS IS INITIATED DUE TO FAILURE TO CHECK IN, A MINIMUM FEE OF $75 WILL BE CHARGED, IN ADDITION TO THE $20.00 LATE FEE. IF YOU MISS COURT THERE WILL BE A $250 REINSTATEMENT FEE FOR SURETY TO REMAIN ON EACH BOND.HiddenBustin Out Bail Bonds by Alexis1) To APPEAR IN COURT on all dates indicated by Bustin Out Bail Bonds by Alexis/Alexis Bail Bonds, my attorney, the court, or clerk of the court for any and all courts where I have a case or cases pending. I understand that I am “on bond” until all of my cases are disposed of, meaning that I have received a dismissal or a judgment which has been signed by a judge, filed with the clerk, and a copy given to my bail bond company. 2) To CHECK IN with my bail bond company ONCE A WEEK (TUESDAY ONLY) UNTIL ALL CASES HAVE BEEN RESOLVED. THERE ARE SEVERAL METHODS AVAILABLE FOR YOU TO CHECK IN: BAILBOOKS DEFENDANT APP TEXT ONLY TO 936-788-8221 E-MAIL: alexis @alexisbailbonds.com 3) To REPORT ANY CHANGES in address, telephone number, employment, or attorney to Bustin Out Bail Bonds by Alexis/Alexis Bail Bonds. 4) To PAY as agreed in the attached “Payment Agreement.” I understand the payment I have made thus far is A FEE and is non-refundable. Late fees will be applied at $25 per week for late payment. 5) To NOTIFY Bustin Out Bail Bonds by Alexis/Alexis Bail Bonds within 24 HOURS if ARRESTED. I authorize Bustin Out Bail Bonds by Alexis/Alexis Bail Bonds to post my bond in the event of a subsequent arrest prior to the notification above. I understand if I violate any conditions of bond or get arrested on a new case, the surety will surrender my bonds for that reason alone. I understand that failure to comply with any of these requirements may result in Bustin Out Bail Bonds by Alexis/Alexis Bail Bonds filing an Affidavit of Surety to Surrender, which will result in a warrant being issued for my arrest. I understand that if this occurs, no fees, premiums, cash deposits or collateral are refundable. I understand that if I fail to comply with any portion of this agreement, any and all legal remedies available by law will be pursued against both me and the person who signed as my Indemnitor/CoSigner. I understand that BAIL JUMPING is an offense punishable by law. Service Agreement I further agree that in the event I fail to appear in any court that this Surety Company has bonds outstanding in, the cosigner will pay the Surety, in certified funds, the face value of all bonds forfeited plus the cost of court for each bond within 10 days of the failure to appear date. In addition, the Cosigner, shall be responsible for a retainer. I understand that this bond is for a TWELVE MONTH (ONE YEAR) period. If my case continues BEYOND ONE YEAR from the date of the bond, Bustin Out Bail Bonds by Alexis/ Alexis Bail Bonds has the option of charging a RENEWAL FEE. Failure to pay the renewal fee will result in the Surety/Agent filing an Affidavit of Surety to Surrender. I UNDERSTAND THAT IF I FAIL TO CHECK IN EACH WEEK A $20.00 FEE WILL BE CHARGED TO MY ACCOUNT. IF ANY LEGAL PROCESS IS INITIATED DUE TO FAILURE TO CHECK IN, A MINIMUM FEE OF $75 WILL BE CHARGED, IN ADDITION TO THE $20.00 LATE FEE. IF YOU MISS COURT THERE WILL BE A $250 REINSTATEMENT FEE FOR SURETY TO REMAIN ON EACH BOND.Date* MM slash DD slash YYYY Client Check-in InstructionsMust Check-In EVERY TUESDAY Use the APP: Defendant Check In- Give email to office to get set up Text ONLY no calls or voicemails accepted 936-788-8221 ANYTIME on Tuesday Email alexis@alexisbailbonds.com Contact Us on alexisbailbonds.com Leave the following information: Name Next Court Date Attorney Any address/Phone Changes A $20.00 no check-in fee will be applied to your account for not checking in each week automatically. This fee is due the upcoming Sunday after each Tuesday you miss. If you fail to check in for more than two weeks... A WARRANT FOR YOU ARREST WILL BE REQUESTED. MISDEMEANOR COURT DATE You received a court date on your bond when you were released from Montgomery County Jail. If you hire an attorney, we need to know! OUT OF COUNTY BONDS: Our office strives to help you obtain the out of county court date; however, it is your responsibility to get the information from the county where the charge is pending. You must contact our office and the court within 10 days of release for this court date. If you receive notification of a court date please update our office! BOND CONDITIONS These conditions are set by the JUDGE not the bonding company. If you are required to go to the Adult Supervision Office after your release from jail, you MUST GO. If not, the bond officer will request a warrant for your arrest. IF YOU MISS COURT OR GO TO JAIL ANYWHERE CALL US IMMEDIATELY OR A WARRANT FOR YOUR ARREST WILL BE ISSUED WITHIN 48 HOURSHiddenMust Check-In EVERY TUESDAYMust Check-In EVERY TUESDAY 1) Use the APP: Defendant Check In- Give email to office to get set up 2) Text ONLY no calls or voicemails accepted <strong>936-788-8221 ANYTIME on Tuesday 3) Email alexis@alexisbailbonds.com 4) Contact Us on alexisbailbonds.com Leave the following information: 1) Name 2) Next Court Date 3) Attorney 4) Any address/Phone Changes A $20.00 no check-in fee will be applied to your account for not checking in each week automatically. This fee is due the upcoming Sunday after each Tuesday you miss. If you fail to check in for more than two weeks... A WARRANT FOR YOU ARREST WILL BE REQUESTED. MISDEMEANOR COURT DATE: You received a court date on your bond when you were released from Montgomery County Jail. If you hire an attorney, we need to know! OUT OF COUNTY BONDS: Our office strives to help you obtain the out of county court date; however, it is your responsibility to get the information from the county where the charge is pending. You must contact our office and the court within 10 days of release for this court date. If you receive notification of a court date please update our office! BOND CONDITIONS: These conditions are set by the JUDGE not the bonding company. If you are required to go to the Adult Supervision Office after your release from jail, you MUST GO. If not, the bond officer will request a warrant for your arrest. IF YOU MISS COURT OR GO TO JAIL ANYWHERE CALL US IMMEDIATELY OR A WARRANT FOR YOUR ARREST WILL BE ISSUED WITHIN 48 HOURSConsent* I agree to the company policy.I understand that I have signed legally binding documents. It is my responsibility to let ALEXIS BAIL BONDS know immediately if I change my address, phone number, or place of employment. It is my responsibility to ensure that the defendant is in court every time s/he is scheduled to be there. It is my responsibility to contact ALEXIS BAIL BONDS immediately if defendant is put back in any jail for any reason. If the defendant misses ANY court appearance for ANY reason, ALEXIS BAIL BONDS can demand immediate payment FROM ME for the full bond amount, plus court costs, plus attorneys' fees, plus any costs to return the defendant to jail. ALEXIS BAIL BONDS can sue me to collect this if I do not pay it immediately. ALEXIS BAIL BONDS will add additional fees to the amount I owe to pay for filing fees to sue me.HiddenTerms and ConditionsI understand that I have signed legally binding documents. It is my responsibility to let BUSTIN' OUT BAIL BONDS know immediately if I change my address, phone number, or place of employment. It is my responsibility to ensure that the defendant is in court every time s/he is scheduled to be there. It is my responsibility to contact BUSTIN' OUT BAIL BONDS immediately if defendant is put back in any jail for any reason. If the defendant misses ANY court appearance for ANY reason, BUSTIN' OUT BAIL BONDS can demand immediate payment FROM ME for the full bond amount, plus court costs, plus attorneys' fees, plus any costs to return the defendant to jail. BUSTIN' OUT BAIL BONDS can sue me to collect this if I do not pay it immediately. BUSTIN' OUT BAIL BONDS will add additional fees to the amount I owe to pay for filing fees to sue me.Client's signature*(DEFENDANT/PRINCIPLE)