Bail 2 GO — Compliance Dashboard

Packet Completed by: 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) • Cash Surety ACF#: Zip…

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 are going to help you too. You are almost there. This form takes about 5 minutes. Once it is signed we move fast. 1 HOW FAST CAN WE GET THEM HOME? Most bonds are posted within hours of your agreement being signed and payment confirmed. Our agents are on call 24 hours a day, 7 days a week — including nights, weekends, and holidays. The moment everything is in place we head to the facility. Speed is what we do. FDFS Licensed State Verified R Allegheny Casualty Surety Provider & 256-bit Encrypted Bank-Level Security • Available 24/7 (833) BAIL2GO 1 GYOUR APPROVED BOND SUMMARY Your Bail 2 GO advisor has pre-filled everything below based on your approved bond. Review it carefully - if anything looks wrong call us immediately before proceeding. BOND REFERENCE Defendant County Booking Number Total Bond Liability Total Premium Due Total Amount Due Collateral Required Monitoring Required Monitoring Type Check In Frequency Special Conditions Your Advisor CLARK, KEITH LAMAR Orange 26025822 1500 200 200 No Yes BVMA/Check My Bail Weekly Defendant must check in weekly until bonds are discharged I Orange A If anything above looks incorrect stop and call (833) 224-5246 before proceeding. A YOUR COMPLETE BOND PROCESS - WHAT HAPPENS NEXT • Bond Approved — Your bond has been approved by underwriting → Bond Agreement & Payment - You are here. Review your bond terms, make your payment, and sign & 2 → Indemnitor Application — Your full financial application - your advisor will send this immediately after → Bond Posted - Our agent proceeds to the facility and posts the bond → Defendant Released — Your loved one comes home A WHAT YOU ARE AGREEING TO • You are accepting responsibility as the Indemnitor — the person financially guaranteeing this bond • You are confirming the approved bond terms above including total liability, premium due, and all conditions • You are responsible for ensuring CLARK, KEITH LAMAR appears at all scheduled court dates • Your electronic signature is legally binding under Florida law — read everything before you sign ~ WHAT YOU NEED TO COMPLETE THIS FORM • Your full legal name as it appears on your government-issued ID • A clear photo of your government-issued photo ID — driver's license, passport, or state ID • A live photo of yourself holding your ID — required for identity verification • A payment method — credit or debit card — you will pay on the next page before signing • About 5 minutes of uninterrupted time — this is a legally binding document 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. * PROTECT YOURSELF FROM FRAUD Bail 2 GO will never ask you to pay via wire transfer, gift card, Zelle, Venmo, or cryptocurrency without a secure confirmation code from our office. All standard payments go through Square. Call (833) 224-5246 if you receive any suspicious request. Review your bond details above then click Next. On the next page you will select your payment method and complete your payment before signing. Secure Your Bond Payment Complete your payment before signing. Click the button for your payment type - Square opens in a new tab. Pay, copy your confirmation number, come back here and paste it in the field below. • HOW THIS WORKS - 3 SIMPLE STEPS 1. Click your payment button below — Square opens in a new tab — complete your payment securely 2. Square will show you a confirmation number on screen and email you a receipt - copy it 3. Come back to this tab - paste your confirmation number in the field below - click Next to sign - BOND PREMIUM PAYMENT 4 Select whether you are paying the full premium or a deposit. Your advisor will have confirmed which applies to your bond. If you are unsure call (833) 224-5246 before paying. • Pay Full Premium Opens Square in new tab • Pay Premium Deposit Opens Square in new tab ® Secured by Square | 256-bit encrypted | Available 24/7 V AFTER PAYING YOUR PREMIUM Copy your Square confirmation number and paste it into the Premium Payment Reference Number field directly below. This is required before you can proceed. Premium Payment Reference Number dc2i COLLATERAL PAYMENT Only complete this section if your bond requires collateral. Your advisor will have confirmed whether collateral applies to your bond. If you are unsure call (833) 224-5246 before paying. RA Pay Full Collateral Opens Square in new tab Rk Pay Collateral Deposit Opens Square in new tab GAll collateral payments go to the Bail 2 GO collateral account I Secured by Square 5 A AFTER PAYING COLLATERAL Paste your Square confirmation number into the Collateral Payment Reference Number field directly below. If collateral was not required for your bond leave this field blank. @ PAYMENT SECURITY - PROTECT YOURSELF These are the only secure payment links for Bail 2 GO. We will never ask you to pay via wire transfer, gift card, Zelle, Venmo, or cryptocurrency. If you receive any other payment request call us immediately at (833) 224-5246 before sending any money. Payment complete? Reference number pasted? Click Next to proceed to your Bond Agreement and sign. Final Step - Review & Sign Your Bond Agreement Payment recorded. You are now on the final step. Read everything on this page carefully before entering your name and signing. Your electronic signature is legally binding under Florida law. V PAYMENT RECORDED - PROCEEDING TO SIGNATURE Your payment reference number has been recorded. Your advisor will verify your payment with Square. If there is any issue with your payment your advisor will contact you directly before the bond is posted. 6 • BEFORE YOU SIGN - CONFIRM ALL OF THESE & You reviewed your bond summary on Page 1 and all details are correct & You completed your payment and your reference number is on file S You understand you are personally and financially responsible for ensuring the defendant appears at all court dates • You have your government-issued photo ID ready to upload • Your camera is working — you will take a live photo holding your ID after signing A If anything looks incorrect stop and call (833) 224-5246 before signing. A WHAT YOU ARE SIGNING • You are accepting the Bail Bond Agreement — confirming all bond terms, conditions, fees, and monitoring requirements set by underwriting You are accepting your role as the Indemnitor - personally and financially guaranteeing this bond for the duration of the case • If the defendant fails to appear in court you may be held liable for the full bond amount plus all associated costs and tees • Your printed name and electronic signature below carry the same legal weight as a handwritten signature under Florida law • GOVERNMENT ID UPLOAD - REQUIRED • Accepted: Driver's license, state ID, passport, or permanent resident card • Lay your ID flat on a dark surface - photograph straight on — all four corners must be visible • All text must be clearly legible — no glare, blur, or shadows 7 * LIVE IDENTITY VERIFICATION - REQUIRED AFTER SIGNING After entering your name and signature you will be asked to take a live photo of yourself holding your government-issued ID. Make sure you are in a well-lit area with your face clearly visible. This is required to complete the agreement. * FLORIDA FRAUD WARNING - REQUIRED BY LAW Any person who knowingly and with intent to injure, defraud, or deceive any insurer submits an application, statement, or claim containing false, incomplete, or misleading information commits insurance fraud - a felony of the third degree under Florida law — and may be subject to criminal prosecution, fines, and imprisonment. Ready to sign? Complete all fields below. Enter your full legal name, upload your ID, sign, and take your verification photo. Questions? Call (833) 224-5246 before signing. Indemnitor Full Name Indemnitor Full Legal Name (For General Appearance & Bond Agreement) Indemnitor Phone Indemnitor Email KYMEIA CLARK KYMEIA CLARK (386) 302-8759 CLARKKYMEIA@YAHOO.COM 8 Upload Government-Issued ID GEORGIA 'S LICENSE DL DRIVER'S LICENSE a4 DL NO. 072781303 1 008 06/01/2001 • CLASS C 4b EXP 06/01/2033 2 KYMEIA LAKASIA 1 CLARK 28 CEDAR POINTE RD ACWORTH, GA 30101-9019 BARTOW 12 REST A NONE 11/13/2025 18 EYES 5'-04" 17 WGT BRO 117 lb + 00 51845133724002000 Photo Verification (Hold ID Next to Face) Printed Name of Indemnitor Kymeia Clark 9 Indemnitor Signature Date of Agreement Saturday, August 1, 2026 04:03

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 …

GEORGIA DRIVER'S LICENSE Governor: B:lh Commissioner DL DRIVER'S LICENSE 4d DL NO. 072781303 3 DOB 06/01/2001 9 CLASS C 4b EXP 06/01/2033 2 KYMEIA LAKASIA 1 CLARK 8 28 CEDAR POINTE RD ACWORTH, GA 30101-9019 BARTOW 12 REST A 9a END NONE 4a ISS 11/13/2025 15 SEX 18 EYES 16 HGT 5'-04" 17 WGT BRO 117 lb…

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

Orange County Incarcerations CLARK, KEITH LAMAR Booking Number: Race: Gender: Age: Cell: Date Booked: Number of Holds: Notes: 26025822 BLACK MALE 43 Last Known Location: PALM COAST BRCMBFNA 08/01/2026 NONE Case Sequence: Case Status: Bond Amount: Police Case Number: Arresting Agency: Charge/Court Ca…

Saturday, August 1, 2026 Bail 2 GO LEAD CAPTURE - (Always required - the person calling in) KISSIMMEE - ORLANDO - SANFORD Approval Status NOT_STARTED IGNITE — Underwriting Review You have been assigned this bond intake for underwriting review. All intake data collected by the advisor is pre- filled …

Notification Settings • KEITH LAMAR CLARK ( Defendant, Indemnitor) Turn Notifications On? Yes No Types Appearance Date Standard Appearance Track Checkin Due • Standard Check-In Payment Due : N/A