Bail 2 GO — Compliance Dashboard

Packet Completed By: LL Indemnitor: LEONARDO GONZALEZ Ind Add. Ind Home # Relationship to Def.: IA PN Collateral Explained: Collateral in Amount of Collateral held by Bondsman Condition (s) of Bond: _Social Security: _ _ City: _ State: Ind Cell # _ How long known Def.: Mortgagee Deed ($17.00) Cash S…

Packet Completed By: LL Indemnitor: LEONARDO GONZALEZ Ind Add. Ind Home # Relationship to Def.: IA PN Collateral Explained: Collateral in Amount of Collateral held by Bondsman Condition (s) of Bond: _Social Security: _ _ City: _ State: Ind Cell # _ How long known Def.: Mortgagee Deed ($17.00) Cash S…

Packet Completed By: LL Indemnitor: LEONARDO GONZALEZ Ind Add. Ind Home # Relationship to Def.: IA PN Collateral Explained: Collateral in Amount of Collateral held by Bondsman Condition (s) of Bond: _Social Security: _ _ City: _ State: Ind Cell # _ How long known Def.: Mortgagee Deed ($17.00) Cash S…

Packet Completed By: Indemnitor: LEONARDO GONZALEZ Ind Add. Ind Home # Relationship to Def.: IA PN Collateral Explained: _ Collateral in Amount of Collateral held by Bondsman Condition (s) of Bond: _Social Security: _ _ City: _ State: Ind Cell # _ How long known Def.: Mortgagee Deed ($17.00) Cash Ch…

6/25/26, 4:09 PM Bail 2CO' Powered by Adobe Acrobat Sign HomeSendManage WorkflowsReportsResources NEW Get help Confirmation to Sign Quick Start Guide Account Setup Personal Preferences Set Up Account Sharing Tutorials Video Tutorials Initial Setup Send for Signature Manage Agreements Drag and Drop F…

AGENTS Completed File Check List Q000000000• Folder Named Properly - (LAST, FIRST - 06/15/25 - NZ) All Files are named correctly in Folder, - (DOE, JOHN - PREMIUM ) Booking Sheet / Mugshot (Current or Previous) TLO's for all parties involved Clerk Search for "ALL" Relevant Counties State ID's for al…

Credit Card Authorization form , give permission to Axiom Surety Corp dba Bail 2 GO to charge Indemnitor my card for the following transaction(s). My card details will be stored under my Bail 2 GO profile and will only be used for approved transaction(s) and incurred expenses. Amount Authorized Card…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com POWER NUMBER AS3K-683017 THIS POWER VOID IF NOT USED BY: Decer 202 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that A…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683018 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: Decen poa@aiasurety.com 202 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that A…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS30K-270808 PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 THIS POWER VOID IF NOT USED BY: Decent 02 -poa@aiasurety.com POWER AMOUNT $ 30,000 KNOW ALL MEN BY THESE PRESENTS, that…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682987 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 021 poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, tha…

POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER NUMBER AS3K-682992 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December poa@aiasurety.com 2026 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, th…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER A93K-682991 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: Decer 202 poa@aiasurety.com POWER AMOUNT$ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com POWER NUMBER AS3K-682984 THIS POWER VOID IF NOT USED BY: Decen POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Alleg…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682985 PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 2 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that A…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682983 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER NUMBER AS3K-682986 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 2021 poa@aiasurety.com 6 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, …

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682988 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: Decen 202 Epoa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that …

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com POWER NUMBER AS3K-682989 THIS POWER VOID IF NOT USED BY: Dec POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Alleghe…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682990 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 202 poa@aiasurety.com POWER AMOUNTS 3,000 KNOW ALL MEN BY THESE PRESENTS, that…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683012 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683014 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: Dec 2026 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com POWER NUMBER AS3K-683016 THIS POWER VOID IF NOT USED BY: POWER AMOUNTS 3,000 KNOW ALL MEN BY THESE PRESENTS, that Allegheny Ca…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aliasurety.com POWER NUMBER AS3K-683619 THIS POWER VOID IF NOT USED BY: Decen POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Alle…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683011 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: secember 02 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENTS, tha…

POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER NUMBER AS3K-683013 PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 2026 POWER AMOUNT S 3,000 KNOW ALL MEN BY THESE PRESENTS, tha…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683015 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: poa@aiasurety.com December 202 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, tha…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245. poa@aiasurety.com POWER NUMBER AS3K-683618 THIS POWER VOID IF NOT USED BY: POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Allegheny …

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683010 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: poa@aiasurety.com December 2026 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, th…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683009 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 202 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, tha…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683007 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: poa@aiasurety.com December 2026 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, th…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683008 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 2021 poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, th…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683005 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: Decenber 2026 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, th…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683004 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 202 poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, tha…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683003 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: Decemo 02 poa@aiasurety.com POWER AMOUNT$ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682995 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: Decembe 02 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that …

POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER NUMBER AS3K-682999 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 02 poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683001 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com POWER NUMBER AS3R-682996 THIS POWER VOID IF NOT USED BY: De FATE POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that All…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-683000 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Al…

POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER NUMBER AS3K-683002 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: poa@aiasurety.com BSE eL POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Alle…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-682993 PO Box 5600, Thousand Oaks, CA. 91359 800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 202 POWER AMOUNT$ 3,000 KNOW ALL MEN BY THESE PRESENTS, that…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com POWER NUMBER AS3K-682994 THIS POWER VOID IF NOT USED BY: POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that Allegheny C…

Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3R-682998 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December poa@aiasurety.com 2026 POWER AMOUNT$ 3,000 KNOW ALL MEN BY THESE PRESENTS, tha…

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…

Bail 2 GO KISSIMMEE - ORLANDO - SANFORD Bail Bond Agreement APPROVED BOND TERMS - OFFICIAL DOCUMENT * YOU ARE IN THE RIGHT PLACE. We know this is hard. Someone you love is in jail and you need answers fast. Bail 2 GO has helped thousands of Central Florida families through this exact moment - and we…

Bail 2 GO - LEAD CAPTURE KISSIMMEE - ORLANDO - SANFORD (Always required - the person calling in) Saturday, June 6, 2026 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 caref…

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 licensed Florida bail bond agency serving Central Florida families 24 hours a day, 7 days a week. We are bonded through Allegheny Casualty Company and regulated by the Florida Department of Financial Services. Our team has helped thousands of families secure the release of their loved ones quickly, legally, and without surprises. When you sign with Bail 2 GO you are in the hands of professionals who know exactly how to get your loved one home. A WHAT YOU ARE AGREEING TO • You are personally guaranteeing that IVAN LEONARDO GONZALEZ-DEJESUS appears at all scheduled court dates • If the defendant fails to appear you may be held liable for the full bond amount plus all recovery and court COStS You are signing a Contingent Promissory Note in favor of Allegheny Casualty Company • Your electronic signature carries the same legal weight as a handwritten signature under Florida law / HAVE THESE READY BEFORE YOU BEGIN • Government-issued photo ID — driver's license, passport, or state ID • Device with a working camera for live identity verification photo • Current home address, employer information, and Social Security Number • Contact info for up to 6 personal references — name, relationship, city, phone • 10 to 15 minutes of uninterrupted time - most applicants complete this in one sitting E NEED TO STEP AWAY? Click "Save and Continue Later" at any time - we will email you a secure link to return. Call us at (833) 224- 5246 if you need help. @ FLORIDA FRAUD WARNING | 4 PROTECT YOURSELF FROM PAYMENT FRAUD Submitting false or misleading information on this application is a felony under Florida law. Bail 2 GO will never request payment via wire transfer, gift card, or cryptocurrency without a secure confirmation code from our office. All standard payments go through Square. Call (833) 224-5246 if anything seems unusual. 2 Ready? Let's get IVAN LEONARDO GONZALEZ-DEJESUS home. (833) 224-5246 | Kissimmee | Orlando I Sanford Review Your Bond Details & Financial Obligations Your Bail 2 GO advisor has prepared this summary based on your approved bond. Review every detail carefully. If anything looks incorrect do not proceed - call your advisor at (833) 224-5246 immediately before continuing. ÔYOUR APPROVED BOND SUMMARY BOND REFERENCE Defendant County Booking Number Case Number 1 Case Number 2 Total Bond Liability Total Premium Due IVAN LEONARDO GONZALEZ-DEJESUS 1543824 97000 7000 A If anything above is incorrect stop and call (833) 224-5246 before proceeding. 3 A CONTINGENT PROMISSORY NOTE — PLAIN LANGUAGE SUMMARY Below you will find the full Contingent Promissory Note. Before you read the legal language here is what it means in plain terms: • This note secures the full bond amount on behalf of Allegheny Casualty Company — it is not a present loan or debt AfIVAN LEONARDO GONZALEZ-DEJESUS appears at all required court dates and the bond is exonerated - this note becomes null and void • If the defendant fails to appear — you may owe the full bond amount plus court costs, attorney fees, recovery expenses, and investigative costs • Any unpaid balance after a forfeiture accrues interest at 18% per year from the date of demand until paid in full The full legal text of the Promissory Note is displayed below. Read it carefully before checking the box and proceeding to the application. Contingent Promissory Note Accepted This Contingent Promissory Note ("Note") is executed by the undersigned indemnitor ("Maker") in favor of Allegheny Casualty Company ("Surety") in connection with the bail bond issued for the defendant listed above. The Maker understands that this Note secures the full amount of the bond listed above and any costs or expenses incurred by the Surety as a result of the Defendant's failure to comply with court requirements. This Note is provided as security for any loss, forfeiture, costs, or expenses incurred by the Surety as a result of the Defendant's failure to comply with the conditions of the bail bond or failure to appear in court. If the bond is forfeited or the Defendant fails to appear as required, the Maker agrees to pay to the order of Allegheny Casualty Company the full amount owed as a result of the forfeiture, including but not limited to the bond amount, court costs, attorney's fees, recovery expenses, investigative costs, and any other reasonable costs incurred by the Surety in enforcing this obligation. Any unpaid balance shall accrue interest at the rate of eighteen percent (18%) per year from the date of demand until paid in full. 4 This Note does not represent a present loan or debt and is executed solely to secure future obligations that may arise if the Defendant fails to comply with court requirements. V If the Defendant appears at all required court proceedings and the bond is discharged or exonerated by the court, this Note shall become null and void. Otherwise, this Note shall remain in full force and effect until all obligations to the Surety have been satisfied. By checking the box below and signing, you confirm that you have reviewed all bond details above, accept your responsibilities as the indemnitor, and agree to the terms of this Contingent Promissory Note. This constitutes a legally binding financial obligation to Bail 2 GO and Allegheny Casualty Company for the duration of this bond. A IMPORTANT - If any of the information above is incorrect, do not proceed. Stop immediately and contact your Bail 2 GO agent before continuing. Indemnitor Information Name Leonardo gonzalez Date of Birth Wednesday, June 18, 1969 Place of Birth Arecibo,pr Gender Male Social Security Number 583258392 U.S. Citizen? (Yes / No) YES Government Photo ID Verification NOTE: • Front required • Back required if applicable • File types: JPG, PNG, PDF • Min: 1 file | Max: 2 files Uploaded identification is used solely for identity verification and underwriting purposes and is securely stored. 5 U.S. Drivers License/State Identification Card/U.S. Passport/Permanent Resident Card (Green Card)/Other government- issued photo ID Florida DRIVER LICENSE G233-287-75-400-07 STARES MARTINEZ CHMAR HAINES CITY, FL a 06/18/1969 mig 05/18/2030 8-08 12 RENT NONE IN END NOVE 1x ISS 06/17/2022 30g L473412160123 ID Type Submitted Residence Information Time at Current Residence Residential Address: Driver's License 12 years 134 Richmar Ave HAINES CITY, Florida, 33844 House Residence Type Housing Status Mortgage Holder Name Contact & Employment Own Leonardo gonzalez 6 Phone Number Carrier Phone Type Length of Time with Number Email Address Employment Status: Employer Position Length Work Phone Legal & Finicial Background Ever filed bankruptcy? Any judgments or liens? Convicted felon? (787) 458-7028 Tmobile Android 20 years Leo196918@gmail.com Employed Fedex Tech 2 years 10 month (800) 463-3339 No No No On probation or parole? No Vehicle Information Own a vehicle? Year Make Model Color Tag Mileage Amount Owed Yes 2006 Toyota Tacoma Grey 262cf 220000 7 Defendant Relationship Relationship to Defendant Length of Relationship Defendant Home Address Defendant Cell Phone Emergency Contact & Family Name Phone Address Marital Status Father 27 134 Richmar Ave HAINES CITY, FL, 33844 (787) 458-7028 Leonardo gonzalez (407) 861-4462 135 e thelma lake alfred Spouse/ Partner Name Spouse/ Partner Phone Number Children? Number Ages (years) Reside With You? Married Yaritza Martinez (407) 861-4462 Yes 2 16,18 No Attorney & Source Do you have an attorney? Attorney Name Attorney Phone How did you hear about us? Personal References Reference 1 Reference 1 Relationship Reference 1 City/State Yes Joshi firm (407) 661-1109 Google Jackeline Gomez Girfriend leo St cloud 8 Reference 1 Phone Number Reference 2 Reference 2 Relationship Reference 2 City/State Reference 2 Phone Number Reference 3 Reference 3 Relationship Reference 3 City/State Reference 3 Phone Number Reference 4 Reference 4 Relationship Reference 4 City/State Reference 4 Phone Number Reference 5 Reference 5 Relationship Reference 5 City/State Reference 5 Phone Number Reference 6 Reference 6 Relationship Reference 6 City/State Reference 6 Phone Number 321) 987-0489 Carlos Diaz Friend Haines city (407) 620-1007 Isamar De jesus Mother Maricao,pr (787) 618-3363 Alex Rivera Friend Haines (863) 236-1221 Edwin Ayala Uncle Winter haven (813) 895-9532 Many Many Pastor Haines (863) 320-4960 Full Bond Agreement Acceptance & Identity Verification A FRAUD WARNING - FLORIDA STATUTE Any person who knowingly and with the intent to injure, defraud, or deceive any insurer submits an application, statement, or claim containing false, incomplete, or misleading information commits insurance fraud. Such conduct constitutes a felony of the third degree under Florida law and may result in criminal prosecution, fines, and imprisonment. 9 Full Bond Agreement Accepted Bail Bond Surety Agreement - Terms & Conditions You, the undersigned (referred to herein as "Indemnitor" "Defendant", or collectively as "you" or "your", as applicable), agree to be bound by the following terms and conditions. 1. The premium for the bond is fully earned upon the release of the Defendant from custody. The premium is not refundable except as provided by applicable law. The fact that the Defendant may have been improperly arrested, the bail reduced, or the criminal case dismissed does not obligate the Surety to return the premium or any portion of it. 2. The Defendant agrees to appear in court as required in connection with this bond and at the dates and times stated in the bond and/or ordered by the court. The Indemnitor agrees to ensure that the Defendant appears in court as 3. The Surety shall have control and jurisdiction over the Defendant during the term for which the bond is in effect and shall have the right to apprehend, arrest, and surrender the Defendant to the proper officials at any time as permitted by law and this agreement. 4. Unless otherwise provided by applicable law, the following events shall constitute a breach of the obligations to the Surety and the Surety shall have the right to immediately apprehend, arrest, and surrender the Defendant to custody, and no person shall have any right to a refund of the premium: a. If the Defendant departs the jurisdiction of the court without written consent of the court and the Surety or its b. If the Defendant moves from his or her address without notifying the Surety or its agent in writing prior to such move. c. If the Defendant commits any act which constitutes reasonable evidence of an intention to cause forfeiture of the bond or fails to appear in court as required. d. If the Defendant is arrested and incarcerated for any offense other than a minor traffic violation. e. If the Defendant or Indemnitor makes any material false statement in the bail bond application or indemnitor application. f. If the bail for the Defendant is increased g. It the Indemnitor requests surrender of the Detendant. h. If there is a material increase in the risk assumed by the Surety, including depreciation or impairment of any collateral pledged as security. 5. In the event that apprehension and surrender of the Defendant is required for any reason, including failure to appear in court, the Defendant understands and acknowledges that such apprehension may involve risk. The 10 Defendant agrees to indemnify and hold the Surety harmless from injuries, losses, claims, lawsuits, damages, liability, demands, fees, and expenses arising from such apprehension or surrender. 6. The Indemnitor agrees to indemnify and hold the Surety harmless from and against any and all claims, damages, losses, liabilities, demands, actions, judgments, fines, penalties, costs, and expenses (including attorneys' fees) relating to or arising out of the issuance of the bond. This includes but is not limited to: a. The principal amount of any forfeiture or judgment on the bond, plus related court costs, interest, and legal fees b. Any fugitive recovery fee if the bond is forfeited, which is typically ten to twenty percent of the amount of the bond plus expenses. c. Costs incurred to extradite or apprehend the Defendant. d. Any attorneys' fees and costs incurred to enforce this agreement. The Surety may demand payment of these liabilities before or after payment has been made by the Surety. 7. Any collateral pledged or deposited with the Surety as security for this agreement shall be held to secure payment of any liabilities sustained or incurred by the Surety. The Surety may apply, sell, or otherwise dispose of collateral to satisfy such obligations. 8. The Surety shall not be liable for any depreciation of collateral or for any interest thereon. If the value of collateral decreases, the Surety may require additional collateral to maintain adequate security. 9. If a Confession of Judgment ("COJ") is taken as security for the bond, the Surety may file or record such COJ at any time and it shall constitute a lien against the Indemnitor's property. 10. The Surety may foreclose against collateral and/or exercise any other legal remedy available under this agreement without waiving any other rights. 11. Subject to applicable law, the Surety shall return collateral when all of the following conditions are satisfied: a. The Surety receives written proof from the court that the bond has been discharged. b. There are no outstanding liabilities relating to the bond. c. No obligations remain which may expose the Surety to future liability. 12. The Surety may transfer or assign its rights under this agreement to another party without notice to the Indemnitor. 13. The Surety and bail producer do not recommend or suggest any attorney to represent the Defendant. 14. This agreement may not be modified or terminated orally. 11 Any modification must be in writing and signed by both parties. 15. To the maximum extent permitted by law, you authorize the Surety to obtain any information or records concerning you from any public or private agency including credit reports, criminal records, driving records, employment records, school records, medical records, tax records, and telephone records. 16. You irrevocably grant the Surety and its agents the right to enter your residence or property without notice for the purpose of locating, arresting, or returning the Defendant to custody as permitted by law. 17. The Defendant acknowledges that the Surety may use location tracking technologies to monitor the Defendant during the period the bond is in effect and during any applicable remission period. The Defendant acknowledges that this monitoring may involve the collection and use of location data and that the Defendant may not opt out of such monitoring while the bond remains active. 18. If the Defendant leaves the state in which the bond was issued, the Defendant waives any right to oppose extradition proceedings. 19. If any provision of this agreement is determined to be invalid or unenforceable, the remaining provisions shall remain in full force and effect. 20. This agreement and all documents executed in connection with it constitute the entire agreement between the parties. SUPPLEMENTAL TERMS AND CONDITIONS 1. The Surety, as bail, shall have control and jurisdiction over the Defendant during the term for which the bond is executed and shall have the right to apprehend, arrest, and surrender the Defendant to the proper officials as provided by law. 2. In the event the Defendant is surrendered before the time set for court appearance and for reasons other than those constituting a breach of this agreement, the premium may be refunded to the person shown as payer on the premium receipt as permitted by law. 3. If the Defendant fails to appear in court, departs the jurisdiction without consent, moves without notifying the Surety, commits another offense, or makes any false statement in connection with the bond, such actions constitute a breach of the Defendant's obligations. 4. For complaints or inquiries regarding bail bonds, contact the Florida Department of Financial Services, Division of Consumer Services, Bail Bond Section, 200 East Gaines Street, Tallahassee, Florida 32399, phone (850) 413-5660. 5. The person whose name appears as payer on the premium receipt shall be entitled to a refund only if the Surety has no liability under the bond because the Defendant was not 12 released from custody or the bond was written to allow the Defendant to serve a sentence in another jurisdiction. 6. The Indemnitor agrees to indemnify and hold harmless the Surety and its agents for all losses not otherwise prohibited by law. 7. The Indemnitor acknowledges receipt of copies of this agreement and related documents concerning the bond and recommitment of the Defendant. 8. Costs which may be recovered by the Surety include expenses necessary to apprehend the Detendant, attorney fees, court costs, transportation costs, and a surrender fee allowed by law. 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. 10. The Surety may deduct from collateral any fees, expenses, or charges authorized by law, including Florida Administrative Code 69B-221.105. 11. Except as expressly provided in this supplement, all terms and conditions of the agreement remain in full force and effect. 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. 13 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 Background Check Authorization & Accuracy Certification Terms and Conditions Accepted Communication Authorization Terms and Conditions Accepted Final Certification & E-Signature Consent Terms and Conditions Accepted Indemnitor Printed Name Leonardo gonzalez Photo Verification (Hold ID Next to Face) Florida mazDa Please take a clear photo of yourself to confirm your identity for this bail bond application 14 Indemnitor Signature NBIS Date & Time: A17.1 Saturday, June 6, 2026 12:10