| File | Classified as | Size | Modified | OCR | Links |
|---|---|---|---|---|---|
05022026_002.pdfSTATE OF FLORIDA
SAMUEL PERDOMO FELIZ
In the Circuit Court, Eighteenth Judicial Circuit, Brevard County, Florida
CASE No.: 05-2025-CF-041183-AXXX-BC
CLOCK IN
DEFENDANT
Participant ID Number: 4384124
NOTICE TO APPEAR FOR: ARRAIGNMENT
TO:
DEFENDANT: SAMUEL PERDOMO FELIZ
16 WHITTIER ST LYNN MA 01902-41…
[show full stored text] |
Unclassified | 184.3 KB | 2026-05-02 23:31:06 | no | Dropbox · History |
05212026_008.pdfSTATE OF FLORIDA
VS.
SAMUEL PERDOMO FELIZ
Participant ID Number: 4384124
41346196
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT,
IN AND FOR BREVARD COUNTY, FLORIDA
Case Number: 05-2025-CF-041183-AXXX-BC
Filed in Open Court on May 12, 2026 10:04 am.
B Wertz, Deputy Clerk
NOTICE TO APPEAR FO…
[show full stored text] |
Unclassified | 143 KB | 2026-05-22 08:28:52 | no | Dropbox · History |
2026-07-26-12-56-20.pdfSTATE OF FLORIDA
VS.
SAMUEL PERDOMO FELIZ
Participant ID Number: 4384124
41605360
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT,
IN AND FOR BREVARD COUNTY, FLORIDA
Case Number: 05-2025-CF-041183-AXXX-BC
Filed in Open Court on July 7, 20261:59 pm.
B Wertz, Deputy Clerk
NOTICE TO APPEAR FOR …
[show full stored text] |
Unclassified | 149.6 KB | 2026-07-27 05:09:15 | no | Dropbox · History |
image.jpgFlorida
EAT
GR
DRIVER LICENSE
40олP633-981-47-900-0
¡PERDOMO FELIZ
SAMUEL
4580 THOREAU PARK OR APT 202
ORLANDO, FL 32839-6099
10ов-12/23/1991 453E0 M
4b EXP
12/23/2033
16H69 5'-09*
12 REST NONE
9a END NONE
SAFE DRIVER
4a /SS 08/05/2025
SDD G742508050190
Operation of a motor vehicle constitutes
conse…
[show full stored text] |
State ID | 3.2 MB | 2026-04-17 17:28:20 | no | Dropbox · History |
| IMG_1025.heic | Unreadable (unsupported file type -- not a PDF/JPG/PNG) reason: unsupported-filetype | 1.7 MB | 2026-04-17 17:28:20 | yes | Dropbox · History |
| PERDOMOFELIZ, SAMUEL - def IDI.pdf | Unreadable (Dropbox download failed) reason: download-error | 83.4 KB | 2026-04-17 17:28:20 uploaded 3d after created | yes | Dropbox · History |
PERDOMOFELIZ, SAMUEL 053d9e96-ba76-4b3a-bcdd-460f6ac9ca12.JPGMASSACHUSETTS
Colleen gOgiluce REGISTRAR
DRIVER'S
LICENSE
NOT FOR FEDERAL ID
4a ISS
04/04/2024
4b EXP
02/20/2029
9 GLASS 12 REST
NONE
, PERDOMO FELIZ
2 RAFAEL AUGUSTO
8 27 LITHGOW ST
APT 3
DORCHESTER, MA 02124-3610
18EYES BRO
15 SEX M 16HGT 5'-11"
5 DD 04/07/2024 Rev 02/22/2016
Ad NUMBER
SA8890586
3…
[show full stored text] |
Image (unclassified) | 816.8 KB | 2026-04-17 17:28:20 uploaded 3d after created | no | Dropbox · History |
PERDOMOFELIZ, SAMUEL 6EP.pdfPacket Completed By:
JESS
Indemnitor:
_Social Security: _
Ind Add.
_ City:
_ State:
Ind Home #
Ind Cell #
Relationship to Def.:
_ How long known Def.:
IA
PN
Mortgagee Deed ($17.00)
Collateral Explained: _
Collateral in Amount of
Cash
Collateral held by
Bondsman
Surety
Condition(s) of Bond:
Def. Pape…
[show full stored text] |
Indemnitor app (digital) | 4.6 MB | 2026-04-17 17:28:20 | no | Dropbox · History |
PERDOMOFELIZ, SAMUEL back of id .jpgThe State
of Florida
retains all
property
rights herein.
122391
Rev.
03/01/2020
21
01005038259
25182
CLASS: E - Any non-commercial veh with a GVWR < 26.001 Ibs.
or any RV
REST: None
END:
None
REPLACEMENT LICENSE REQUIRED WITHIN 30 DAYS
OF ADDRESS OR NAME CHANGE
wWW.FLHSMV.GOV
[show full stored text] |
State ID | 3 MB | 2026-04-17 17:28:20 | no | Dropbox · History |
PERDOMOFELIZ, SAMUEL Brother info.png11:09 Al
495
Maybe: Vanessa Evertsz ›
New contact information
Vanessa Evertsz
Add
X
Yesterday 12:08 PM
Hello, this is Jessica from Bail 2 Go,
I spoke with you in regard Samuel in
the Orange County jail.
MASSACHUSETTS
DRIVER'S
LICENSE
NOT FOR FEDERAL ID
404/04/2024
40 NU
SA8890586
* 02/20/2029
9 CLAS…
[show full stored text] |
Image (unclassified) | 1.8 MB | 2026-04-17 17:28:20 | no | Dropbox · History |
PERDOMOFELIZ, SAMUEL card info .pngPERDOMOFELIZ, SAMUEL
26013329
Contact
+ 1 United States
970-821-4963
VEVERTSZ_UBIERA@HOTMAIL.COM
VANESSA
EVERTSZ
Payment a
All transactions are secure and encrypted
Payment card
04/28
5129 9256 5721 1531
585
32839
=
[show full stored text] |
Image (unclassified) | 136.5 KB | 2026-04-17 17:28:20 | no | Dropbox · History |
| PERDOMOFELIZ, SAMUEL cash premium .heic | Unreadable (unsupported file type -- not a PDF/JPG/PNG) reason: unsupported-filetype | 2.8 MB | 2026-04-17 17:28:20 | yes | Dropbox · History |
PERDOMOFELIZ, SAMUEL def id .jpgFlorida
DRIVER LICENSE
400LxP633-981-47-900-0
9CLASS
PERDOMO FELIZ
SAMUEL
4580 THOREAU PARK DR APT 202
ORLANDO, FL 32839-6099
12/23/1991 15360 M
46 EX# 12/23/2033
16 HT 5'-09*
12 REST NONE
9a END NONE
SAFE DRIVER
08/05/2025
5DD G74250
50190
Operation of a motor
consent to arry sab
sety
required
[show full stored text] |
State ID | 2.7 MB | 2026-04-17 17:28:20 | no | Dropbox · History |
| PERDOMOFELIZ, SAMUEL indem id .HEIC | State ID reason: unsupported-filetype | 2.9 MB | 2026-04-17 17:28:20 | yes | Dropbox · History |
| PERDOMOFELIZ, SAMUEL mugshot .jpg | Court/case doc reason: low-text-confidence | 60.7 KB | 2026-04-17 17:28:20 uploaded 3d after created | yes | Dropbox · History |
PERDOMOFELIZ, SAMUEL Rapsheet 1.pdfOrange County Incarcerations
PERDOMOFELIZ, SAMUEL
Booking Number:
26013329
Race:
WHITE
Gender:
MALE
Age:
34
Last Known Location:
LYNN
Cell:
BROMBFNA
Date Booked:
04/13/2026
Number of Holds:
1
Notes:
NONE
Charges
Case Sequence:
381
Case Status:
PRESENTENCED
Bond Amount:
5000.00
Police Case
N/A
Number…
[show full stored text] |
Court/case doc | 682.1 KB | 2026-04-17 17:28:20 uploaded 3d after created | no | Dropbox · History |
PERDOMOFELIZ, SAMUEL Screenshot 2026-04-14 at 1.14.42 PM.pngCase Sequence:
Case Status:
Bond Amount:
Police Case Number:
Arresting Agency:
Charge/Court Case Number:
Court Location:
Note:
Case Sequence:
Case Status:
Bond Amount:
Police Case Number:
Arresting Agency:
Charge/Court Case Number:
Court Location:
Note:
Case Sequence:
Case Status:
Bond Amount:
Polic…
[show full stored text] |
Image (unclassified) | 359.6 KB | 2026-04-17 17:28:20 uploaded 3d after created | no | Dropbox · History |
PERDOMOFELIZ, SAMUEL Screenshot 2026-04-14 at 1.14.49 PM.pngCase Sequence:
Case Status:
Bond Amount:
Police Case Number:
Arresting Agency:
Charge/Court Case Number:
Court Location:
Note:
379
PRESENTENCED
15000.00
ORLANDO PD
OUT-OF-COUNTY WARRANT-OUT-OF-
COUNTY WARRANT
2025CF041183
OUT OF COUNTY - BREVARD COUNTY
ICJIS AFFIDAVIT, ORIGINAL CHARGE(S):
CRMNAL USE…
[show full stored text] |
Image (unclassified) | 130.1 KB | 2026-04-17 17:28:20 uploaded 3d after created | no | Dropbox · History |
Samuel-Perdomo-feliz.pdfBail 2 GO
KISSIMMEE - ORLANDO - SANFORD
Defendant Bond Application
CONFIDENTIAL
I SECURE
LEGALLY
BINDING
Y FDFS Licensed
State Verified
RE Allegheny Casualty
Surety Provider
& 256-bit Encrypted
Bank-Level Security
& Available 24/7
(833) BAIL2GO
a WELCOME HOME
Bail 2 GO is glad you are home. This app…
[show full stored text] |
Defendant app (digital) | 542.1 KB | 2026-04-17 17:28:20 | no | Dropbox · History |
SAMUEL-SAMUEL-PERDOMOFELIZ-26013329.pdfBail 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…
[show full stored text] |
Bond authorization | 422.6 KB | 2026-04-17 17:28:20 uploaded 3d after created | no | Dropbox · History |
Screenshot 2026-05-02 at 7.30.47 PM.pngNotification Settings
Turn Notifications On?
Types
Notification Settings
Turn Notifications On?
Types
¿ SAMUEL PERDOMO-FELIZ (Defendant, Indemnitor)
Yes
No
Checkin Due
Standard Check-In
Appearance Date
Standard Appearance Track
Payment Due : N/A
• VANESSA EVERTSZ ( Significant Other, Caller, Indemni…
[show full stored text] |
Notifications screenshot | 280.1 KB | 2026-05-02 23:31:13 | no | Dropbox · History |
VANESSA C EVERTSZ - indem - IDI .pdfExpanded Person Search | idiCORE
4/14/26, 11:41 AM
idiCoRE
Expanded Person Search
Reference ID: PERDOMOFELIZ, SAMUEL
1 of 1 results).
VANESSA C EVERTSZ
show alias (5)
SSN: XXX-XX-XXXX
Issued in Massachusetts, 2005-2007
DOB: 09/14/1987 (38)
DL: S096XXXXX®
State: MA Last Seen: 2025
Likely Current Addr…
[show full stored text] |
IDI Report | 3 MB | 2026-04-17 17:28:20 uploaded 3d after created | no | Dropbox · History |
Vanessa-C-Evertsz-04-14-2026-01-08-PM.pdfBail 2 GO
KISSIMMEE - ORLANDO - SANFORD
)
Bail Bond Indemnitor Application
CONFIDENTIAL I
SECURE I LEGALLY BINDING
/ FDFS Licensed
State Verified
Re Allegheny Casualty
Surety Provider
& 256-bit Encrypted
Bank-Level Security
% Available 24/7
(833) BAIL2GO
_ YOU ARE IN GOOD HANDS
Bail 2 GO is a fully licensed Florida bail bond agency serving Central Florida families 24 hours a day, 7 days a
week. We are bonded through Allegheny Casualty Company and regulated by the Florida Department of
Financial Services. Our team has helped thousands of families secure the release of their loved ones quickly,
legally, and without surprises. When you sign with Bail 2 GO you are in the hands of professionals who know
exactly how to get your loved one home.
A WHAT YOU ARE AGREEING TO
• You are personally guaranteeing that SAMUEL SAMUEL PERDOMOFELIZ appears at all scheduled court
dates
• If the defendant fails to appear you may be held liable for the full bond amount plus all recovery and court
COStS
You are signing a Contingent Promissory Note in favor of Allegheny Casualty Company
• Your electronic signature carries the same legal weight as a handwritten signature under Florida law
/ HAVE THESE READY BEFORE YOU BEGIN
• Government-issued photo ID — driver's license, passport, or state ID
• Device with a working camera for live identity verification photo
• Current home address, employer information, and Social Security Number
• Contact info for up to 6 personal references — name, relationship, city, phone
• 10 to 15 minutes of uninterrupted time - most applicants complete this in one sitting
E NEED TO STEP AWAY?
Click "Save and Continue Later" at any time - we will email you a secure link to return. Call us at (833) 224-
5246 if you need help.
@ FLORIDA FRAUD WARNING | 4 PROTECT YOURSELF FROM PAYMENT FRAUD
Submitting false or misleading information on this application is a felony under Florida law.
Bail 2 GO will never request payment via wire transfer, gift card, or cryptocurrency without a secure
confirmation code from our office. All standard payments go through Square. Call (833) 224-5246 if anything
seems unusual.
2
Ready? Let's get SAMUEL SAMUEL PERDOMOFELIZ home.
(833) 224-5246 | Kissimmee | Orlando I Sanford
Review Your Bond Details & Financial Obligations
Your Bail 2 GO advisor has prepared this summary based on your approved bond. Review every detail carefully. If
anything looks incorrect do not proceed - call your advisor at (833) 224-5246 immediately before continuing.
ÔYOUR APPROVED BOND SUMMARY
BOND REFERENCE
Defendant
County
Booking Number
Case Number 1
Case Number 2
Total Bond Liability
Total Premium Due
SAMUEL SAMUEL PERDOMOFELIZ
26013329
2025CF041183
2025CF041183
70000
7000
A If anything above is incorrect stop and call (833) 224-5246 before proceeding.
3
A CONTINGENT PROMISSORY NOTE — PLAIN LANGUAGE SUMMARY
Below you will find the full Contingent Promissory Note. Before you read the legal language here is what it
means in plain terms:
• This note secures the full bond amount on behalf of Allegheny Casualty Company — it is not a present loan
or debt
AIf SAMUEL SAMUEL PERDOMOFELIZ appears at all required court dates and the bond is exonerated -
this note becomes null and void
• If the defendant fails to appear — you may owe the full bond amount plus court costs, attorney fees, recovery
expenses, and investigative costs
• Any unpaid balance after a forfeiture accrues interest at 18% per year from the date of demand until paid in
full
The full legal text of the Promissory Note is displayed below. Read it carefully before checking the box and
proceeding to the application.
Contingent Promissory Note
Accepted
This Contingent Promissory Note ("Note") is executed by the
undersigned indemnitor ("Maker") in favor of Allegheny
Casualty Company ("Surety") in connection with the bail bond
issued for the defendant listed above.
The Maker understands that this Note secures the full amount
of the bond listed above and any costs or expenses incurred
by the Surety as a result of the Defendant's failure to comply
with court requirements.
This Note is provided as security for any loss, forfeiture, costs,
or expenses incurred by the Surety as a result of the
Defendant's failure to comply with the conditions of the bail
bond or failure to appear in court.
If the bond is forfeited or the Defendant fails to appear as
required, the Maker agrees to pay to the order of Allegheny
Casualty Company the full amount owed as a result of the
forfeiture, including but not limited to the bond amount, court
costs, attorney's fees, recovery expenses, investigative costs,
and any other reasonable costs incurred by the Surety in
enforcing this obligation.
Any unpaid balance shall accrue interest at the rate of
eighteen percent (18%) per year from the date of demand until
paid in full.
4
This Note does not represent a present loan or debt and is
executed solely to secure future obligations that may arise if
the Defendant fails to comply with court requirements.
V If the Defendant appears at all required court proceedings
and the bond is discharged or exonerated by the court, this
Note shall become null and void. Otherwise, this Note shall
remain in full force and effect until all obligations to the Surety
have been satisfied.
By checking the box below and signing, you confirm that you
have reviewed all bond details above, accept your
responsibilities as the indemnitor, and agree to the terms of
this Contingent Promissory Note. This constitutes a legally
binding financial obligation to Bail 2 GO and Allegheny
Casualty Company for the duration of this bond.
A IMPORTANT - If any of the information above is incorrect,
do not proceed. Stop immediately and contact your Bail 2 GO
agent before continuing.
Indemnitor Information
Name
Vanessa C Evertsz
Date of Birth
Monday, September 14, 1987
Place of Birth
Dominican republic
Gender
Female
Social Security Number
029886616
U.S. Citizen? (Yes / No)
YES
Government Photo ID Verification
NOTE:
• Front required
• Back required if applicable
• File types: JPG, PNG, PDF
• Min: 1 file | Max: 2 files
Uploaded identification is used solely for identity verification and underwriting purposes and is securely
stored.
5
U.S. Drivers License/State
Identification Card/U.S.
Passport/Permanent Resident Card
(Green Card)/Other government-
issued photo ID
ID Type Submitted
Residence Information
Time at Current Residence
Residential Address:
Residence Type
Apartment Number
Housing Status
Landlord Name
Name of Person you reside with
Phone Number of person you reside
with:
Contact & Employment
Phone Number
Florida
DRIVER LICENSE
wE632-834-55-100-07A4E
CAROLE
THOREAU PARK OR APT 202
LANDO, FL 325).
09/14/1987
Driver's License
1 year
4580 Thoreau park drive
Orlando, Florida, 32839
Apartment
202
Rent
Northbridge at Millenia park
Samuel Perdomo
(351) 666-9938
(978) 821-4963
6
Phone Type
Email Address
Employment Status:
Employer
Position
Length
Work Phone
Legal & Finicial Background
Ever filed bankruptcy?
Any judgments or liens?
Convicted felon?
On probation or parole?
Vehicle Information
Own a vehicle?
Defendant Relationship
Relationship to Defendant
Length of Relationship
Defendant Home Address
iphone
vevertsz_ubiera@hotmail.com
Employed
Walmart
Sale associates
1 years
(978) 821-4963
No
No
No
No
No
Defendant Cell Phone
Emergency Contact & Family
Name
Phone
Address
Marital Status
Spouse
16 years
4580 Thoreau park drive
Orlando, FL, 32839
(978) 821-4963
Adriana Ubiera
(978) 335-7453
12 pope st Salem La 01970
Separated
7
Children?
Number
Ages (years)
Reside With You?
Attorney & Source
Do you have an attorney?
How did you hear about us?
Personal References
Reference 1
Reference 1 Relationship
Reference 1 City/State
Reference 1 Phone Number
Reference 2
Reference 2 Relationship
Reference 2 City/State
Reference 2 Phone Number
Reference 3
Reference 3 Relationship
Reference 3 City/State
Reference 3 Phone Number
Reference 4
Reference 4 Relationship
Reference 4 City/State
Reference 4 Phone Number
Reference 5
Yes
3
38,44,45
No
No
Google
Rafael Perdomo
Brother in law
Dorchester ma
(347) 399-6596
Miguel Perdomo
Brother in law
New York United state
(917) 528-3754
Adriana Ubiera
Mother
Salem ma
(978) 335-7453
Luis Perdomo
Aunt
Tampa fl
(210) 957-9545
Nayelin Rodriguez
8
Reference 5 Relationship
Reference 5 City/State
Reference 5 Phone Number
Reference 6
Reference 6 Relationship
Reference 6 City/State
Reference 6 Phone Number
Friend
Orlando fl
(781) 469-6902
Ana Flores
Friend
Salem ma
(978) 930-0008
Full Bond Agreement Acceptance & Identity Verification
A FRAUD WARNING - FLORIDA STATUTE
Any person who knowingly and with the intent to injure, defraud, or deceive any insurer submits an application,
statement, or claim containing false, incomplete, or misleading information commits insurance fraud. Such
conduct constitutes a felony of the third degree under Florida law and may result in criminal prosecution, fines,
and imprisonment.
Full Bond Agreement
Accepted
Bail Bond Surety Agreement - Terms & Conditions
You, the undersigned (referred to herein as "Indemnitor",
"Defendant", or collectively as "you" or "your", as applicable),
agree to be bound by the following terms and conditions.
1. The premium for the bond is fully earned upon the release
of the Defendant from custody. The premium is not
refundable except as provided by applicable law. The fact that
the Defendant may have been improperly arrested, the bail
reduced, or the criminal case dismissed does not obligate the
Surety to return the premium or any portion of it.
2. The Defendant agrees to appear in court as required in
connection with this bond and at the dates and times stated
in the bond and/or ordered by the court. The Indemnitor
agrees to ensure that the Defendant appears in court as
3. The Surety shall have control and jurisdiction over the
Defendant during the term for which the bond is in effect and
shall have the right to apprehend, arrest, and surrender the
Defendant to the proper officials at any time as permitted by
law and this agreement.
4. Unless otherwise provided by applicable law, the following
9
events shall constitute a breach of the obligations to the
Surety and the Surety shall have the right to immediately
apprehend, arrest, and surrender the Defendant to custody,
and no person shall have any right to a refund of the premium:
a. If the Defendant departs the jurisdiction of the court
without written consent of the court and the Surety or its
b. If the Defendant moves from his or her address without
notifying the Surety or its agent in writing prior to such move.
c. If the Defendant commits any act which constitutes
reasonable evidence of an intention to cause forfeiture of the
bond or fails to appear in court as required.
d. If the Defendant is arrested and incarcerated for any
offense other than a minor traffic violation.
e. If the Defendant or Indemnitor makes any material false
statement in the bail bond application or indemnitor
application.
f. If the bail for the Defendant is increased.
g. It the Indemnitor requests surrender of the Detendant.
h. If there is a material increase in the risk assumed by the
Surety, including depreciation or impairment of any collateral
pledged as security.
5. In the event that apprehension and surrender of the
Defendant is required for any reason, including failure to
appear in court, the Detendant understands and
acknowledges that such apprehension may involve risk. The
Defendant agrees to indemnify and hold the Surety harmless
from injuries, losses, claims, lawsuits, damages, liability,
demands, fees, and expenses arising from such apprehension
or surrender.
6. The Indemnitor agrees to indemnify and hold the Surety
harmless from and against any and all claims, damages,
losses, liabilities, demands, actions, judgments, fines,
penalties, costs, and expenses (including attorneys' fees)
relating to or arising out of the issuance of the bond. This
includes but is not limited to:
a. The principal amount of any forfeiture or judgment on the
bond, plus related court costs, interest, and legal fees.
b. Any fugitive recovery fee if the bond is forfeited, which is
typically ten to twenty percent of the amount of the bond plus
expenses.
c. Costs incurred to extradite or apprehend the Defendant.
d. Any attorneys' fees and costs incurred to enforce this
agreement.
The Surety may demand payment of these liabilities before or
after payment has been made by the Surety.
7. Any collateral pledged or deposited with the Surety as
security for this agreement shall be held to secure payment of
any liabilities sustained or incurred by the Surety. The Surety
may apply, sell, or otherwise dispose of collateral to satisfy
such obligations.
8. The Surety shall not be liable for any depreciation of
10
collateral or for any interest thereon. If the value of collateral
decreases, the Surety may require additional collateral to
maintain adequate security.
9. If a Confession of Judgment ("COJ") is taken as security for
the bond, the Surety may file or record such COJ at any time
and it shall constitute a lien against the Indemnitor's property.
10. The Surety may foreclose against collateral and/or
exercise any other legal remedy available under this
agreement without waiving any other rights.
11. Subject to applicable law, the Surety shall return collateral
when all of the following conditions are satisfied:
a. The Surety receives written proof from the court that the
bond has been discharged.
b. There are no outstanding liabilities relating to the bond.
c. No obligations remain which may expose the Surety to
future liability.
12. The Surety may transfer or assign its rights under this
agreement to another party without notice to the Indemnitor.
13. The Surety and bail producer do not recommend or
suggest any attorney to represent the Defendant.
14. This agreement may not be modified or terminated orally.
Any modification must be in writing and signed by both
parties.
15. To the maximum extent permitted by law, you authorize
the Surety to obtain any information or records concerning
you from any public or private agency including credit reports,
criminal records, driving records, employment records, school
records, medical records, tax records, and telephone records.
16. You irrevocably grant the Surety and its agents the right to
enter your residence or property without notice for the
purpose of locating, arresting, or returning the Defendant to
custody as permitted by law.
17. The Defendant acknowledges that the Surety may use
location tracking technologies to monitor the Defendant
during the period the bond is in effect and during any
applicable remission period. The Defendant acknowledges
that this monitoring may involve the collection and use of
location data and that the Defendant may not opt out of such
monitoring while the bond remains active.
18. If the Defendant leaves the state in which the bond was
issued, the Defendant waives any right to oppose extradition
proceedings.
19. If any provision of this agreement is determined to be
invalid or unenforceable, the remaining provisions shall
remain in full force and effect.
20. This agreement and all documents executed in connection
with it constitute the entire agreement between the parties.
11
SUPPLEMENTAL TERMS AND CONDITIONS
1. The Surety, as bail, shall have control and jurisdiction over
the Defendant during the term for which the bond is executed
and shall have the right to apprehend, arrest, and surrender
the Defendant to the proper officials as provided by law.
2. In the event the Defendant is surrendered before the time
set for court appearance and for reasons other than those
constituting a breach of this agreement, the premium may be
refunded to the person shown as payer on the premium
receipt as permitted by law.
3. If the Defendant fails to appear in court, departs the
jurisdiction without consent, moves without notifying the
Surety, commits another offense, or makes any false
statement in connection with the bond, such actions
constitute a breach of the Defendant's obligations.
4. For complaints or inquiries regarding bail bonds, contact
the Florida Department of Financial Services, Division of
Consumer Services, Bail Bond Section, 200 East Gaines Street,
Tallahassee, Florida 32399, phone (850) 413-5660.
5. The person whose name appears as payer on the premium
receipt shall be entitled to a refund only if the Surety has no
liability under the bond because the Defendant was not
released from custody or the bond was written to allow the
Defendant to serve a sentence in another jurisdiction.
6. The Indemnitor agrees to indemnify and hold harmless the
Surety and its agents for all losses not otherwise prohibited by
law.
7. The Indemnitor acknowledges receipt of copies of this
agreement and related documents concerning the bond and
recommitment of the Defendant.
8. Costs which may be recovered by the Surety include
expenses necessary to apprehend the Defendant, attorney
fees, court costs, transportation costs, and a surrender fee
allowed by law.
9. Collateral will be returned to the person whose name
appears as depositor on the collateral receipt within 21 days
after proof of final termination of liability on the bond has
been provided to the Surety.
10. The Surety may deduct from collateral any fees, expenses,
or charges authorized by law, including Florida Administrative
Code 69B-221.105.
11. Except as expressly provided in this supplement, all terms
and conditions of the agreement remain in full force and
effect.
As principal (defendant) and/or indemnitor (guarantor) on a
bail bond, you must be given a copy of any collateral
documents that you sign relating to the above bond(s).
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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. It 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
Background Check Authorization & Accuracy Certification
Terms and Conditions
Accepted
Communication Authorization
Terms and Conditions
Accepted
Final Certification & E-Signature Consent
Terms and Conditions
Accepted
Indemnitor Printed Name
Vanessa Evertsz
Photo Verification (Hold ID Next to
Face)
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Please take a clear photo of yourself to confirm your identity for this bail bond application
Indemnitor Signature
NBIS Date & Time:
Tuesday, April 14, 2026 13:08
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Indemnitor app (digital) | 475.1 KB | 2026-04-17 17:28:20 | no | Dropbox · History |