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…

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, do not proceed - contact your agent immediately before continuing. RECEIPT & BOND DETAILS Receipt Number Date Received Office Location / County Producer / Agent Defendant Full Name Total Bond Liability Power Numbers) Case Numbers) Court B2GOAP-003298 Saturday, August 1, 2026 Orange County (Orlando) Zackery, Nathaniel KEITH CLARK, $1500 Appearance Date Appearance Time Collateral Received Collateral Receipt Number PAYMENT BREAKDOWN Payment Method Apple Pay Amount Cash Amount Cash App Amount Cashiers Check Amount Cashiers Check Number Money Order Amount Money Order Number Square Link Amount Terminal Amount Zelle Amount ITEMIZED EXPENSES Any Itemized Expenses? Expense Description 1 Expense Amount 1 Credit / Debit Card (Remote Link), Credit / Debit Card (Remote Link) 300 Expense Description 2 Expense Amount 2 PREMIUM SUMMARY Total Bail Bond Premium Total Expenses Total Premium & Fees Due Prior Premium Payment Total Premium Received Square Link Amount Pending Remaining Premium Balance Balance owed after all payments applied $200 $$O $$200 $ $$0 $300 $$-100 PAYER INFORMATION Payer Name Payer Phone Payer Email KYMEIA CLARK (386) 302-8759 CLARKKYMEIA@YAHOO.COM • COURT APPEARANCE REQUIRED The defendant must appear at all scheduled court dates. Failure to appear will result in bond forfeiture. The indemnitor will be held financially responsible for the full bond amount and all associated costs. 4 NON-REFUNDABLE PREMIUM NOTICE The bail bond premium is fully earned upon the defendant's release from custody and is non-refundable regardless of case outcome, including dismissal, acquittal, or any other resolution. This is required by Florida law and the terms of the bail bond agreement. • COMPLAINTS & INQUIRIES - FLORIDA DFS For any complaints or inquiries regarding this bail bond transaction, you may contact the Florida 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) A IMPORTANT If any of the information above is incorrect, do not proceed. Stop immediately and contact your Bail 2 GO agent before signing. Saturday, August 1, 2026 • PREMIUM PAYMENT - PAY VIA SQUARE If your agent has set a Square Link Amount on this receipt, complete your premium payment now using the button below. After paying you will receive a Square confirmation number - you will enter that number on the next page before signing. = Pay Premium Now → Available 24/7 | Secure & Encrypted | Powered by Square | Save your confirmation number - you will need it on the next page before signing Ô PAYING BY CASH, CHECK, OR OTHER METHOD? If you are paying by cash, cashier's check, money order, or another method arranged directly with your agent - skip the Square button above. On the next page enter N/A in the payment confirmation field and proceed to sign. Payer Signature Date Saturday, August 1, 2026 05:03

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