Bail 2 GO — Dashboard

• Packet Completed By: Indemnitor: _ Ind Home # _ Social Security: _ACF#: 0906251235 Ind Add. 4054 Sunny Day Way City: Kissimmee State: Florida Zip: 34744 _ Ind Cell # Email: Relationship to Def.: _ Mom_ _ How long known Def.: - Life IA Mortgagee Deed ($17.00) 3 Signature & Mortgage Vessel Title ($75.00 fee) Collateral Explained: Collateral in Amount of Cash Check CC MO Collateral held by Bondsman Surety Condition(s) of Bond: _ 3 signatures & mortgage. Defendant Name: JOSE ANTONIO LOPEZ Booking #._ dob: 9/13700 _ doa: 9/5/25 Exgeurion Data: 9/6/85 sex: Power No: AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $1,000.00 Case No: _ Court Date: TBN Power No: _ AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $ 1,000.00 Case No: Court Date: TBN Power No: AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $ 1,000.00 Case No: Court Date: _ TBN Bond Amount: Detainer: Co County: Time: _ Bond Amount: _ Detainer: Court: County: _ Time: Bond Amount: _ Detainer: Court: County:. Time: Continue to Next Page 1508720 race: W $ 10,000.00 CIRCUIT OSCEOLA TBN $ 10,000.00 CIRCUIT OSCEOLA TBN $ 10,000.00 CIRCUIT OSCEOLA TBN Power No: AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $ 1,000.00 Case No: Court Date: TBN Bond Amount: Detainer: Court: County: Time: $ 10,000.00 CIRCUIT OSCEOLA TBN Agent: City: JESSICA BOLDEN KISSIMMEE Agent Lic No: _ State: W269858 FL Total Premium: _ Misc Charges: $ 4,000.00 Total Liability: _ Total Charges: $ 40,000.00 $ 4,000.00 Money Received on Account: Balance: APF: 1508720 $ 4,000:00 /0906251235 Due Date: Received From: BAIL BOND APPLICATION - INDEMNITOR COMPANY ALLEGHENY CASUALTY COMPANY P.O. Box 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 PRODUCER Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 1. Name Teresa Inez Lopez My friends/family know me as First Middle Last 2. Residence Address. 4054 Sunny Day Way Kissimmee City _ State_ Florida _Zip 34744 3. How Long at Current Address 8 years Rent Free- -Lease Own_ Landlord/Mortgagor Name Mr Cooper 4. Is Mortgage/Lease in your name? Yes No No When does Lease Expire Email Trlop6@aol.com 5. Cell Phone # 4079687323 Cell Carrier T-Mot iPhone or Android iPhone How Long with Cell No. 10 years 6. Employer Disabled _ Length _ Position Work # Any ownership greater than 20% in any Corporation, LLC, or S-Corp No Any specialized license to work. No 7. Social Security No. 425357548 _ ID# wt212Ht 5/6 Race White Eye Color Hazel Hair Brow 8. Have you ever filed Bankruptcy. _ Do you have any judgements or liens against you currently _ No If so, where 9. Gender Fema Place of Birth Mississippi 6/26/79 - Date of Birth_ US Citizen Yes Marital Status Married How Long 10. Have many years have you lived in FL? 37 year Are you a convicted felon? _Are you on any type of Probation or Parole? No 11. Vehicle Year Vehicle Color Green Vehicle Make Vehicle Miles 115,000 Amount Owed 0 Mother 25 years 12. Relationship to Defendant How long have you known Defendant Defendants Home Address 4054 Sunny Day Way 4079274078 Luis Lopez Defendants Cell Phone Number 1572 oxalis Ave 13. Emergency Contact Name Yes 13. Children Yes No Address 3 Phone No. Amount of children 25, 22, 19 4075338334 Yes Ages Do kids reside with you 14. Attorney Phone No. May we reach out on the defendants behalf 15. How did you hear about us? Personal References First & Last Name Luis Lopez Stephanie Lopez Relationship Brother in la City / State Orlando / Fla Phone 4075338334 2. 3. 4._ 5._ 6. Sister in lav Orlando / Fla 4079531617 Gladys Lopez Mother in la Orlando / Fla 4079537483 Antonio Lopez Father in la Dey Dey Carasquio Friend Orlando / Fla Orlando / Fla 4079532592 4077577097 Angel Figueroa Friend Orlando / Fla 3219471117 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 quilty of a felony of the third degree. Sign Print ID#_ SSN DOB 1120-809-79-706-0 425-35-7548 60679 Laresa lopez 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 Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 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: Date Defendant Name 9/6/25 JOSE ANTONIO LOPEZ Indemnitor Name(s) Total Bond Amount $ $ 40,000.00 Total Premium $ $ 4,000.00 Power Number(s) AS15K AS15K ("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 9/6/25 Defendant Signature Indemnitor Signatur Print Name Terese oper Print Name JOSE ANTONIO LOPEZ Indemnitor Signature Indemnitor Signature Print Name Print Name Indemnitor Signature Indemnitor Signature Print Name Print Name 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 bond 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.) NDEMNITOR Initials Form# ACC.FL.0307 (10/21) * 08 415 READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE 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. . Defendant agrees to appear in any Court as required in connection with the Bond at the dates and times stated in the sond and/or as may be ordered by the Court. Indemnitor will ensure that Defendant appears in Court as so required o as ordered by the Court. 3. Surety shall have control and jurisdiction over the Defendant during the term for which the Bond is in effect and shal ave the right to apprehend, arrest and surrender the Defendant to the proper officials at any time as provided by lav 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 refund of the Bond premium if required by applicable law (if any) and 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 to the Surety, 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 Surety b) Defendant moves from his/her current address without prior written consent of the Suretv. or Defendant fail to 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 including the Bail Bond Application and Indemnitor Application; (f) The bail for Defendant is increased; (g) Indemnitor requests the surrender to custody of the Defendant; and/or (h) There is a material 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 for the Bond. 5. In the event that the apprehension and surrender of Defendant to custody is required for any reason, including the acknowledges that such apprehension and Defendant accepts the risk of such harm that may be caused to Defendant and/or others. Defendant also agrees to defend, indemnify and hold Surety harmless (including all agents and employees thereof) from any injuries. losses, 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 6. You, jointly and severally (together and separately) with any other indemnitor, shall indemnify the Surety and keep the emands, actions. ludaments. tees. tine 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 an egal fees incurred; (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is typically ten t 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 required under this Agreement, reasonable and actual attorney's fees plus any and other costs. The voucher, check or other evidence of any payment made by Surety shall be conclusive evidence of such payment in 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. -urther, you will, upon demand, place with Surety the requisite cash funds to meet any Liabilities (including a pendin unpaid judgment or forfeiture demand), whether the demand is made before or after Surety has paid or advanced sučh funds. ) is held for the payment or reimbursement of any and 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 sums due to Surety under this Agreement, the Bond and/or to place the Surety in cash funds so as to protect the Surety against the payment of any Liabilities, including any claim, demand, loss, or judgment arising out of the Bond, even if the Suretv has not paid any such Liabilitv. Subiect to applicable law (if anv), the Suretv mav make any such sale, at its 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 o deposited with the Surety, upon request of the Surety, you shall provide the Surety with additional and satisfactory Collateral so that the total 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 riaht, power and authoritv, without further demand or notice. to sell. assian and deliver the whole or any part of such Collateral, including 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. ). If a Confession of Judament ("COJ") is taken as securitv for the Bond. the Suretv shall have the riaht to enter, recor 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 Terms And Conditions (continued from previous page) 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 deer t advisable to retain such Collateral tor its protection; and (d) upon the request by Surety, you shall execute anc 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 for real 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 transfer 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 or consent from you. Subject to any limitations imposed upon Assignee by the Surety, Assignee shall have the right to 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. 15. To the maximum extent permitted by appicable law, you hereby waive any and all rights you may have under federal law including, Privacv Act-Freedom of Information Act and Title 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 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 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 locating, 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 Surety may 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 Detendant 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 Défendant 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 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 your location information 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 comply with such law so as to provide Surety with the maximum protection from any Liabilities. Wray effect the validity or enterceability of any other provision or port her of this ronion a 20. This Agreement and all documents that are executed in connection with this Agreement set torth all the terms of the agreement between the Surety and you. All statements, representations, promises, agreements, and affirmations made by the Surety or Bail Producer, or any representative, employee or agent, thereof prior to or contemporaneously with the execution of this Agreement are contained within this document. and unless they are specifically set forth in this 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, 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 Defendant's surrender is made prior to the time set for Defendant's appearances, and for reasons other than 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, and no person shall have any right to any refund of premium whatsoever. The events which constitute a reach of Defendant's obligations hereunder are: from one address to another within the State of Florida without notifying Surety or Bail Producer in writing prior to moving; (c) If Defendant 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 Services, Bail Bond Section 20 stare 39-032. Services, Bail Bond Section, 200 Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state) 5. The person whose name appears as Payer on the Premium Receipt shall be entitled to a refund of premium for the Bond if 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 indemnify 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 courts; (b) Attorneys fees and court costs associated with filing of motions; (c) Documented transportation and outside the jurisdiction of the court; (d) Law enforcement costs for housing, 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. I0. Surety shall be entitled to deduct from collateral held or any return premium all fees, expenses, and charges authorized by applicable 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 a conflict between the terms and conditions of the Agreement and this Supplement, this 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@alasurety.com BAIL BOND INFORMATION SHEET PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 Bond Information Defendant Name JOSE ANTONIO LOPEZ Power Numbers) Case Number AS15K 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 **** I/We have received a copy of this information sheet. We have received a copy of all collateral documents that INe signed regarding the above bond(s). 8 Defendant Signature indemnitor signature un fur Print Name Date Print Name Teresa Upez Signed original to agent's bond file; Copy to defendant and each indemnitor Date 9/6/25 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: JOSE ANTONIO LOPEZ (Defendant"). On demands after date, for value received, I/We promise to pay to the order of Allegheny Casualty Company the sum of $ $ 40,000.00 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) OSCEOLA COUNTY, FLORIDA piA pumbers) sandra Lipo Maker Name renesc luper AS15K AS15K Signature 9/6/25 Date Maker Name Date Form# ACC.FL.0036 (10/21) Print Form Reset Form COLLATERAL RECEIPT allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@alasurety.com Receipt No.: ACFL- 0906251235 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 Deposit of collateral: Depositor hereby acknowledges receipt of • Return of collateral: Depositor hereby surrenders the original and acknowledges a copy of this document and agrees to the terms on the reverse the return and receipt of collateral listed herein and that the collateral has been side. The collateral identified below is deposited as security for returned in good and sufficient condition. Depositor hereby relieves the surety and the bail bond(s), premium owed, if any, and all lawful expenses its bail producer from any further liability or responsibility in relation to the collateral. incurred due to underwriting the referenced bail bond(s). Returning collateral from receipt numbers) Date Received Depositor Name(s) 9/6/25 Depositor Address 4054 Sunny Day Way Power Number(s) AS15K AS15K Items) Received - describe below, specify condition Promissory Note, Signature Bail Bond Agreement Collateral funds - in form of 3 Signature & Mortgage If applicable, I acknowledge a Credit Card fee of Case Number Signature. FLORIDA USE ONLY Print Name Form# ACC.FL.0304-2 (01/23) ersa Uper Depositor Phone Number Defendant Name JOSE ANTONIO LOPEZ Bond Amount $ 40,000.00 Amount or Estimated Value Held By Bail Producer $ $ Bail Producer $ Bail Producer • Surety Surety Surety % in the amount of $ Signature Print Name JESSICA BOLDEN 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 alien 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 Receipt No.: AP- 1508720 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 Date Received Payment Cash • Credit Card Credit Card Authorization Code Amount Received ($) 9/6/25 Method Check • Money Order Payer Name Payer Phone Number Defendant JOSE ANTONIO LOPEZ Power Number(s) AS15K Bond Amount ($) $ 40,000.00 Case Number(s) AS15K Court Appearance Date CIRCUIT CIRCUIT TBN TBN Itemized Expenses) (if and as permitted by applicable law) Appearance Time TBN Collateral Received Collateral Receipt Numbers) • Yes • No 0906251235 Expense Amount Bail Bond Premium $ Expense(s $ Total Expense(s) $ $ 4,000.00 $ 4,000.00 $ Prior Payments) $ Amount Received ($ ($ $ Remaining Balance $ $ 4,000.00 Producer/Representative Signature Form# ACC.0304-1 (10/21) Payer Signature/ Print Name Teresa Lopez Producer/Representative Print Name JESSICA BOLDEN 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.

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10_21_2025_18_34_45_001.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-950231 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	157.7 KB	2025-10-25 01:41:37 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_46.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS 3K-650232 PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	160.6 KB	2025-10-25 01:41:37 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_47.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-650233 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	161 KB	2025-10-25 01:41:36 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_48.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-650234 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	159.3 KB	2025-10-25 01:41:36 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_48_001.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-650235 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 3L, poa@aiasurety.com 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	163.8 KB	2025-10-25 01:41:36 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_49.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS 3K-650236 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESEN… [show full stored text]	Executed Power (PoA)	156.9 KB	2025-10-25 01:41:36 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_50.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-650237 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	163.6 KB	2025-10-25 01:41:37 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_51.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-650238 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	160.1 KB	2025-10-25 01:41:37 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_51_001.pdf POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER AS3K-650239 NUMBER PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	164.5 KB	2025-10-25 01:41:46 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_52.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3R-650240 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasuirety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESEN… [show full stored text]	Executed Power (PoA)	155.2 KB	2025-10-25 01:41:56 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_53.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-650241 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31, 2025 poa@alasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	161.1 KB	2025-10-25 01:42:06 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_54.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-650242 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31y 2025 poa@aiasurety.com POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	160.9 KB	2025-10-25 01:42:15 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_54_001.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-650243 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31, poa@aiasurety.com 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	162.6 KB	2025-10-25 01:42:32 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_55.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-650244 NUMBER PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	156.8 KB	2025-10-25 01:42:22 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_56.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-650245 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: poa@aiasurety.com December 31, 2025 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	158.1 KB	2025-10-25 01:42:40 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_57.pdf POWER OF ATTORNEY Only the original Power of Attorney will bind this surety. Allegheny Casualty Company POWER AS3R-650246 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	157.6 KB	2025-10-25 01:42:49 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_57_001.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS3K-650247 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	157.9 KB	2025-10-25 01:43:05 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_34_58.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER A83K-650248 PO Box 5600, Thousand Oaks, CA 91359 800) 935-2245 THIS POWER VOID IF NOT USED BY: December 3L, poa@aiasurety.com 2025 POWER AMOUNT $ 3, 000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	160.5 KB	2025-10-25 01:42:56 uploaded 3d after created	no	Dropbox · History
10_21_2025_18_42_18_001.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS15K-510858 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 31, 2025 POWER AMOUNT $ 15,000 KNOW ALL MEN BY THESE PRESEN… [show full stored text]	Executed Power (PoA)	162.1 KB	2025-10-27 17:10:41 uploaded 6d after created	no	Dropbox · History
10_21_2025_18_42_18_002.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS15K-510859 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31, poa@alasurety.com 2025 POWER AMOUNT $ 15, 000 KNOW ALL MEN BY THESE PRESE… [show full stored text]	Executed Power (PoA)	156.6 KB	2025-10-27 17:10:32 uploaded 6d after created	no	Dropbox · History
10_21_2025_18_42_18_003.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS15K-510860 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: poa@aiasurety.com December 31- 2025 POWER AMOUNT $ 15,000 KNOW ALL MEN BY THESE PRESEN… [show full stored text]	Executed Power (PoA)	156.6 KB	2025-10-27 17:10:27 uploaded 6d after created	no	Dropbox · History
10_21_2025_18_42_19.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS15K-510861 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31, 2025 poa@alasurety.com POWER AMOUNT $ 15, 000 KNOW ALL MEN BY THESE PRESE… [show full stored text]	Executed Power (PoA)	160.1 KB	2025-10-27 17:08:42 uploaded 6d after created	no	Dropbox · History
1508720.jpg	Unreadable (OCR found very little text) reason: low-text-confidence	29.2 KB	2025-10-10 23:13:19 uploaded 34d after created	yes	Dropbox · History
4054 Sunny Day Way, Kissimmee, FL 34744 _ Zillow.pdf 9/6/25, 1:19 PM Back to search 4054 Sunny Day Way, Kissimmee, FL 34744 \| Zillow 2 Zillow Save Share ••• More Off market 88 See all 25 photos Zestimate® $408,200 4054 Sunny Day Way, Kissimmee, FL 34744 Est. refi payment: $3,342/mo (S Refinance your loan 4 beds 2 baths 2,236 sqft al SingleFamily $408,… [show full stored text]	Unclassified	10 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
4388604261969716214.jpg Florida USA DRIVER LICENSE W214-220-41-622-0°cuasE WEISBLATT ELIZABETH 81550 GAY ROAD APT 324 WINTER PARK, FL 32789-2963 1 poe 04/02/1941 1SSEx F SAFE DRIVER sh EXP 04/02/2027 12 REST NONE So END NONE 03/18/2019 G751 de consotutes any sobnety lest required by [show full stored text]	State ID	247.7 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
5066997186594037404.JPG 1:12 & OX YouGov AOL • 05GUC ill .ill • mrcooper.com/se mr. cooper CHANGING THE FACE OF HOME LOANS JOSE LOPEZ FUZAR-TH WEISREATI 4054 SUNNY DAY WAY KISSIMMEE, FL 34744-9152 PONUPAL S296.47 REGULAR MONTHLY PAYMENT $1,514.04 ESCROW S668.76 EXPLANATION OF AMOUNT DUE MORTGAGE LOAN STATEMENT STATEMENT DA… [show full stored text]	Image (unclassified)	318.5 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
Bail Bond Application - DEFENDANT - signed.pdf BAIL BOND APPLICATION - DEFENDANT COMPANY ALLEGHENY CASUALTY COMPANY P.O. Box 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 BAIL 2 GO P.O. Box 592643, ORLANDO, FL 32859-2643 TELEPHONE (407) 245-5554 1. Name Jose Antonio Lopez Jr First Middle Last My friends/family know me as Jose 2. Reside… [show full stored text]	Defendant app (digital)	446.2 KB	2025-10-10 23:13:19 uploaded 32d after created	no	Dropbox · History
EDP V10.9.1.2024 - Osceola.pdf Packet Completed By: Defendant: Def Add. Def Home # _ City: Def Cell # Condition(s) of Bond: Check in Schedule: Phone In Days : Walk In Days: Mon Mon Tues - Tues Power No(s): Charge: Case No: Court Date: Indemnitor: Paperwork Date: G Total Premium Due : Social Security: State: _ Email : Wed Wed Thur… [show full stored text]	Defendant app (digital)	1.1 MB	2025-10-10 23:13:19 uploaded 33d after created	no	Dropbox · History
Flat LOPEZ, JOSE ANTONIO 4 EP V10.92024 - Osceola copy.pdf Packet Completed By: Indemnitor: _ Jose Lopez _ Social Security: _ ACF#: 0906251235 Ind Add. 4054 Sunny Day Way City: Kissimmee State: Florida _ Zip: 34744 Ind Home # Ind Cell # Relationship to Def.: DAD How long known Def.: Email: LIFE IA PN Mortgagee Deed ($17.00) Vessel Title ($75.00 fee) Collate… [show full stored text]	Indemnitor app (digital)	1.7 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
Flat LOPEZ, JOSE ANTONIO MOM 4 EP V10.92024 - Osceola copy copy.pdf Packet Completed By: Indemnitor:_ Social Security: _ ACF#: 0906251235 Ind Add. 4054 Sunny Day Way City: Kissimmee State: Florida _ Zip: 34744 Ind Home # Ind Cell # Relationship to Def.: Mom How long known Def.: Email: Life IA PN Mortgagee Deed ($17.00) Vessel Title ($75.00 fee) Collateral Explained:… [show full stored text]	Indemnitor app (digital)	1.7 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
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JOSE ANTONIO LOPEZ Confirmation to Sign.pdf 9/8/25, 9:48 AM Bail 2CO' HomeSendManage WorkflowsReports Get help Confirmation to Sign Powered by Adobe Acrobat 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 Form Fields Res… [show full stored text]	Defendant app (digital)	205.9 KB	2025-10-10 23:13:19 uploaded 32d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO - dad - idiCORE.pdf 9/25/25, 3:02 PM idiCORE idiCORE Expanded Person Search Last Name: LOPEZ First Name: JOSE Exact First Name: No Date of Birth: 03/06/1978 City: kissimmee State: fl Reference ID: JOSE ANTONIO LOPEZ 1 of 3 results). JOSE ANTONIO LOPEZ show alias (10) SSN: XXX-XX- XXXX Issued in Massachusetts, 1979 DOB:… [show full stored text]	IDI Report	235 KB	2025-10-10 23:13:19 uploaded 15d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO - mom - idiCORE.pdf 9/25/25, 3:02 PM ..• ¡diCORE idiCORE Expanded Person Search Reference ID: JOSE ANTONIO LOPEZ 1 of 1 results). TERESA INEZ LOPEZ show alias (3) SSN: XXX-XX- XXXX Issued in Mississippi, 1979 DOB: 06/XX/1979 (46) show other seen DOB (1) Likely Current Address: 4054 SUNNY DAY WAY, KISSIMMEE, FL, 34744 (… [show full stored text]	IDI Report	175.5 KB	2025-10-10 23:13:19 uploaded 15d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO EDP V10.9.1.2024 - Osceola.pdf Packet Completed By: Defendant: Def Add. Def Home # _ City: Def Cell # Condition(s) of Bond: Check in Schedule: Phone In Days : Walk In Days: Mon Mon Tues - Tues Power No(s): Charge: Case No: Court Date: Indemnitor: Paperwork Date: G Total Premium Due : Social Security: State: _ Email : Wed Wed Thur… [show full stored text]	Defendant app (digital)	1.1 MB	2025-10-10 23:13:19 uploaded 33d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO 09062025_ACF# 0906251235 Ind Add. 4054 Sunny Day Way city Kissimmee state Florida zip34744 Ind Home #.pdf • Packet Completed By: Indemnitor: _ Ind Home # _ Social Security: _ACF#: 0906251235 Ind Add. 4054 Sunny Day Way City: Kissimmee State: Florida Zip: 34744 _ Ind Cell # Email: Relationship to Def.: _ Mom_ _ How long known Def.: - Life IA Mortgagee Deed ($17.00) 3 Signature & Mortgage Vessel Title ($75.00 fee) Collateral Explained: Collateral in Amount of Cash Check CC MO Collateral held by Bondsman Surety Condition(s) of Bond: _ 3 signatures & mortgage. Defendant Name: JOSE ANTONIO LOPEZ Booking #._ dob: 9/13700 _ doa: 9/5/25 Exgeurion Data: 9/6/85 sex: Power No: AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $1,000.00 Case No: _ Court Date: TBN Power No: _ AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $ 1,000.00 Case No: Court Date: TBN Power No: AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $ 1,000.00 Case No: Court Date: _ TBN Bond Amount: Detainer: Co County: Time: _ Bond Amount: _ Detainer: Court: County: _ Time: Bond Amount: _ Detainer: Court: County:. Time: Continue to Next Page 1508720 race: W $ 10,000.00 CIRCUIT OSCEOLA TBN $ 10,000.00 CIRCUIT OSCEOLA TBN $ 10,000.00 CIRCUIT OSCEOLA TBN Power No: AS15K Charge: POSS CONTROL VIEW DEPICTION CI Premium: $ 1,000.00 Case No: Court Date: TBN Bond Amount: Detainer: Court: County: Time: $ 10,000.00 CIRCUIT OSCEOLA TBN Agent: City: JESSICA BOLDEN KISSIMMEE Agent Lic No: _ State: W269858 FL Total Premium: _ Misc Charges: $ 4,000.00 Total Liability: _ Total Charges: $ 40,000.00 $ 4,000.00 Money Received on Account: Balance: APF: 1508720 $ 4,000:00 /0906251235 Due Date: Received From: BAIL BOND APPLICATION - INDEMNITOR COMPANY ALLEGHENY CASUALTY COMPANY P.O. Box 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 PRODUCER Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 1. Name Teresa Inez Lopez My friends/family know me as First Middle Last 2. Residence Address. 4054 Sunny Day Way Kissimmee City _ State_ Florida _Zip 34744 3. How Long at Current Address 8 years Rent Free- -Lease Own_ Landlord/Mortgagor Name Mr Cooper 4. Is Mortgage/Lease in your name? Yes No No When does Lease Expire Email Trlop6@aol.com 5. Cell Phone # 4079687323 Cell Carrier T-Mot iPhone or Android iPhone How Long with Cell No. 10 years 6. Employer Disabled _ Length _ Position Work # Any ownership greater than 20% in any Corporation, LLC, or S-Corp No Any specialized license to work. No 7. Social Security No. 425357548 _ ID# wt212Ht 5/6 Race White Eye Color Hazel Hair Brow 8. Have you ever filed Bankruptcy. _ Do you have any judgements or liens against you currently _ No If so, where 9. Gender Fema Place of Birth Mississippi 6/26/79 - Date of Birth_ US Citizen Yes Marital Status Married How Long 10. Have many years have you lived in FL? 37 year Are you a convicted felon? _Are you on any type of Probation or Parole? No 11. Vehicle Year Vehicle Color Green Vehicle Make Vehicle Miles 115,000 Amount Owed 0 Mother 25 years 12. Relationship to Defendant How long have you known Defendant Defendants Home Address 4054 Sunny Day Way 4079274078 Luis Lopez Defendants Cell Phone Number 1572 oxalis Ave 13. Emergency Contact Name Yes 13. Children Yes No Address 3 Phone No. Amount of children 25, 22, 19 4075338334 Yes Ages Do kids reside with you 14. Attorney Phone No. May we reach out on the defendants behalf 15. How did you hear about us? Personal References First & Last Name Luis Lopez Stephanie Lopez Relationship Brother in la City / State Orlando / Fla Phone 4075338334 2. 3. 4._ 5._ 6. Sister in lav Orlando / Fla 4079531617 Gladys Lopez Mother in la Orlando / Fla 4079537483 Antonio Lopez Father in la Dey Dey Carasquio Friend Orlando / Fla Orlando / Fla 4079532592 4077577097 Angel Figueroa Friend Orlando / Fla 3219471117 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 quilty of a felony of the third degree. Sign Print ID#_ SSN DOB 1120-809-79-706-0 425-35-7548 60679 Laresa lopez 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 Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 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: Date Defendant Name 9/6/25 JOSE ANTONIO LOPEZ Indemnitor Name(s) Total Bond Amount $ $ 40,000.00 Total Premium $ $ 4,000.00 Power Number(s) AS15K AS15K ("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 9/6/25 Defendant Signature Indemnitor Signatur Print Name Terese oper Print Name JOSE ANTONIO LOPEZ Indemnitor Signature Indemnitor Signature Print Name Print Name Indemnitor Signature Indemnitor Signature Print Name Print Name 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 bond 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.) NDEMNITOR Initials Form# ACC.FL.0307 (10/21) * 08 415 READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE 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. . Defendant agrees to appear in any Court as required in connection with the Bond at the dates and times stated in the sond and/or as may be ordered by the Court. Indemnitor will ensure that Defendant appears in Court as so required o as ordered by the Court. 3. Surety shall have control and jurisdiction over the Defendant during the term for which the Bond is in effect and shal ave the right to apprehend, arrest and surrender the Defendant to the proper officials at any time as provided by lav 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 refund of the Bond premium if required by applicable law (if any) and 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 to the Surety, 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 Surety b) Defendant moves from his/her current address without prior written consent of the Suretv. or Defendant fail to 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 including the Bail Bond Application and Indemnitor Application; (f) The bail for Defendant is increased; (g) Indemnitor requests the surrender to custody of the Defendant; and/or (h) There is a material 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 for the Bond. 5. In the event that the apprehension and surrender of Defendant to custody is required for any reason, including the acknowledges that such apprehension and Defendant accepts the risk of such harm that may be caused to Defendant and/or others. Defendant also agrees to defend, indemnify and hold Surety harmless (including all agents and employees thereof) from any injuries. losses, 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 6. You, jointly and severally (together and separately) with any other indemnitor, shall indemnify the Surety and keep the emands, actions. ludaments. tees. tine 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 an egal fees incurred; (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is typically ten t 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 required under this Agreement, reasonable and actual attorney's fees plus any and other costs. The voucher, check or other evidence of any payment made by Surety shall be conclusive evidence of such payment in 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. -urther, you will, upon demand, place with Surety the requisite cash funds to meet any Liabilities (including a pendin unpaid judgment or forfeiture demand), whether the demand is made before or after Surety has paid or advanced sučh funds. ) is held for the payment or reimbursement of any and 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 sums due to Surety under this Agreement, the Bond and/or to place the Surety in cash funds so as to protect the Surety against the payment of any Liabilities, including any claim, demand, loss, or judgment arising out of the Bond, even if the Suretv has not paid any such Liabilitv. Subiect to applicable law (if anv), the Suretv mav make any such sale, at its 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 o deposited with the Surety, upon request of the Surety, you shall provide the Surety with additional and satisfactory Collateral so that the total 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 riaht, power and authoritv, without further demand or notice. to sell. assian and deliver the whole or any part of such Collateral, including 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. ). If a Confession of Judament ("COJ") is taken as securitv for the Bond. the Suretv shall have the riaht to enter, recor 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 Terms And Conditions (continued from previous page) 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 deer t advisable to retain such Collateral tor its protection; and (d) upon the request by Surety, you shall execute anc 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 for real 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 transfer 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 or consent from you. Subject to any limitations imposed upon Assignee by the Surety, Assignee shall have the right to 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. 15. To the maximum extent permitted by appicable law, you hereby waive any and all rights you may have under federal law including, Privacv Act-Freedom of Information Act and Title 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 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 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 locating, 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 Surety may 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 Detendant 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 Défendant 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 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 your location information 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 comply with such law so as to provide Surety with the maximum protection from any Liabilities. Wray effect the validity or enterceability of any other provision or port her of this ronion a 20. This Agreement and all documents that are executed in connection with this Agreement set torth all the terms of the agreement between the Surety and you. All statements, representations, promises, agreements, and affirmations made by the Surety or Bail Producer, or any representative, employee or agent, thereof prior to or contemporaneously with the execution of this Agreement are contained within this document. and unless they are specifically set forth in this 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, 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 Defendant's surrender is made prior to the time set for Defendant's appearances, and for reasons other than 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, and no person shall have any right to any refund of premium whatsoever. The events which constitute a reach of Defendant's obligations hereunder are: from one address to another within the State of Florida without notifying Surety or Bail Producer in writing prior to moving; (c) If Defendant 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 Services, Bail Bond Section 20 stare 39-032. Services, Bail Bond Section, 200 Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state) 5. The person whose name appears as Payer on the Premium Receipt shall be entitled to a refund of premium for the Bond if 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 indemnify 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 courts; (b) Attorneys fees and court costs associated with filing of motions; (c) Documented transportation and outside the jurisdiction of the court; (d) Law enforcement costs for housing, 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. I0. Surety shall be entitled to deduct from collateral held or any return premium all fees, expenses, and charges authorized by applicable 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 a conflict between the terms and conditions of the Agreement and this Supplement, this 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@alasurety.com BAIL BOND INFORMATION SHEET PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 Bond Information Defendant Name JOSE ANTONIO LOPEZ Power Numbers) Case Number AS15K 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 ** I/We have received a copy of this information sheet. We have received a copy of all collateral documents that INe signed regarding the above bond(s). 8 Defendant Signature indemnitor signature un fur Print Name Date Print Name Teresa Upez Signed original to agent's bond file; Copy to defendant and each indemnitor Date 9/6/25 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: JOSE ANTONIO LOPEZ (Defendant"). On demands after date, for value received, I/We promise to pay to the order of Allegheny Casualty Company the sum of $ $ 40,000.00 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) OSCEOLA COUNTY, FLORIDA piA pumbers) sandra Lipo Maker Name renesc luper AS15K AS15K Signature 9/6/25 Date Maker Name Date Form# ACC.FL.0036 (10/21) Print Form Reset Form COLLATERAL RECEIPT allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@alasurety.com Receipt No.: ACFL- 0906251235 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 Deposit of collateral: Depositor hereby acknowledges receipt of • Return of collateral: Depositor hereby surrenders the original and acknowledges a copy of this document and agrees to the terms on the reverse the return and receipt of collateral listed herein and that the collateral has been side. The collateral identified below is deposited as security for returned in good and sufficient condition. Depositor hereby relieves the surety and the bail bond(s), premium owed, if any, and all lawful expenses its bail producer from any further liability or responsibility in relation to the collateral. incurred due to underwriting the referenced bail bond(s). Returning collateral from receipt numbers) Date Received Depositor Name(s) 9/6/25 Depositor Address 4054 Sunny Day Way Power Number(s) AS15K AS15K Items) Received - describe below, specify condition Promissory Note, Signature Bail Bond Agreement Collateral funds - in form of 3 Signature & Mortgage If applicable, I acknowledge a Credit Card fee of Case Number Signature. FLORIDA USE ONLY Print Name Form# ACC.FL.0304-2 (01/23) ersa Uper Depositor Phone Number Defendant Name JOSE ANTONIO LOPEZ Bond Amount $ 40,000.00 Amount or Estimated Value Held By Bail Producer $ $ Bail Producer $ Bail Producer • Surety Surety Surety % in the amount of $ Signature Print Name JESSICA BOLDEN 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 alien 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 Receipt No.: AP- 1508720 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO Kissimmee (Osceola County) 120 Simpson Rd Ste A Kissimmee, FL 34744 (407) 483-7983 Date Received Payment Cash • Credit Card Credit Card Authorization Code Amount Received ($) 9/6/25 Method Check • Money Order Payer Name Payer Phone Number Defendant JOSE ANTONIO LOPEZ Power Number(s) AS15K Bond Amount ($) $ 40,000.00 Case Number(s) AS15K Court Appearance Date CIRCUIT CIRCUIT TBN TBN Itemized Expenses) (if and as permitted by applicable law) Appearance Time TBN Collateral Received Collateral Receipt Numbers) • Yes • No 0906251235 Expense Amount Bail Bond Premium $ Expense(s $ Total Expense(s) $ $ 4,000.00 $ 4,000.00 $ Prior Payments) $ Amount Received ($ ($ $ Remaining Balance $ $ 4,000.00 Producer/Representative Signature Form# ACC.0304-1 (10/21) Payer Signature/ Print Name Teresa Lopez Producer/Representative Print Name JESSICA BOLDEN 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.	Indemnitor app (digital)	4.5 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO 4 dad EP V10.92024 - Osceola .pdf Packet Completed By: JESSICA Indemnitor: _ Jose A Lopez _ Social Security: _ ACF#: 0906251235 Ind Add. 4054 Sunny Day Way City: Kissimmee State: Florida _ Zip: 34744 Ind Home # Ind Cell # Relationship to Def.: DAD How long known Def.: Email: LIFE IA PN Mortgagee Deed ($17.00) Vessel Title ($75.00 fe… [show full stored text]	Indemnitor app (digital)	4.1 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO Credit Card Authorization Form.pdf Credit Card Authorization form GLADYS N LOPEZ , 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. $4,000 … [show full stored text]	Unclassified	236.4 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO MOM 4 EP V10.92024 - Osceola copy (Jessica Bolden's conflicted copy).pdf Packet Completed By: JB Indemnitor:_ 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) 3 Signature & Mortga… [show full stored text]	Indemnitor app (digital)	3.3 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO MOM 4 EP V10.92024 - Osceola copy.pdf Packet Completed By: JB Indemnitor: _ Social Security: _ ACF#: 0906251235 Ind Add. 4054 Sunny Day Way City: Kissimmee State: Florida _ Zip: 34744 Ind Home # Relationship to Def.: IA PN Collateral Explained: _ Collateral in Amount of Collateral held by Bondsman Condition (s) of Bond: Ind Cell # Mom H… [show full stored text]	Indemnitor app (digital)	3.7 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO MOM 4 EP V10.92024 - Osceola.pdf Packet Completed By: Indemnitor: _ Ind Add. Ind Home # IA Collateral Explained: _ Collateral in Amount of Collateral held by Condition (s) of Bond: _ Relationship to Def.: PN Bondsman Defendant Name: Power No: Charge: Premium: Case No: Court Date: _ Power No: Charge: Premium: Case No: Court Date: Po… [show full stored text]	Indemnitor app (digital)	3.1 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
LOPEZ, JOSE ANTONIO Osceola County Corrections _ Details.pdf 9/6/25, 3:14 PM Osceola County Corrections I Details Name: JOSE ANTONIO LOPEZ Name: AKA: DOB: Inmate ID: Booking: Category: 09/13/2000 1508720 \| 25007229 ADULT OSCEOTA COUNTY Number: 1508720 JOSE ANTONIO LOPEZ Race: Sex: Eyes: Hair: Weight: Height: Offense 833258 833259 833260 833261 Booking 2500722… [show full stored text]	Booking Report	101.2 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
MTG 1 (DAD & MIL) .pdf This Instrument Prepared By and After Recording Return To: THIS MORTGAGE DEED TO SECURE BOND INDEMNITY EXECUTED on 09/06/2025 by Name JOSE A LOPEZ, TERESA LOPEZ, ELIZABETH WEISBLATT Address 4054 SUNNY DAY WAY, KISSIMMEE, FL 34744 hereinafter called the Mortgagor, to hereinafter called the Mortgagee:… [show full stored text]	Unclassified	100.4 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
MTG 1 (DAD & MOM) .pdf This Instrument Prepared By and After Recording Return To: THIS MORTGAGE DEED TO SECURE BOND INDEMNITY EXECUTED on 09/06/2025 by Name JOSE A LOPEZ, TERESA LOPEZ, ELIZABETH WEISBLATT Address 4054 SUNNY DAY WAY, KISSIMMEE, FL 34744 hereinafter called the Mortgagor, to hereinafter called the Mortgagee:… [show full stored text]	Unclassified	100 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
MTG 1 (MOM & MIL) .pdf This Instrument Prepared By and After Recording Return To: THIS MORTGAGE DEED TO SECURE BOND INDEMNITY EXECUTED on 09/06/2025 by Name JOSE A LOPEZ, TERESA LOPEZ, ELIZABETH WEISBLATT Address 4054 SUNNY DAY WAY, KISSIMMEE, FL 34744 hereinafter called the Mortgagor, to hereinafter called the Mortgagee:… [show full stored text]	Unclassified	100.7 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
Osceola County Corrections _ Details.pdf 9/6/25, 1:06 PM Osceola County Corrections I Details Name: JOSE ANTONIO LOPEZ Name: AKA: DOB: Inmate ID: Booking: Category: 09/13/2000 1508720 \| 25007229 ADULT OSCEOTA COUNTY Number: 1508720 JOSE ANTONIO LOPEZ Race: Sex: Eyes: Hair: Weight: Height: Offense 833258 833259 833260 833261 Booking 2500722… [show full stored text]	Booking Report	100.7 KB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
Search.property-appraiser.org.pdf 9/6/25, 1:20 PM Search.Dropertv-appraiser.org Searches Results Property Record Card Parcel ID: 022530524100011630 IRIM NOTICES V Print Record Card Tax Estimator Tax Collector Map View Bird's Eye View Street View & Share Copy Link Feedback Upload Docs @ Report Damage Flood Zones Permits _ Owner Infor… [show full stored text]	Unclassified	1.5 MB	2025-10-10 23:13:19 uploaded 34d after created	no	Dropbox · History
SERVICE OF COURT DOCUMENT – 2025 CF 002896, STATE OF FLORIDA vs. LOPEZ, JOSE ANTONIO JR Wed, 29 Oct 2025 163503 +0000.pdf	Unreadable (OCR request failed) reason: request-error	146.2 KB	2025-10-30 03:01:20	yes	Dropbox · History

Bail 2 GO — Compliance Dashboard

LOPEZ, JOSE ANTONIO 9:6:25 - JB

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