Bail 2 GO — Compliance Dashboard

Indemnitor: Ind Add. Ind Home # Relationship to Def.: PN •IA Collateral Explained: Collateral in Amount of Collateral held by Condition(s) of Bond: _Social Security: City: State: Ind Cell # How long known Def.: Mortgagee Deed ($17.00) Cash ACF#: Email: Zip: Vessel Title ($75.00 fee) Check CC MO Bondsman Surety Defendant Name: Power No: Charge: Premium: Case No: Court Date: Agent: City: Booking #. CO Court: County: Time: Agent Lic No: State: Total Premium: Misc Charges: Total Liability: Total Charges: 0 Money Received on Account: Packet Completed by: BAIL BOND APPLICATION - INDEMNITOR ALLEGHENY CASUALTY COMPANY P.O. Box 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 PRODUCER BAIL 2 GO P.O. Box 592643, ORLANDO, FL 32859-2643 TELEPHONE (407) 254-5554 1. Name First Middle Last 2. Residence Address 3. How Long at Current Address Rent Free 4. Is Mortgage/Lease in your name? Yes No 5. Cell Phone # Cell Carrier 6. Employer _ Length City Lease . Own _ When does Lease Expire iPhone or Android _Position Any ownership greater than 20% in any Corporation, LLC, or S-Corp 7. Social Security No. ID# My friends/family know me as _State Landlord/Mortgagor Name Email _ Zip _ How Long with Cell No. Wt Ht Work # Any specialized license to work Race Whit Eye Color. If so, where Hair 8. Have you ever filed Bankruptcy. F 9. Gender. Place of Birth Do you have any judgements or liens against you currently 01-28-2002 Date of Birth US Citizen. Yes Marital Status How Long _Are you on any type of Probation or Parole ? 10. Have many years have you lived in FL? No 11. Vehicle Year Vehicle Color Are you a convicted felon? No No Vehicle Make Tag No. Vehicle Miles Amount Owed 12. Relationship to Defendant How long have you known Defendant Defendants Home Address Defendants Cell Phone Number 13. Emergency Contact Name Address 13. Children Yes No Amount of children Ages Phone No._ 2 year, 11 months Do kids reside with you No 14. Attorney Phone No. Online May we reach out on the defendants behalf 15. How did you hear about us? Personal References First & Last Name Relationship City / State Phone 1._ 2. 3. 4._ 5._ 6. I hereby represent and warrant that the foregoing information is true, complete and correct and is made for the purpose of inducing International Fidelity Insurance Company/Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Warning: Any person who knowingly and with intent injure, defraud or deceive any insurer, files a statement of claim or an application containing and false, incomplete or misleading information is guilty of a felony of the third degree. Indemnitor Sign Print ID# SSN DOB CO allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com THIS IS A DOUBLE SIDED DOCUMENT READ ALL SIDES CAREFULLY BAIL BOND AGREEMENT ("'Agreement") PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Orlando (Orange County) 3800 South John Young Pkwy Orlando, FL 32839 (407) 254-5554 In consideration of Allegheny Casualty Company ("Surety"), through Surety's duly appointed independent bail producer ("Bail Producer"), (Surety and Bail Producer are sometimes together referred to as "Surety"), issuing, or causing to be issued, a criminal appearance bail bond described as: Indemnitor Name(s) Total Premium $ Power Number(s) ("Bond") I/we represent and warrant that I/we have read, approve and agree to all of the terms and conditions found on following pages (front and back). Signed, sealed and delivered this Defendant Signature Print Name Indemnitor Signature Print Name Indemnitor Signature Print Name G Indemnitor Signature Si no puede leer ni entender Inglés, favor de marcar este cuadro. (If you cannot read or understand English, please check this box.) Check box and complete the following if translation is required Translation Certification. The undersigned translator makes this affidavit and hereby certifies, under penalty of perjury, that he/she read verbatim and translated this entire document, including the reverse side, and all related bonc application documents including disclosures, promissory notes, security instruments and trust deeds, to the Indemnitor signing below in his/her primary language. Translator Print Name Translator Signature Translator Full Address Date Confirmo por mi colocación de mis iniciales que las dos caras de este acuerdo han sido traducidos completamente a mi satisfacción. (I confirm by my affixing my initials that this contract has been translated to my satisfaction.) INDEMNITOR Initials READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE Form# ACC.FL.0307 (10/21) Page 1 of 4 You, the undersigned (referred to herein as "Indemnitor," "Defendant," or together as "you" or "your," as applicable), agree to be bound to the following terms and conditions: 1. The premium for the Bond is fully earned upon the release of Defendant from custody. The premium is not refundable except as stated herein or provided by law. The fact that Defendant may have been improperly arrested, the bail reduced, or the criminal case dismissed shall not obligate the Surety to return the premium, or any portion of it. 2. Defendant agrees to appear in any Court as required in connection with the Bond at the dates and times stated in the Bond and/or as may be ordered by the Court. Indemnitor will ensure that Defendant appears in Court as so required or 3. Surety shall have control and jurisdiction over the Detendant during the term for which the Bond is in ettect and shall have the right to apprehend, arrest and surrender the Defendant to the proper officials at any time as provided by law and/or this Agreement. If the Defendant is surrendered before a failure to appear in Court, and for a reason other than as stated in paragraph 4, you may be entitled to a retund of the Bond premium it required by applicable law it any) anc as may be stated in the Supplemental Terms and Conditions. 4. Unless otherwise provided by applicable law (if any), the following events shall constitute a breach of your obligations and the Surety shall have the right to immediately apprehend, arrest and surrender Defendant to custody, and you shall have no right to the refund of premium whatsoever: a Detendant departs the jurisdiction of the Court without the prior written consent of the Court and the Suret • Defendant moves from his/her current address without prior written consent of the Suretv, or Defendant fail o notity Surety of any changes in address; (C) Detendant commits any act that constitutes reasonable evidence of the intention to cause a forfeiture of the Bond or Defendant's failure to appear in Court as required; (d) Defendant is arrested and incarcerated for any other offense (other than a minor traffic violation); (e) Defendant or an Indemnitor makes any materially false statement in any material submitted to Surety for the Bond includina the Bail Bond Application and Indemnitor Application; (f) The bail for Defendant is increased; g ndemnitor reduests the surrender to custodv of the Detendant: and/or (h) here is a materia increase in the risk assumed by the Surety (as determined by the Surety in its sole and absolute discretion), including, by way of example, but not limited to, depreciation or impairment of any collateral pledged as security tor the Bond. 5. In the event that the apprehension and surrender of Defendant to custodv is reauired for anv reason. includina the failure to appear by Defendant at any required Court proceeding or hearing, Defendant understands, agrees, and acknowledges that such apprehension and surrender involves risk of harm to Defendant and others, and as such, Defendant accepts the risk of such harm that may be caused to Defendant and/or others. Defendant also agrees to detend, indemnifv and hold Suretv harmless (includina all agents and emplovees thereof from anv inuries. harm, osses, claims, actions, lawsuits, damages, liability, demands, fees and expenses, including attorneys fees and costs, made by any third party against Surety (including all agents and employees thereof) arising out of such apprehension and surrender of Defendant. Terms And Conditions t harmless from and against any and all claims, lawsuits, damages, losses, liability demands, actions, judgments, fees, fines, penalties and expenses (including attorneys fees and costs), relating to, arising out of, Surety's issuance or procurement of the Bond (together, "Liabilities"), including, but not limited to, the following: a) the principal amount of any forfeiture of, or judgment on, the Bond, plus any related court costs, interest anc egal fees incurred; (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is typically ten to twenty percent [10-20% of the amount of the Bond plus any out of pocket expenses); (c) any and all costs incurred to extradite and/or apprehend and return Defendant to custody; and/or (d) if a collection action is requirec under this Agreement, reasonable and actual attorney's fees plus any and other costs, expenses and/or assessments that may be incurred as a result thereof the forfeiture of the Bond as subject to applicable law (if any). The voucher, check or other evidence ot any payment made by Surety shall be conclusive evidence of such payment ir any action against you as to the propriety of such payment and as to the extent of your liability to Surety for such payment hereunder. further, you will, upon demand, place with Surety the requisite cash funds to meet any Liabilities (including a pendino unpaid judgment or forfeiture demand), whether the demand is made before or after Surety has paid or advanced sucl ) is held for the payment or reimbursement all sums due to Surety for any and all Liabilities sustained, paid or incurred by Surety. You authorize the Surety to hold, apply or sell the Collateral, or any part thereof, in order to pay or reimburse the Surety for any and all the Bond and/or to place the Suretv in cash funds so as to protect the Suretv against the payment of any Liabilities, including any claim, demand, loss, or judgment arising out of the Bond, even if the Surety has not paid any such Liability. Subject to applicable law (it any), discretion, at public or private sales, and without demand, notice or advertisement of the time and place of said sale, and also with the right to purchase said Collateral at such sale or sales, freed and discharged from any equity or redemption, except as otherwise provided by applicable law. 8. The Surety shall not be liable for the depreciation of any Collateral or for any interest thereon. In the event of depreciation of the value of Collateral, or any part thereof, or of any Collateral that may be hereafter pledged to or deposited with the Surety, upon request of the Surety, you shall provide the Surety with additional and satisfactory value of the Collateral shall equal the value of the Collateral at the time of the initial pledge or deposit. Subject to applicable law (if any), if you fail to deposit such additional Collateral, the Surety shall have the full right, power and authority, without further demand or notice, to sell, assign and deliver the whole or any part of such Collateral. includina any substituted or additional Collateral, at public or private sale, at its option, and without demand notice or advertisement, and also with the right to purchase said Collateral at any such sale, freed and discharged from any equity or redemption as provided by applicable law. 9. If a Confession of Judgment ("CO") is taken as security for the Bond, the Surety shall have the right to enter, record and file the COJ at any time, and such COJ shall constitute a lien entitled to a preference against any of your property, Form# ACC.FL.0307 (10/21) Page 2 of 4 whether or not the Surety is entitled to be indemnified at the time of the entry, recording or filing of such COJ. If such COJ is entered, recorded or filed by the Surety against you, the COJ entered shall be effective and available to the Surety against you. 10. You acknowledge and agree that the Surety may foreclose against the Collateral and/or exercise any of the rights or remedies_provided under this Agreement or take any combination of such actions without waiving any other right or remedy. Failure to exercise any rights or remedies of the Surety at any one time shall not constitute a waiver of the right to exercise them at any other time. Any security or Collateral you give may be substituted, subordinated, or released by the Surety without affecting any other rights. The Surety shall not be obligated to enforce its rights against any security, Collateral or indemnitor prior to enforcing its rights against you or any other indemnitor. 11. Subject to applicable law (if any), the Surety will return the Collateral to you when all of the following are satisfied: (a) the Surety receives sufficient and competent written legal evidence satisfactory to the Surety for example, written notice from the Court of the discharge, release or exoneration of the Surety from all liability under the Bond; (b) there are no outstanding Liabilities of any kind arising out of or relating to the Bond or this Agreement; (c) there are no other obligations executed by, for or on behalf of the Defendant for which the Surety may deem it advisable to retain such Collateral for its protection; and (d upon the request by Surety, you shall execute and deliver to Surety a legal release of claims upon the return by Surety of the Collateral to you. f the Surety deems it necessary to make any outlay to protect any Collateral or security in its possession, whether fol 'eal or personal property, you authorize the Surety to do so, and you agree to indemnity and reimburse the Surety for any such outlay as in the judgment of the Surety may be necessary to protect the Collateral, including payment of taxes, liens or mortgages and any attorney's fees, costs and service fees for time spent and/or special services rendered. 12. The Surety shall have the right to transter and/or assign, in whole or in part, its rights and obligations in this Agreement, and/or in the Bond, to the Bail Producer or any other person or entity ("Assignee") without notice to ol consent from you. Subject to any limitations imposed upon Assignee by the Surety, enforce in any suit, foreclosure, action, proceeding or otherwise any of the right of the Surety herein or arising out of any of the transactions contemplated hereby, and you shall not, and expressly waive any right to, assert the claim or defense that Assignee does not have the right to enforce such rights in any such action, proceeding or otherwise. 13. You hereby acknowledge and agree that neither the Surety nor Bail Producer has recommended or suggested any specific attorney or firm of attorneys to represent the Defendant in any capacity. 14. This Agreement may not be terminated or modified orally. Any modification and termination of this Agreement, including any release of liability hereunder, must be in writing and signed by the Surety and you. federal law including, but not limited to, Privacy Act-Freedom of Information Act and Title Fair Credit Reporting Act) and any local or state law relating to Surety obtaining, and you consent to and authorize Surety to obtain, any and all private or public information and/or records concerning you from any. party or agency, private or governmental (local, state or federal), including, but not limited to, credit reports, Social Security Records, criminal records, civil records, driving records, tax records telephone records, medical records, school records, worker compensation records, and employment records. You further authorize, without reservation, any party or agency, private or governmental (local, state or federal) contacted by Surety to furnish to Surety or Bail Producer, in accordance with applicable law, any and all private and public information and records in their possession concerning you to the Surety and direct that a copy of this document shall serve as evidence of said authorization. 16. You irrevocably grant to Surety and Bail Producer, and their agents and employees, the right to enter your residence, or any other residence or real property you own or occupy, without notice, at any time, for the purpose of ocating, arresting, and returning the Defendant to custody, and subject to applicable law, you waive and release any and all causes of action in connection therewith, including without limitation, torts of trespass and false imprisonment. 17. Defendant agrees that Suretv mav attach a location tracking device on any vehicle owned or driven by Defendant, at any time, without notice, and monitor the location of the vehicle through any available technology. Defendant further agrees that Surety may use location technologies to locate and track any wireless device of Defendant at any time during the period of the Bond is in force and any applicable Bond remission period, and the Bond is conditioned upon the full compliance by Defendant with the following terms and conditions: (a) Surety, at its discretion, will use network-based location technologies to locate Defendant; (b) This is the only notice Defendant will receive for the collection of location information; (c) Surety will retain location data only while the Bond is in force and during any applicable Bond remission period; (d) Surety may disclose location Surey may tee call information as required by Court Order or process; (e) Surety, including its agents and representatives, will be the only entities or persons with access to vour location information; and (f) YOU WILL NOT HAVE THE OPTION TO OPT-OUT OF LOCATION USE OR TRACKING DURING THE PERIOD THE BOND IS IN FORCE AND ANY APPLICABLE BOND REMISSION PERIOD. Direct all questions regarding this paragraph to the Surety. 18. If Defendant leaves the state in which the Bond was issued, subject to applicable law, Defendant waives any rights to oppose extradition proceedings. 19. In the event any provision herein shall be deemed to exceed any applicable state or federal law, then such provision shall automatically be deemed to have been revised to complv with such law so as to provide Suretv with the maximum rotection from any Liabilities. The invalidity or unenforceability of any provision herein (or portion thereof) shall in n lav effect the validitv or enforceabilitv of anv other provision (or portion thereof of this Aareemen 20. This Agreement and all documents that are executed in connection with this Agreement set forth all the terms of the agreement between the Surety and you. All statements, representations, promises, agreements, and affirmations made contained within this and unless they are specifically Agreement, are of no force or effect whatsoever in determining the rights, obligations and/or liabilities between the Surety and you. You further agree to execute and be bound by any other future documents necessary to carry out and effectuate this Agreement. Form# ACC.FL.0307 (10/21) Page 3 of 4 1. Surety, as bail, I, shall have control and jurisdiction over Defendant during the term for which the Bond is executed and shall have the right to apprehend, arrest and surrender Defendant to the proper officials at any time as provided by law. 2. In the event Detendant's surrender is made prior to the time set tor Detendant's appearances, and tor reasons othe han as enumerated below in paragraph 3, then a refund of the Bond premium shall be made to the person whose name appears as Payer on the Premium Receipt. 3. It is understood and agreed that the happening of any one of the following events shall constitute a breach of Defendant's obligations to Surety, and Surety shall have the right to immediately apprehend, arrest and surrender breach of Defendants obligations here under are: and no person shall have any right to any refund of premium whatsoever. The events which constitute a (b) If Defendant moves from one address to another within the State of Florida without notifyino Surety or Bail Producer in writing prior to moving; (c) It Detendant commits any act which constitutes reasonable evidence of Defendant's intention to cause a forfeiture of the Bond: (d) If Defendant is arrested and incarcerated for any offense other than a minor traffic violation; or (e) If Defendant makes any material false statement in the Division of Consumer 1-877-693-5236 (in-state) and when it is found that Surety had no liability under the Bond because Defendant did not come under the urisdiction of the court to which Defendant is returnable or Defendant is not released from custody, except where the Bond is written to allow Defendant to serve a sentence in another jurisdiction. 6. For good and valuable consideration, you agree to indemnity and hold harmless the Surety or its agent for all losses not otherwise prohibited by law or by rules of the Department of Financial Services. 7. You acknowledge receipt of copies of this Agreement, which includes statements as to () the restrictions placed on Defendant as a condition of the Bond and (b) the Bail Producer's and Surety's powers relating to the cancellation of the Bond and recommitment of Defendant. 8. The specific fees for which you are required to indemnify Surety in accordance with the Agreement are as follows: (a) Costs necessary to apprehend Defendant in the event Defendant attempts to flee the jurisdiction of the transportation and extradition; and (e) A maximum fee of $100 for a surrender allowed by law when there has been no forfeiture of the Bond. 9. Collateral will be returned to the person whose name appears as "Depositor" on the Collateral Receipt within 21 days after proof of final termination of liability on the Bond has been provided to the Surety. a conflict between the terms and conditions of the Agreement and this Supplement, Supplement shall control. Form# ACC.FL.0307 (10/21) Page 4 of 4 allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com BAIL BOND INFORMATION SHEET PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Orlando (Orange County) 3800 South John Young Pkwy Orlando, FL 32839 (407) 254-5554 Defendant Name Power Number(s) Case Number As principal (defendant) and/or indemnitor (guarantor) on a bail bond, you must be given a copy of any collateral documents that you sign relating to the above bond(s). When all agreements have been fulfilled, bond is discharged in writing by the court, and without loss expense on the bond(s), your collateral will be returned to you. BE AWARE: YOUR COLLATERAL IS AT RISK if the principal fails to appear in court or if the principal commits any breach (violation) of agreement. ANY OF THE FOLLOWING HAPPENINGS IS A BREACH OF AGREEMENT: 1. If principal fails to appear in court; 2. If principal shall depart the jurisdiction of the court without the written consent of the court and the Surety, or its agent; 3. If principal shall move from one address to another without notifying the Surety, or its Agent, in writing, prior to said move; 4. If principal shall commit any act which shall constitute reasonable evidence of principal's intention to cause a forfeiture of the bond(s); 5. If principal is arrested and incarcerated for any offence other than a minor traffic violation; 6. If principal shall make any material false statement in the application; 7. If principal shall violate any special restriction or condition of the bond(s) imposed by the Court. For general information regarding your collateral, contact the agency as shown on the top of this sheet. For further inquiry / complaint, contact Department of Financial Services Bail Bond Section 200 East Gaines Street Tallahassee, FL 32399-0320 Phone: (850) 413-5660 **** Read carefully prior to signing **** • PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT I/We have received a copy of this information sheet. perendant Signature i Print Amo Indemnitor Signature Date Print Name Date Signed original to agent's bond file; Copy to defendant and each indemnitor Form# ACC.FL.0028 (10/22) Page 1 of 1 CONTINGENT PROMISSORY NOTE This Contingent Promissory Note ("Note") is being executed by the undersigned ("Maker") to secure Allegheny Casualty Company, as Surety, upon forfeiture or estreature of the surety bond(s) posted on behalf of defendant: ("Defendant). On demands after date, for value received, I/We promise to pay to the order of Allegheny Casualty Company the sum of $ Dollars, at PO Box 5600, Thousand Oaks, CA 91359, with interest thereon at the rate of eighteen percent (18%), per annum from call date until fully paid. The Maker further agrees to waive demand, notice of non-payment and protest, and in case suit shall be brought for the collection hereof, or the same has to be collected upon demand of an attorney, to pay reasonable attorney's fees and assessable costs, for making such collection. It is further agreed and specifically understood between the parties to this Note that there is presently no outstanding loan or debt represented by this Note, and that this Note is given only to secure future advances. It is further agreed and specifically understood that this Note shall become null and void in the event the said Defendant shall appear in the proper court at all the time or times so directed by the Judge or Judges of competent jurisdiction until the obligations under the appearance bond or bonds posted on behalf of the Defendant have been fulfilled and the Surety discharged or exonerated of all liability thereunder, in writing, otherwise to remain in full force and effect. Case number(s) COUNTY, FLORIDA PIA numbers) Signature Signature Maker Name Form# ACC.FL.0036 (10/21) Date Reset Form COLLATERAL RECEIPT allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com Receipt No.: ACFL- PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Orlando (Orange County) 3800 South John Young Pkwy Orlando, FL 32839 (407) 254-5554 copy of this document and agrees to the terms on the revers he collateral identified below is deposited as security fol the bail bond(s), premium owed, if any, and all lawful expenses incurred due to underwriting the referenced bail bond(s). Date Received Depositor Name(s) Depositor Address Power Number(s) Items) Received - describe below, specify condition Promissory Note, Signature Bail Bond Agreement Collateral funds - in form of If applicable, I acknowledge a Credit Card fee of Signature FLORIDA USE ONLY Form# ACC.FL.0304-2 (01/23) Depositor Print Name Depositor Phone Number Defendant Name Case Number Bond Amount Amount or Estimated Value % in the amount of $ $ $ Bail Producer Held By Bail Producer Bail Producer • Bail Producer L Surety Surety Surety Signature Print Name COLLATERAL RECEIPT Except as otherwise provided by applicable law (if any) as stated in the Bail Bond Agreement ("Agreement"), you are depositing the collateral as security for the payment of any and all monies and sums due to Surety or its Bail Producer, including all liability, claims, demands, debts (including promissory notes), damages, judgments, losses, interest, premiums, expenses, services charges, expenditures, attorneys' fees and costs suffered, sustained, made or incurred by Surety or its Bail Producers on account of, arising out of or relating to the above bail bond and transactions contemplated thereby, your failure to comply with the terms and conditions of the Agreement and any and all debt or other obligations arising out of or evidenced by any agreement executed by you, Defendant or any other indemnitors) for the benefit of Surety or its Bail Producer, all of the terms of which are made a part of this receipt by this reference ("Liabilities"). The Bail Producer will make the collateral available for return to the person whose name appears as Depositor on the Collateral Receipt (or that person's heir, legal representative, or successor in interest) within 10 days, or as stated in the Agreement, after receiving written notice from the court that the Bond and the Surety have been exonerated, and must verify with the court that the obligation has been exonerated before returning the Bond. If the collateral you provided included a document that conveys title to a lien on real property and such document was recorded, the Bail Producer or Surety shall deliver a reconveyance of the property, executed in such a manner that it may also be recorded, to you or your heir, legal representative or successor in interest within 10 working days, or as stated in the Agreement, after the Bail Producer or Surety receives notice of the exoneration of the Bond in writing by the court. The Bail Producer or Surety shall deliver such reconveyance document to you by making the document available at its principal place of business or mailing it to you upon your request. The Bail Producer or Surety will not return any collateral to you until you provide the written receipt that identifies the Bond, describes the collateral, and shows your signature. For any complaints or inquiries, you may contact the Department of Financial Services, Division of Consumer Services, 200 East Gaines Street, Tallahassee, FL 32399-0322, (877)693-5236 (in-state), (850)413-3089 (all areas), www.MyFloridaCFO.com/Division/Consumers. PREMIUM RECEIPT and STATEMENT OF CHARGES allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com Date Received Payment Method • Cash • Check • Credit Card • Money Order Receipt No.: AP- PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Orlando (Orange County) 3800 South John Young Pkwy Orlando, FL 32839 (407) 254-5554 Credit Card Authorization Code Amount Received ($) Payer Name Payer Phone Number Defendant Bond Amount ($) Power Number(s) Court Appearance Date Itemized Expense(s) (if and as permitted by applicable law) $ $ $ $ * 08185 * Form# ACC.0304-1 (10/21) Paid Payer Signature Print Name Case Numbers) Appearance Time Collateral Received Collateral Receipt Numbers) • Yes No Expense Amount Bail Bond Premium Total Expenses) Prior Payments) Amount Received Remaining Balance $ $0 ($ ($ $O Producer/Representative Signature Producer/Representative Print Name ) PREMIUM RECEIPT and STATEMENT OF CHARGES I understand that the premium owing or paid is fully earned upon the Defendant's release from custody, and the fact that the Defendant may have been improperly arrested, re-arrested, the case dismissed, or the bail reduced shall not obligate the return or forgiveness of any portion of the premium except as otherwise provided by applicable law (if any) as stated in the Bail Bond Agreement. allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com FOR FURTHER ACTION ON THIS BOND NOTIFY: Bail 2 GO P.O. Box 592643 Orlando, FL 32859 Email: courtdates@bail2go.com Transfer agent dob: doa: seX: General Surety Appearance Bond race: Power Number Arrest Number STATE OF FLORIDA VS: IN THE COURT COUNTY KNOW ALL MEN BY THESE PRESENTS: That we, the above captioned defendant as Principal, and Allegheny Casualty Company, a New Jersey corporation, as Surety are held and firmly bound unto the State of Florida and its successors, to the penal sum of ($) for the payment whereof well and truly to be made we bind ourselves, our heirs, representatives, successors, and assigns firmly by these presents. The condition of this obligation is such that if said Principal shall appear on at the next Regular or Special term of the above court and shall submit to the said Court to answer a charge of: for case number and shall submit to orders and process of said court and not depart the same without leave, then this obligation to be void, else to remain in full force and virtue. Signed, sealed and delivered this TAKEN BEFORE ME AND APPROVED BY ME: (L.S.) _, Clerk / Sheriff (Principal) Allegheny Casualty Company By By (Attorney in fact) (SURETY) HISPORATE SEN 1936 Agent / License Number Agent Name This bond not valid for deferred sentence, fines, pre-sentence investigation, pre-trial intervention programs or appeals STATEMENT OF BONDSMAN 1, the undersigned, am a duly licensed bail bond agent pursuant to Chapter 648, F.S., and have registered for the current year with the office of the Sheriff and Clerk of Court of the aforementioned county, and have filed a certified copy of my appointment by Power of Attorney for the Surety with the office of the Sheriff and Clerk of the Court of the aforementioned County. That said Principal of (Address) has (given or promised to give) the sum of ($) as consideration for Bail Bond Number filed with the Clerk of the above captioned court located in said county together with the (promise or receipt) of security belonging to (Indemnitor(s)) as follows: (provide detailed description and source of security) (if none, so state). That a duly signed receipt has been given to the said Principal for the consideration given and/or that the said indemnitor has (also been) given a receipt for the security described above. (Bondsman) (Agency) Bail 2 GO Orlando (Orange County)

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Bail 2 GO KISSIMMEE - ORLANDO - SANFORD ) Bail Bond Indemnitor Application CONFIDENTIAL I SECURE I LEGALLY BINDING / FDFS Licensed State Verified Re Allegheny Casualty Surety Provider & 256-bit Encrypted Bank-Level Security • Available 24/7 (833) BAIL2GO _ YOU ARE IN GOOD HANDS Bail 2 GO is a fully …

Notification Settings & RYAN PHILLIP WHITESIDE (Defendant, Indemnitor) Turn Notifications On? Yes No Types Appearance Date: N/A • . . Checkin Due Standard Check-In Payment Due: N/A

1x*1 11/1 PRESS HARD YOU ARE WRITING THROUGH FOUR PAPER PLIES Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-688775 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31, 2026 poa@aia…

Bail 2 GO KISSIMMEE - ORLANDO - SANFORD Premium Receipt Summary PLEASE REVIEW BEFORE SIGNING Confirm Your Premium Receipt Details Your Bail 2 GO agent has prepared this official Premium Receipt for your review. Please confirm all details below are correct before signing. If anything looks incorrect,…

Orange County Clerk of Courts Records Search 7/20/26, 6:33 PM My*Clerk - Print 2026-MM-406357-A-O: STATE OF FLORIDA - VS - WHITESIDE, RYAN PHILLIP Case Header Parties se Tyr te Fil Location: UCN: Judge: Status: Citation Number: Compliance Date: Misdemeano 7/19/2026 Orlando - CR 482026MM406357000AOX …

Expanded Person Search | idiCORE 7/20/26, 5:00 PM idiCoRE Expanded Person Search Last Name: WHITESIDE First Name: RYAN Exact First Name: No Date of Birth: 05/19/2007 Reference ID: RYAN WHITESIDE 1 results). RYAN PHILLIP WHITESIDE SSN: 766-62-XXXX Issued in Florida, 2007 DOB: 05/19/2007 (19) Likely C…

Booking and Release Center Booking and Release Center Orange County Incarcerations WHITESIDE, RYAN PHILLIP Booking Number: Race: Gender: Age: 19 Last Known Location: Cell: Date Booked: Number of Holds: Notes: 26024466 BRCSBH2 07/20/2026 NONE Charges Case Sequence: 062 Case Status: PRESENTENCED Bond …

Bail 2 GO KISSIMMEE - ORLANDO - SANFORD Defendant Bond Application CONFIDENTIAL I SECURE LEGALLY BINDING Y FDFS Licensed State Verified RE Allegheny Casualty Surety Provider & 256-bit Encrypted Bank-Level Security & Available 24/7 (833) BAIL2GO a WELCOME HOME Bail 2 GO is glad you are home. This app…

Monday, July 20, 2026 Bail 2 GO LEAD CAPTURE - (Always required - the person calling in) KISSIMMEE - ORLANDO - SANFORD IGNITE - Underwriting Review You have been assigned this bond intake for underwriting review. All intake data collected by the advisor is pre- filled above. Review everything carefu…