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allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com BAIL BOND APPLICATION - INDEMNITOR PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 THIS IS A 1-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE Defendant Name Taylor Paolo Tapia Charges Case Number Birth Date 04/21/1993 Appearance Date DUI PROPERTY DAMAGE OR PERSONAL INJURY, FLEE/ELUDE POLICE-FLEE ELUDE HIGH SPEED OR, HIT AND RUN-LEAVE SCENE OF CRASH INVOLVED, DUI-UNLAW BLD ALCH-DUI INFLUENCE OF ALCOHO Court Name 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Indemnitor Name Blanca Hernanadez Home Phone Number My friends / family know me as Cell Phone Number (772) 696-2002 Email Work Phone Number Relationship to Defendant Parent Current Full Address, City, State and Zip • Own • Rent To Landlord Name (if applicable) Landlord Phone Number Former Full Address, City, State and Zip • Own • Rent From To Landlord Name (if applicable) Landlord Phone Number • Mr Birth Date •F 04/13/1963 Driver's License / ID Number Birth Place Social Security Number State Issued Employer U.S. citizen? Alien Number •Yes •No Position How long in US? How Long Reference Name DOB Relationship to Indemnitor Phone Number Reference Name DOB Relationship to Indemnitor Phone Number I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Signed, sealed and delivered this Driver's License Number Indemnitor Signature Blanca Hernandez4Jul 1, 2024 16:24 EDT) Social Security Number Indemnitor Print Name Blanca Hernanadez Birth Date 04/13/1963 NOT FOR USE IN PUERTO RICO SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS. Form# ACC.0302-1 (11/22) Page 1 of 2 ALABAMA RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof. ARKANSAS RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment for a loss or benefit or knowingly presents false information in an application for insurance is quilty of a crime and mav be subiect to fines and confinement ir prison. CALIFORNIA RESIDENTS -or your protection Calitornia law requires the tollowing to appear on this torm: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement ir state prison. FLORIDA RESIDENTS Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. LOUISIANA AND MAINE RESIDENTS It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. IMPORTAN IT FRAUD 3 ARNINGS and may be subject to fines and confinement in prison. NEW JERSEY RESIDENTS Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. NEW MEXICO RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment or a loss or benefit or knowingly presents false intormation in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties. NEW YORK RESIDENTS Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. OHIO RESIDENTS Any person who, with intent to detraud or knowing that he is tacilitating a traud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. OKLAHOMA RESIDENTS WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony. PENNSYLVANIA RESIDENTS Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading RHODE ISLAND, TENNESSEE, VIRGINIA, WASHINGTON, AND WEST VIRGINIA RESIDENTS It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. Form# ACC.0302-1 (11/22) Page 2 of 2 allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com BAIL BOND APPLICATION - INDEMNITOR PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 THIS IS A 3-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE Defendant Name Taylor Paolo Tapia Charges DUI PROPERTY DAMAGE OR PERSONAL INJURY, FLEE/ELUDE POLICE-FLEE ELUDE HIGH SPEED OR, HIT AND RUN-LEAVE SCENE OF CRASH INVOLVED, DUI-UNLAW BLD ALCH-DUI INFLUENCE OF ALCOHO Case Number Court Name 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Jail Location County Orange Co. Central Booking Facility Birth Date 04/21/1993 Appearance Date Booking Number 24009130 My friends / family know me as Indemnitor Name Blanca Hernanadez Home Phone Number Cell Phone Number (772) 696-2002 Work Phone Number Relationship to Defendant Parent Current Full Address, City, State and Zip Email From To Landlord Name (if applicable) • Own • Rent Landlord Phone Number Former Full Address, City, State and Zip From To Landlord Name (if applicable) • Own • Rent Landlord Phone Number • M Birth Date • F 04/13/1963 Driver's License / ID Number Birth Place Social Security Number State Issued U.S. citizen? Alien Number • Yes •No How long in US? Additional Notes TEmployer Position How Long - Supervisors Name Phone Number Union Local Number Military Branch Active • Yes •No Discharge Date Facebook Username So Password Twiter Username Linkedin Username Other Account Username Password Password Password Form# ACC.0302 (11/22) Page 1 of 3 Cash on hand ($) Cash in bank ($) Monthly Salary or Wages ($) E Real Estate values) Real Estate Mortgage ($) Title Name Year Make Model Color Plate Number State Financing company Balance owed • Single Significant Other Name • Married Cohabitating • Separated • Divorced • Widowed Email DOB Significant Other Full Address, City, State and Zip o sion are on in nime E sonia no an amo Former Significant Other Name Years together Phone Number DOB Phone Number DOB Phone Number Email DOB Former Significant Other Full Address, City, State and Zip Years together Phone Number Reference Name DOB Relationship to Indemnitor Full Address, City, State and Zip Cell Phone Number Work Phone Number Reference Name DOB Relationship to Indemnitor Full Address, City, State and Zip Cell Phone Number Work Phone Number Reference Name DOB Relationship to Indemnitor Full Address, City, State and Zip Cell Phone Number Work Phone Number I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Signed, sealed and delivered this Driver's License Number Authorized Indemnitor Signature Blanca Hernandez4Jul 1, 2024 16:24 EDT) Social Security Number Indemnitor Print Name Blanca Hernanadez Birth Date 04/13/1963 SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS Form# ACC.0302 (11/22) Page 2 of 3 IMPORTANT FRAUD WARNIN IGS ALABAMA RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof. ARKANSAS RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment for a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. CALIFORNIA RESIDENTS For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. FLORIDA RESIDENTS Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. LOUISIANA AND MAINE RESIDENTS It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. MARYLAND RESIDENTS: Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. NEW JERSEY RESIDENTS Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. NEW MEXICO RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment or a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties. NEW YORK RESIDENTS Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. OHIO RESIDENTS Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an applicatior or files a claim containing a false or deceptive statement is guilty of insurance fraud OKLAHOMA RESIDENTS WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony PENNSYLVANIA RESIDENTS RHODE ISLAND, TENNESSEE, VIRGINIA, WASHINGTON, AND WEST VIRGINIA RESIDENTS desauding te company. Penalies se, y include in prisonmen, fines or a denial of insurance cemeasy for the purpose of Form# ACC.0302 (11/22) Page 3 of 3 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 - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 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 Total Bond Amount $ 16,500.00 Total Premium $ 1,700.00 Agreement 07/01/2024 Taylor Paolo Tapia Indemnitor Name(s) Taylor Tapia, Blanca Hernanadez Power Numbers) N/A, AS15K462991, AS3K596100, AS3K596101 ("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 Defendant Signature Print Name Taylor Paolo Tapia Indemnitor Signature Print Name Indemnitor Signature Blame HA Blanca Hernandez4 Jul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Indemnitor Signature Print Name Indemnitor Signature Print Name Indemnitor Signature Print Name Si no puede leer ni entender Inglés, favor de marcar este cuadro. 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.) INDEMNITOR Initials READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE Form# ACC.FL.0307 (10/21) * gA Page 1 of 4 Con ons 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. 2. Defendant agrees to appear in any Court as required in connection with the Bond at the dates and times stated in the Bond and/or as may be ordered by the Court. Indemnitor will ensure that Defendant appears in Court as so required or 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 shall have the right to apprehend, arrest and surrender the Defendant to the proper officials at any time as provided by law and/or this Agreement. It the Detendant is surrendered betore a tailure to appear in Court, and for a reason other thar as stated in paragraph 4, you may be entitled to a retund of the Bond premium it required by applicable law it any) and as may be stated in the Supplemental Terms and Conditions. 4. Unless otherwise provided by applicable law (it any), the tollowing events shall constitute a breach of your obligations o 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) Defendant 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 Surety, or Defendant fails to notify Surety of any changes in address; (c) Defendant 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) Detendant is arrested and incarcerated for any other oftense (other than a minor trattic violation); (e) Detendant or an Indemnitor makes any materially talse statement in any material submitted to suretv tor the Bond cludina the Bail Bond Application and Indemnitor Application; (f) The bail for Detendant is increased; (g ndemnitor requests the surrender to custody of the Defendant; and/or (h) There is a material increase in th 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 failure to appear by Defendant at any required Court proceeding or hearing, Defendant understands, agrees, and acknowledges that such apprehension and surrender involves risk of harm to Defendant and others, and as such 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 any a pass against Surely ling all agents nearlyes there arsing our rea and surrender of Defendant. 6. You, jointly and severally (together and separately) with any other indemnitor, shall indemnify the Surety and keep the Surety indemnified and hold it harmless from and against any and all claims, lawsuits, damages, losses, liability, demands, actions, judgments, fees, fines, penalties and expenses (including attorneys fees and costs), relating to, or 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 anc egal fees incurred: (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is tvpically ten tc 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, expenses and/or assessments that may be incurred as a result thereof the forfeiture of the Bond as subject to applicable law (if any). 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. Further, you will, upon demand, place with Surety the requisite cash funds to meet any Liabilities (including a pending. unpaid judgment or forfeiture demand), whether the demand is made before or after Surety has paid or advanced such funds. 1. Subject to applicable law it any), any collateral (real or personal, including cash or securities) pledged to or depositec with Suretv as securitv for the obliaations under this Agreement ("Collateral" of any and all sums due to Surety for any and all Liabilities sustained, paid or incurred by Surety. You authorize the or any part thereof, in order to pay or reimburse the Suretv for any and al the Bond and/or to place the Suretv in cash funds so as to protect the Suretv 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 Liability. Subiect to applicable law (if anv). the Surety 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. anc 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. shall not be liable for the depreciation of any Collateral or for any interest thereon. In the event of leposit. Subject to applicable law (if any), if you fail to deposit such additional Collateral, the Surety shall have the fu ight, power and authority, without further demand or notice, to sell, assign and deliver the whole or any part of sucl 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. 9. If a Confession of Judgment ("COJ") is taken as security for the Bond, the Surety shall have the right to enter, record 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 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 remedv. 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 trom 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 deem t advisable to retain such Collateral for its protection; and (d) upon the request by Surety, you shall execute and 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 indemnify 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 tees, costs and service tees 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. federal law (including, but not limited to, 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 records, civil records, driving records, tax records, records, medical records, school records, worker or governmental (ocal state or federal contacted by surety to hurris to Surely or Bail Producer, in accordance vate 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 ocating, 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 the il Compilance by belondant win the flowing terms and conting in period, and the Bond contined upon (a) Surety, at its discretion, will use network-based location technologies to locate Defendant; (b) This is the only notice Defendant 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 AND ANY APPLICABLE BOND EMISSION PERIODO KING DURING THE PERIOD THE BOND IS IN FORCE 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 tederal law, then such provisior shall automaticallv be deemed to have been revised to comply with such law so as to provide Suretv with the maximum rotection from any Liabilities. The invalidity or unentorceability ot any provision herein (or portion thereot) shall in n vay effect the validity or enforceability of any other provision (or portion thereof of this Agreement 20. This Agreement and all documents that are executed in connection with this Agreement set forth 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 set forth in this Agreement, are of no force or effect whatsoever in determining the rights, obligations and/or liabilities between the vou. You further agree to execute and be bound bv an other future documents necessary to carrv 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. Defendant's obligations to : Defendant, and no person shall have any right to any refund of premium whatsoever. The events which constitute a oreach of Defendant's obligations hereunder are: (a) If Defendant departs the iurisdiction of the Court without the written consent of the Court and Surety or Bail Producer: (b) If Defendant moves 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 Detendant's intention to cause a torteiture of the Bond; (a) It Detendant is arrested and incarcerated for any offense other than a minor traffic violation; or (e) If Defendant makes any material false statement in the Agreement. Division of Consumer Services, Bail Bond Section, 200 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 jurisdiction 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, vou 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. Supplemental Terms 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 lodging expenses outside the jurisdiction of the court; (d) for housing, re-arrest, transportation and extradition; and (e) A maximum fee of $100 for a surrender allowed by law when there has seen no torteiture ot 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. au Sure by a i i a i in for lin i 22 10am im all tes, expenses, and charges 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@aiasurety.com BAIL BOND INFORMATION SHEET PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 Defendant Name Taylor Paolo Tapia Power Number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Case Number 2024CT402199AO, 2024CF004592AO, 2023CT002475AO 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 **** PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT I/We have received a copy of this information sheet. I/e have received a copy of all collateral documents that I/We signed regarding the above bond(s). Defendant Signature Indemnitor Signature Print Name Date Taylor Paolo Tapia Signed original to agent's bond file; Copy to defendant and each indemnitor Print Name Blanca Hernanadez Date Form# ACC.FL.0028 (10/22) Page 1 of 1 allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com PRIVACY NOTICE PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 This Privacy Notice applies to your non-public personal information (personal information") received by Allegheny Casualty Company and/or AlA Holdings, Inc., as applicable, ("Surety"), through that 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: THE INFORMATION WE COLLECT: The Bail Producer is a licensed, independent contractor who is appointed by us to write bail. Prior to issuing a bail bond, the Bail Producer will collect, and in some cases, transmit to us your personal information. Your personal information is obtained from a variety of sources: • Applications and other forms (e.g., name, address, social security number, employment information, family member information, assets, income, and property locations and values) and electronically if you use our website or web-based applications (e.g., name of the internet domain, the IP address from which you accessed the site, and the time and date - our website uses cookies to collect individual information about you and your website usage); • Transactions and experiences with us and others, (e.g., credit card and account balances, and payment history); and • Consumer reporting agencies, medical providers, or others (e.g., credit score, background checks, and medical and employment information). HOW WE USE & PROTECT PERSONAL INFORMATION: Your personal information will be used to process the bail bond application, underwrite and post the bond and resolve bond claims or breaches of contract. We may provide your personal information to others working with us who need this information for these purposes, such as attorneys and investigators. Your personal information is used to assess the risk of the bail bond transaction, protect against fraud, or generally to effect, administer or enforce the terms of the bail bond transaction. Only authorized personnel are permitted to access your personal information. We convey to our employees and appointed Bail Producers the need to protect your personal information and require our outside vendors and service providers to keep your personal information PARTIES TO WHOM WE MAY DISCLOSE INFORMATION: We do not disclose your personal information to anyone except as permitted/required by law - for example, to industry regulators, law enforcement agencies, credit bureaus, subpoena, and third parties that assist us in the bail bond process and underwriting. We do not sell your personal information to anyone, and do not share your personal information with any companies or organizations that would use it to contact you about their products and services. CONFIDENTIALITY AND SECURITY: We maintain physical, electronic and procedural safeguards to protect your personal information. We ensure that your personal information is treated responsibly and consistent with our privacy policies. We also restrict access to your personal information within our organization to those persons who must have the information to provide services to you or to conduct our business. Persons who have access to your personal information may use it only for our business purposes. We safeguard your personal information in accordance with applicable laws. You have a right to review your personal information and to request that we correct, amend or delete such information on file. WEB PRIVACY: When you visit AlA's website at (www.aiasurety.com), the Web server automatically collects and maintains statistical information from our site's data logs that concern network traffic flow and volume. The information that is collected does not identify personal information. The collected information is used to improve the usefulness of the website. We reserve the right to change this Privacy Notice at any time. The most up to date version of our Privacy Notice can be found on AIA's website. CALIFORNIA CONSUMER PRIVACY ACT: For California Residents, please visit www.aiasurety.com/CCPA to access our complete California privacy statement under the CCPA. If you would like a full copy of the policy, please contact the Surety at (818) 223-3308 or privacy@aiasurety.com. FURTHER INFORMATION: If you have any questions about how we use the information we collect, please write to us at: AIA Compliance Department, PO Box 5600, Thousand Oaks, CA 91359 Indemnitor / Defendant Signature ADam IN Blanca Hernandez4Jul 1, 2024 16:24 EDT) Indemnitor / Defendant Printed Name Blanca Hernanadez Date Form# ACC.0027 (10/21) *•g4 Page 1 of 1 PREMIUM RECEIPT and STATEMENT OF CHARGES a allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com Receipt No.: AP- SOC202407010728 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 Date Received 07/01/2024 Payment Method Payer Name Blanca Hernanadez Defendant Taylor Paolo Tapia Power Number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Court • Cash Check • Credit Card • Money Order Credit Card Authorization Code Appearance Date Itemized Expense(s) (if and as permitted by applicable law) $ $ $ $ *08185 Form# ACC.0304-1 (10/21) Payer Signature Slam He Blanca HernandezJul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Amount Received ($) N/A Payer Phone Number (772) 696-2002 Bond Amount ($) 16,500.00 Case Number(s) 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Appearance Time Collateral Received Collateral Receipt Numbers) • Yes • No 6312-14866, 6312-14867 Expense Amount Bail Bond Premium $ 1,700.00 ÷ Total Expense(s) $ 0.00 Prior Payments) ($1,700.00 Amount Received ($ N/A Remaining Balance $ 0.00 Producer/Representative Signature Producer/Representative Print Name ) ) 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. 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- 6312-8864 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 Date Received 07/01/2024 Payment Method Payer Name Blanca Hernanadez Defendant Taylor Paolo Tapia Power Number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Court • Cash Check • Credit Card • Money Order Credit Card Authorization Code 8512 411022 Appearance Date Itemized Expense(s) (if and as permitted by applicable law) $ $ $ $ *08185 Form# ACC.0304-1 (10/21) Payer Signature Blam Hi Blanca Hernande24Jul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Amount Received ($) 1,700.00 Payer Phone Number (772) 696-2002 Bond Amount ($) 16,500.00 Case Number(s) 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Appearance Time Collateral Received Collateral Receipt Numbers) • Yes • No 6312-14867 Expense Amount Bail Bond Premium $ 1,700.00 • Total Expense(s) $ 0.00 Prior Payments) ($0.00 Amount Received ($1,700.00 Remaining Balance $0.00 Producer/Representative Signature Producer/Representative Print Name Martika Joseph ) 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. COLLATERAL RECEIPT allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com Type • Deposit of collateral: Depositor hereby acknowledges receipt of a copy of this document and agrees to the terms on the reverse side. The collateral identified below is deposited as security for the bail bond(s), premium owed, if any, and all lawful expenses incurred due to underwriting the referenced bail bond(s). Date Received 07/01/2024 Depositor Address Depositor Name(s) Blanca Hernanadez Power Number(s) N/A, N/A, AS15K462991, AS3K596100 Collateral Rec'd Items) Received - describe below, specify condition Promissory Note, SIGNATURE Bail Bond Agreement Collateral funds - in form of If applicable, I acknowledge a Credit Card fee of FLORIDA USE ONLY Form# ACC.FL.0304-2 (01/23) Signature Blame Has Blanca Hernandez Jul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Receipt No.: ACFL- 6312-14867 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 ] Return of collateral: Depositor hereby surrenders the original and acknowledge he return and receipt of collateral listed herein and that the collateral has bee turned in good and sufficient condition. Depositor hereby relieves the surety a bail producer from any further liability or responsibility in relation to the collate Returning collateral from receipt numbers) Depositor Phone Number (772) 696-2002 Defendant Name Taylor Paolo Tapia Case Number Bond Amount 2024CT402199AO, 2024CF004592AO, 2023CT002475AO 16,500.00 Amount or Estimated Value $ 16,500.00 $ $ Held By • Bail Producer • Surety Bail Producer Surety Bail Producer Surety % in the amount of $ Signature Print Name Martika Joseph 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. 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: Taylor Paolo Tapia ("Defendant"). On demands after date, for value received, I/We promise to pay to the order of Allegheny Casualty Company the sum of $ 16,500.00 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) 2024CT402199AO, 2024CF004592AO, 2023C, COUNTY, FLORIDA P/A number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Blame HI anca Hernandez ul 1, 2024 16:24 ED Signature Signature Blanca Hernanadez Maker Name Date Maker Name Date Form# ACC.FL.0036 (10/21) * 08212* 6.426 Bail 2 GO - Orlando P.O. Box 592643 Orlando, FL 32859 CO Statement of Account July 01, 2024 Blanca Hernanadez Defendant: Taylor Tapia Bond Amount: $16,500.00 Total Bond Premium/Expenses Total Bond Payments Current Bond Balance Amount Due Bond Summary Date Executed: 07/01/2024 Power: AS3K596100, AS15K462991, AS3K596101 $1,700.00 -$1,700.00 $0.00 $0.00 Payment History Date 07/01/2024 07/01/2024 Description Premium / Expenses $1,700.00 Payments Premium Credit Card cc#8512 from Blanca Hernanadez $1,700.00 $1,700.00 $1,700.00 Sincerely, Bail 2 GO - Orlando BAIL BOND APPLICATION - INDEMNITOR 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- Blanca Hernandez Blanca First Middle 2. Residence Address. Last 7706 Holooaw Avenue My friends/family know me as City Ft Pierce _ State. FI _ Zip 34951 3. How Long at Current Address 36 Rent Free Lease Own x Landlord/Mortgagor Name Discover 4. Is Mortgage/Lease in your name? Yes _ No When does Lease Expire Email_hustont13@hotmail.com 5. Cell Phone # 7726962002 Cell Carrier At&t iPhone or Android Iphone _How Long with Cell No. 22yrs 6. Employer Footseas Length 9yrs Position Medical assistant work# 7727709127 Any ownership greater than 20% in any Corporation, LLC, or S-Corp No Any specialized license to work No 7. Social Security No. 261862946 ID# H655072636330 _Wt 163 Ht_ WRace ispan Eye Color 3rowr Hair Blonde 8. Have you ever filed Bankruptcy. 9. Gender emall Place of Birth. No Colombia Do you have any judgements or liens against you currently - No _ If so, where None Date of Birth 04141963 US Citizen Yes Marital Status Married How Long 25yrs 10. Have many years have you lived in FL? 53 yrs Are you a convicted felon? No Are you on any type of Probation or Parole ? No 2014 11. Vehicle Year _ Vehicle Color - Vehicle Make Gord Tag No. 'on'tknow Vehicle Miles 128,000 Amount Owed None 12. Relationship to Defendant Mom How long have you known Defendant 31yrs Defendants Home Address 7706 Holopaw Ave Defendants Cell Phone Number 7725385525 13. Emergency Contact Name Blanca Hernandez 13. Children Yes _No Amount of children 14. Attorney Needs Address 3 _Phone No. Son 7706 Holooaw Avenue Phone No. 7726962002 38/36/31 One Ages 7726962002 Do kids reside with you May we reach out on the defendants behalf No 15. How did you hear about us? Personal References First & Last Name 1. 2. 3. 4. 5._ 6. Pablo Tapia Jerry Jay Patel Michael Zuniga Obed Hernandez Jonathan Relationship Dad Friend Friend Brother Step dad Friend City / State Vero Beach fl Vero Beach fl Orlando fl Orlando fl Ft Pierce fl Orlando fl Phone 7722773861 7729245582 3213008864 4074769004 7729714890 7874240125 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 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 guilty of a felony of the third degree. signature: Bad 1, 20242624 EO Email: hustont13@hotmail.com Blanca Hernandez Print Adobe Acrobat Sign Transaction Number: CBJCHBCAABAApCCT11YOHOinxgGVqQy-TEYOfERMzOUa ID# SSN DOB H655072636340 361853946 04-13-1964 7/1/24, 3:22 PM American Spirit Processing Payment Gateway Transaction Successful Transaction Receipt Merchant: Date/Time: Transaction ID: Axiom Surety Corp - (Orlando, FL) 07/01/2024 3:22:36 PM EDT 9680046377 Card Sale Keyed $1,700.00 Credit Card Information CC Type: CC Number: Auth. Code: Processor: Billing Information Blanca Hernandez hustont13@hotmail.com 7726962002 7706 Holopaw Ave USL 34951 ViSa 3512 411022 Operations Shipping Information US Blam Hv lanca Hernandez4Jul 1, 2024 16:24 EDT) https://americanspiritprocessing.transactiongateway.com/merchants/receipt.php?tid=2ab41a46b6b35a8210fab19d4b10e0d9&transaction_id=9680046... 1/1 Credit Card Authorization form CO 1, Blanca Hernandez , 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. $1700.00 hustont13@hotmail.com Tapia, Taylor Paolo Amount Authorized Cardholder E-mail Defendant's Name & Booking # All fields required Card information Card type U MasterCard Discover VISA AMEX Other 4094510853748512 Cardholder (Name on card) Blanca Hernandez Card number 05/28 Expiration date (MM/YYYY) 34951 ZIP Code (From credit card billing address) 729 cWv Copy of Driver License Recurring Payments Information Charge every: Week Bi- Weekly Monthly Other Charge on this date. (For example, the 1st of every month) Hand Delivered • Emailed Copies To: Jul 1, 2024 Payment Amount Defendant Name / Case # / Power(s) # Terms of agreement: PLEASE REFER TO PROMISSORY NOTE AND INSTALLMENT PAYMENT PLAN FOR UNPAID PREMIUM AND EXPENSES FOR THE DEFENDANT REFRENCED ABOVE. Blan 11 lanca Hernandez Jul 1. 2024 16:24 EDT Customer Signature 07/01/2024 Date Florida USA HUAT SE DRIVER LICENSE *с.H655-072-63-633-07 as E: HERNANDEZ L 2 BLANCA LUZ FORTFIERCE, FL: 195 У ес 04/13/1963 10 27P 04/13/20111 16HLТ H-02* 12 AGIT NONE Sa END NOVE BHCS SAFE DRIVER So ISS 04/09/2019 500 P812206130143 REPLACED 06/13/2022 * Operation of a motor vehicle constitutes consent to any sobriety test required by law MJ Tapia, Taylor Paolo Indem Bail Vision Paperwork Final Audit Report 2024-07-01 Created: By: Status: Transaction ID: 2024-07-01 (Eastern Daylight Time) Martika Joseph (martika.joseph@bail2go.com) Signed CBJCHBCAABAApCCT11Y0HOinxgGVqQy-TEYOfERMzOUa "MJ Tapia, Taylor Paolo Indem Bail Vision Paperwork" History Document created by Martika Joseph (martika.joseph@bail2go.com) 2024-07-01 - 3:32:23 PM EDT- IP address: 172.56.77.107 Document emailed to hustont13@hotmail.com for signature 2024-07-01 - 3:39:06 PM EDT Email viewed by hustont13@hotmail.com 2024-07-01 - 3:44:30 PM EDT- IP address: 146.75.222.1 Do Signer hustont13@hotmail.com entered name at signing as Blanca Hernandez 2024-07-01 - 4:24:08 PM EDT- IP address: 69.254.18.11 Blanca Hernandez (hustont13@hotmail.com) uploaded the following supporting documents: @ Copy of Driver License 2024-07-01 - 4:24:10 PM EDT Oe Document e-signed by Blanca Hernandez (hustont13@hotmail.com) Signature Date: 2024-07-01 - 4:24:10 PM EDT - Time Source: server- IP address: 69.254.18.11 • Agreement completed. 2024-07-01 - 4:24:10 PM EDT Bail 2CO Powered by Adobe Acrobat Sign

File	Classified as	Size	Modified	OCR	Links
File Checklist.pdf Completed File CheckList • Folder Named Properly - (Last-Name, First - 10/19/22 - NZ) All Files are named correctly in Folder, - (Doe, John - Booking report etc....) Booking Sheet Mugshot (Current or Previous) TLO's for all parties involved Clerk Search for "ALL" Relevant Counties State ID's for all… [show full stored text]	Unclassified	357 KB	2024-09-15 10:02:26 uploaded 550d after created	no	Dropbox · History
THOMPSON, DEBRA ANN Agents File Checklist.pdf AGENTS Completed File Check List Q000000000• Folder Named Properly - (LAST, FIRST - 06/15/25 - NZ) All Files are named correctly in Folder, - (DOE, JOHN - PREMIUM ) Booking Sheet / Mugshot (Current or Previous) TLO's for all parties involved Clerk Search for "ALL" Relevant Counties State ID's for al… [show full stored text]	Unclassified	231.2 KB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
06242025_POWER OF ATTORNEY flileghenv Casualty Company PO Box 5600, Thousand Oaks, CA 91359 (800)^935-.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER AS15K-493845 NUMBER PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 3L, 2025 POWER AMOUNT $15, 000 KNOW ALL MEN BY THESE PRESEN… [show full stored text]	Executed Power (PoA)	333.8 KB	2025-09-29 15:11:34 uploaded 97d after created	no	Dropbox · History
08052025.pdf Only the original Power of Attorney POWER OF ATTORNEY POWER will bind this surety. Allegheny Casualty Company NUMBER 56K-1040474 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 $6, 000 KNOW ALL MEN BY THESE PRESENTS,… [show full stored text]	Executed Power (PoA)	162.3 KB	2025-09-29 15:12:18 uploaded 55d after created	no	Dropbox · History
08052025_001.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER 56K-1040473 • PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@alasurety.com THIS POWER VOID IF NOT USED BY: December 3. 2025 POWER AMOUNT $6, 000 KNOW ALL MEN BY THESE PRESENT… [show full stored text]	Executed Power (PoA)	163.2 KB	2025-09-29 15:12:18 uploaded 55d after created	no	Dropbox · History
10_21_2025_18_44_27.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBERS 6K-1040473 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 THIS POWER VOID IF NOT USED BY: December 31, 2025 poa@aiasurety.com POWER AMOUNT $6, 000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	168.3 KB	2025-10-27 15:38:08 uploaded 6d after created	no	Dropbox · History
10_21_2025_18_44_28.pdf Only the original Power of Attorney POWER OF ATTORNEY POWER will bind this surety. Allegheny Casualty Company NUMBERS 68-1040474 PO Box 5600, Thousand Oaks, CA 91359 (800) 935-2245 poa@aiasurety.com THIS POWER VOID IF NOT USED BY: December 3. 2025 POWER AMOUNT $6, 000 KNOW ALL MEN BY THESE PRESENTS,… [show full stored text]	Executed Power (PoA)	165.7 KB	2025-10-27 15:37:31 uploaded 6d after created	no	Dropbox · History
2024-CF-004592-A-O-86961981-Court Minutes.pdf E In the Circuit Court of the Ninth Judicial Circuit, in and for Orange County, Florida Division: Div 16 Case No: 2024-CF-004592-A-O Courtroom: 10-D State of Florida, Plaintiff, VS. TAYLOR PAOLO TAPIA Defendant. Date of birth: 4/21/1993 COURT ORDER & SETTING / RESET NOTICE This cause came on this da… [show full stored text]	Court/case doc	145.7 KB	2024-09-15 10:02:26 uploaded 39d after created	no	Dropbox · History
2024-CT-402199-A-O-86575027-Electronic Copy to Bondsman.pdf 7/4/2024 5:20 AM FILED IN OFFICE OF TIFFANY M. RUSSELL, CLERK OF COURTS, ORANGE CO. FL IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR ORANGE COUNTY FLORIDA CASE NO: 2024-CT-402199-A-O CITATION NO: A2GYJDP CHARGE: CT- DUI WITH PROP DAMAGE/PERSONAL INJURY STATE OF FLORIDA VS. TAYLOR PAOL… [show full stored text]	Court/case doc	309 KB	2024-09-15 10:02:26 uploaded 73d after created	no	Dropbox · History
2024-CT-402199-A-O-86767823-Court Minutes.pdf E In the County Court of the Ninth Judicial Circuit, in and for Orange County, Florida Division: Orlando - TR Case No: 2024-CT-402199-A-O Courtroom: 9-C State of Florida, Plaintiff, VS. TAYLOR PAOLO TAPIA Defendant. Date of birth: 4/21/1993 COURT ORDER & SETTING / RESET NOTICE This cause came on thi… [show full stored text]	Court/case doc	262.4 KB	2024-09-15 10:02:26 uploaded 55d after created	no	Dropbox · History
2024_07_03_12_40_16.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER AS3K-596100 PO Box 5600, Thousand Oaks, CA 91359 THIS POWER VOID IF NOT USED BY: Decembe (800) 935-2245024 poa@aiasurety.com POWER AMOUNT $ 3,000 KNOW ALL MEN BY THESE PRESENTS, that … [show full stored text]	Executed Power (PoA)	1.2 MB	2024-09-15 10:02:26 uploaded 74d after created	no	Dropbox · History
2025-CT-404161-A-O-91582684-Electronic Copy to Private Attorney.pdf In the County Court of the Ninth Judicial Circuit, in and for Orange County, Florida Division: Orlando - TR Case No: 2025-CT-404161-A-O Courtroom: 6-B State of Florida, Plaintiff, VS. JAKOBE DASHAWN THOMPSON Defendant. Date of birth: 2/3/2000 COURT ORDER & SETTING / RESET NOTICE This cause came on t… [show full stored text]	Court/case doc	1.4 MB	2025-09-29 15:11:34 uploaded 76d after created	no	Dropbox · History
2025-CT-404161-A-O-91997038-Electronic Copy to Bondsman.pdf AE In the County Court of the Ninth Judicial Circuit, in and for Orange County, Florida Diyision: Orlando - TR Case No: 2025-CT-404161-A-O Courtroom: 6-B State of Florida, Plaintiff, VS. JAKOBE DASHAWN THOMPSON Defendant. Date of birth: 2/3/2000 COURT ORDER & SETTING / RESET NOTICE This cause came o… [show full stored text]	Court/case doc	108.3 KB	2025-09-29 15:11:34 uploaded 47d after created	no	Dropbox · History
2025-MM-200770-A-W-93238259-Notice Setting Hearing.pdf 11/7/2025 3:16 PM FILED IN OFFICE TIFFANY M RUSSELL CLERK CIRCUIT COURT ORANGE CO FL IN THE CIRCUIT AND COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR ORANGE COUNTY, FLORIDA Court Case Number: 2025-MM-200770-A-W STATE OF FLORIDA, -VS. DEBRA ANN THOMPSON DOB: 06/28/1961 Charge Description: BAT… [show full stored text]	Court/case doc	289.9 KB	2025-11-23 00:10:10 uploaded 15d after created	no	Dropbox · History
2025-MM-200770-A-W-93463877-Electronic Copy to Bondsman.pdf In the County Court of the Ninth Judicial Circuit, in and for Orange County, Florida Division: Ocoee - CR Case No: 2025-MM-200770-A-W Courtroom: 9-B State of Florida, Plaintiff, VS. DEBRA ANN THOMPSON Defendant. Date of birth: 6/28/1961 COURT ORDER & SETTING / RESET NOTICE This cause came on this da… [show full stored text]	Court/case doc	104.8 KB	2025-12-05 15:36:24 uploaded 10d after created	no	Dropbox · History
2025-MM-200770-A-W-94101877-Court Minutes.pdf A In the County Court of the Ninth Judicial Circuit, in and for Orange County, Florida Division: Ocoee - CR Case No: 2025-MM-200770-A-W Courtroom: 9-B State of Florida, Plaintiff, VS. DEBRA ANN THOMPSON Defendant. Date of birth: 6/28/1961 COURT ORDER & SETTING / RESET NOTICE This cause came on this … [show full stored text]	Unclassified	36.4 KB	2026-01-17 18:54:05	no	Dropbox · History
Bond Discharge 04:07:2026.pdf 4/8/26, 1:42 AM Orange County Clerk - Court Records Search 2025-MM-200770-A-W: STATE OF FLORIDA - VS - THOMPSON, DEBRA ANN Case Type: Location: Judge: Citation Number: Misdemeanor Ocoee - CR Andrew L Cameron Misdemeanor Date Filed: UCN: Status: Appear By Date: 11/7/2025 482025MM200770000AWX Closed N… [show full stored text]	Court/case doc	55.1 KB	2026-04-08 05:42:45	no	Dropbox · History
Bond Discharge 08:20:2024.pdf 8/20/24, 6:42 PM CLERK Orange County Clerk - Court Records Search 2023-CT-002475-A-O : STATE OF FLORIDA vs. TAPIA, TAYLOR PAOLO Case Type: Location: Judge: Citation Number: Criminal Traffic Orlando - TR Martha C Adams Criminal Traffic Date Filed: UCN: Status: Appear By Date: 4/13/2023 482023CT002475… [show full stored text]	Court/case doc	78.1 KB	2024-09-15 10:02:26 uploaded 25d after created	no	Dropbox · History
Bond Discharge 08:22:2024.pdf 8/25/24, 9:46 AM Orange County Clerk - Court Records Search Case Type: Location: Judge: Citation Number: Name TAYLOR PAOLO TAPIA STATE OF FLORIDA 2024-CF-004592-A-O : STATE OF FLORIDA - VS - TAPIA, TAYLOR PAOLO Criminal Felony Div 16 Robert J Egan Criminal Felony Date Filed: UCN: Status: Appear By D… [show full stored text]	Court/case doc	55.6 KB	2024-09-15 10:02:26 uploaded 21d after created	no	Dropbox · History
Bond Discharge 11:07:2025.pdf 11/8/25, 2:06 AM Orange County Clerk - Court Records Search 2025-CF-009593-A-O : STATE OF FLORIDA - VS - THOMPSON, DEBRA ANN Case Type: Location: Judge: Citation Number: Criminal Felony Div 11 Vincent S. Chiu Criminal Felony Name DEBRA ANN THOMPSON STATE OF FLORIDA DOB 6/28/1961 Offense Date Charge … [show full stored text]	Unclassified	47.4 KB	2025-11-08 07:06:53	no	Dropbox · History
Defendant EDP.pdf BAIL BOND APPLICATION - DEFENDANT COMPANY ALLEGHENY CASUALTY COMPANY BAIL 2 GO P.O. Box 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 P.O. Box 592643, ORLANDO, FL 32859-2643 TELEPHONE (407) 245-5554 1. Name - First Middle 2. Residence Address 3. How Long at Current Address 4. Is Mortgage/L… [show full stored text]	Defendant app (digital)	131.1 KB	2024-09-15 10:02:26 uploaded 543d after created	no	Dropbox · History
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MJ Tapia, Taylor Paola Updated Def Bail Vision Forms - signed 2.pdf allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com THIS IS A 1-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE BAIL BOND APPLICATION - DEFENDANT PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: B… [show full stored text]	Defendant app (digital)	1 MB	2024-09-15 10:02:26 uploaded 66d after created	no	Dropbox · History
MJ Tapia, Taylor Paola Updated Def Bail Vision Forms - signed.pdf allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com THIS IS A 1-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE BAIL BOND APPLICATION - DEFENDANT PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: B… [show full stored text]	Defendant app (digital)	1 MB	2024-09-15 10:02:26 uploaded 74d after created	no	Dropbox · History
MJ Tapia, Taylor Paolo Indem Bail Vision Paperwork - signed.pdf allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com BAIL BOND APPLICATION - INDEMNITOR PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 THIS IS A 1-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE Defendant Name Taylor Paolo Tapia Charges Case Number Birth Date 04/21/1993 Appearance Date DUI PROPERTY DAMAGE OR PERSONAL INJURY, FLEE/ELUDE POLICE-FLEE ELUDE HIGH SPEED OR, HIT AND RUN-LEAVE SCENE OF CRASH INVOLVED, DUI-UNLAW BLD ALCH-DUI INFLUENCE OF ALCOHO Court Name 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Indemnitor Name Blanca Hernanadez Home Phone Number My friends / family know me as Cell Phone Number (772) 696-2002 Email Work Phone Number Relationship to Defendant Parent Current Full Address, City, State and Zip • Own • Rent To Landlord Name (if applicable) Landlord Phone Number Former Full Address, City, State and Zip • Own • Rent From To Landlord Name (if applicable) Landlord Phone Number • Mr Birth Date •F 04/13/1963 Driver's License / ID Number Birth Place Social Security Number State Issued Employer U.S. citizen? Alien Number •Yes •No Position How long in US? How Long Reference Name DOB Relationship to Indemnitor Phone Number Reference Name DOB Relationship to Indemnitor Phone Number I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Signed, sealed and delivered this Driver's License Number Indemnitor Signature Blanca Hernandez4Jul 1, 2024 16:24 EDT) Social Security Number Indemnitor Print Name Blanca Hernanadez Birth Date 04/13/1963 NOT FOR USE IN PUERTO RICO SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS. Form# ACC.0302-1 (11/22) Page 1 of 2 ALABAMA RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof. ARKANSAS RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment for a loss or benefit or knowingly presents false information in an application for insurance is quilty of a crime and mav be subiect to fines and confinement ir prison. CALIFORNIA RESIDENTS -or your protection Calitornia law requires the tollowing to appear on this torm: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement ir state prison. FLORIDA RESIDENTS Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. LOUISIANA AND MAINE RESIDENTS It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. IMPORTAN IT FRAUD 3 ARNINGS and may be subject to fines and confinement in prison. NEW JERSEY RESIDENTS Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. NEW MEXICO RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment or a loss or benefit or knowingly presents false intormation in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties. NEW YORK RESIDENTS Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. OHIO RESIDENTS Any person who, with intent to detraud or knowing that he is tacilitating a traud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. OKLAHOMA RESIDENTS WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony. PENNSYLVANIA RESIDENTS Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading RHODE ISLAND, TENNESSEE, VIRGINIA, WASHINGTON, AND WEST VIRGINIA RESIDENTS It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. Form# ACC.0302-1 (11/22) Page 2 of 2 allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com BAIL BOND APPLICATION - INDEMNITOR PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 THIS IS A 3-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE Defendant Name Taylor Paolo Tapia Charges DUI PROPERTY DAMAGE OR PERSONAL INJURY, FLEE/ELUDE POLICE-FLEE ELUDE HIGH SPEED OR, HIT AND RUN-LEAVE SCENE OF CRASH INVOLVED, DUI-UNLAW BLD ALCH-DUI INFLUENCE OF ALCOHO Case Number Court Name 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Jail Location County Orange Co. Central Booking Facility Birth Date 04/21/1993 Appearance Date Booking Number 24009130 My friends / family know me as Indemnitor Name Blanca Hernanadez Home Phone Number Cell Phone Number (772) 696-2002 Work Phone Number Relationship to Defendant Parent Current Full Address, City, State and Zip Email From To Landlord Name (if applicable) • Own • Rent Landlord Phone Number Former Full Address, City, State and Zip From To Landlord Name (if applicable) • Own • Rent Landlord Phone Number • M Birth Date • F 04/13/1963 Driver's License / ID Number Birth Place Social Security Number State Issued U.S. citizen? Alien Number • Yes •No How long in US? Additional Notes TEmployer Position How Long - Supervisors Name Phone Number Union Local Number Military Branch Active • Yes •No Discharge Date Facebook Username So Password Twiter Username Linkedin Username Other Account Username Password Password Password Form# ACC.0302 (11/22) Page 1 of 3 Cash on hand ($) Cash in bank ($) Monthly Salary or Wages ($) E Real Estate values) Real Estate Mortgage ($) Title Name Year Make Model Color Plate Number State Financing company Balance owed • Single Significant Other Name • Married Cohabitating • Separated • Divorced • Widowed Email DOB Significant Other Full Address, City, State and Zip o sion are on in nime E sonia no an amo Former Significant Other Name Years together Phone Number DOB Phone Number DOB Phone Number Email DOB Former Significant Other Full Address, City, State and Zip Years together Phone Number Reference Name DOB Relationship to Indemnitor Full Address, City, State and Zip Cell Phone Number Work Phone Number Reference Name DOB Relationship to Indemnitor Full Address, City, State and Zip Cell Phone Number Work Phone Number Reference Name DOB Relationship to Indemnitor Full Address, City, State and Zip Cell Phone Number Work Phone Number I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Signed, sealed and delivered this Driver's License Number Authorized Indemnitor Signature Blanca Hernandez4Jul 1, 2024 16:24 EDT) Social Security Number Indemnitor Print Name Blanca Hernanadez Birth Date 04/13/1963 SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS Form# ACC.0302 (11/22) Page 2 of 3 IMPORTANT FRAUD WARNIN IGS ALABAMA RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof. ARKANSAS RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment for a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. CALIFORNIA RESIDENTS For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. FLORIDA RESIDENTS Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. LOUISIANA AND MAINE RESIDENTS It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. MARYLAND RESIDENTS: Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. NEW JERSEY RESIDENTS Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. NEW MEXICO RESIDENTS Any person who knowingly presents a false or fraudulent claim for payment or a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties. NEW YORK RESIDENTS Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. OHIO RESIDENTS Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an applicatior or files a claim containing a false or deceptive statement is guilty of insurance fraud OKLAHOMA RESIDENTS WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony PENNSYLVANIA RESIDENTS RHODE ISLAND, TENNESSEE, VIRGINIA, WASHINGTON, AND WEST VIRGINIA RESIDENTS desauding te company. Penalies se, y include in prisonmen, fines or a denial of insurance cemeasy for the purpose of Form# ACC.0302 (11/22) Page 3 of 3 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 - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 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 Total Bond Amount $ 16,500.00 Total Premium $ 1,700.00 Agreement 07/01/2024 Taylor Paolo Tapia Indemnitor Name(s) Taylor Tapia, Blanca Hernanadez Power Numbers) N/A, AS15K462991, AS3K596100, AS3K596101 ("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 Defendant Signature Print Name Taylor Paolo Tapia Indemnitor Signature Print Name Indemnitor Signature Blame HA Blanca Hernandez4 Jul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Indemnitor Signature Print Name Indemnitor Signature Print Name Indemnitor Signature Print Name Si no puede leer ni entender Inglés, favor de marcar este cuadro. 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.) INDEMNITOR Initials READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE Form# ACC.FL.0307 (10/21) * gA Page 1 of 4 Con ons 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. 2. Defendant agrees to appear in any Court as required in connection with the Bond at the dates and times stated in the Bond and/or as may be ordered by the Court. Indemnitor will ensure that Defendant appears in Court as so required or 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 shall have the right to apprehend, arrest and surrender the Defendant to the proper officials at any time as provided by law and/or this Agreement. It the Detendant is surrendered betore a tailure to appear in Court, and for a reason other thar as stated in paragraph 4, you may be entitled to a retund of the Bond premium it required by applicable law it any) and as may be stated in the Supplemental Terms and Conditions. 4. Unless otherwise provided by applicable law (it any), the tollowing events shall constitute a breach of your obligations o 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) Defendant 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 Surety, or Defendant fails to notify Surety of any changes in address; (c) Defendant 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) Detendant is arrested and incarcerated for any other oftense (other than a minor trattic violation); (e) Detendant or an Indemnitor makes any materially talse statement in any material submitted to suretv tor the Bond cludina the Bail Bond Application and Indemnitor Application; (f) The bail for Detendant is increased; (g ndemnitor requests the surrender to custody of the Defendant; and/or (h) There is a material increase in th 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 failure to appear by Defendant at any required Court proceeding or hearing, Defendant understands, agrees, and acknowledges that such apprehension and surrender involves risk of harm to Defendant and others, and as such 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 any a pass against Surely ling all agents nearlyes there arsing our rea and surrender of Defendant. 6. You, jointly and severally (together and separately) with any other indemnitor, shall indemnify the Surety and keep the Surety indemnified and hold it harmless from and against any and all claims, lawsuits, damages, losses, liability, demands, actions, judgments, fees, fines, penalties and expenses (including attorneys fees and costs), relating to, or 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 anc egal fees incurred: (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is tvpically ten tc 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, expenses and/or assessments that may be incurred as a result thereof the forfeiture of the Bond as subject to applicable law (if any). 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. Further, you will, upon demand, place with Surety the requisite cash funds to meet any Liabilities (including a pending. unpaid judgment or forfeiture demand), whether the demand is made before or after Surety has paid or advanced such funds. 1. Subject to applicable law it any), any collateral (real or personal, including cash or securities) pledged to or depositec with Suretv as securitv for the obliaations under this Agreement ("Collateral" of any and all sums due to Surety for any and all Liabilities sustained, paid or incurred by Surety. You authorize the or any part thereof, in order to pay or reimburse the Suretv for any and al the Bond and/or to place the Suretv in cash funds so as to protect the Suretv 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 Liability. Subiect to applicable law (if anv). the Surety 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. anc 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. shall not be liable for the depreciation of any Collateral or for any interest thereon. In the event of leposit. Subject to applicable law (if any), if you fail to deposit such additional Collateral, the Surety shall have the fu ight, power and authority, without further demand or notice, to sell, assign and deliver the whole or any part of sucl 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. 9. If a Confession of Judgment ("COJ") is taken as security for the Bond, the Surety shall have the right to enter, record 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 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 remedv. 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 trom 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 deem t advisable to retain such Collateral for its protection; and (d) upon the request by Surety, you shall execute and 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 indemnify 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 tees, costs and service tees 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. federal law (including, but not limited to, 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 records, civil records, driving records, tax records, records, medical records, school records, worker or governmental (ocal state or federal contacted by surety to hurris to Surely or Bail Producer, in accordance vate 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 ocating, 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 the il Compilance by belondant win the flowing terms and conting in period, and the Bond contined upon (a) Surety, at its discretion, will use network-based location technologies to locate Defendant; (b) This is the only notice Defendant 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 AND ANY APPLICABLE BOND EMISSION PERIODO KING DURING THE PERIOD THE BOND IS IN FORCE 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 tederal law, then such provisior shall automaticallv be deemed to have been revised to comply with such law so as to provide Suretv with the maximum rotection from any Liabilities. The invalidity or unentorceability ot any provision herein (or portion thereot) shall in n vay effect the validity or enforceability of any other provision (or portion thereof of this Agreement 20. This Agreement and all documents that are executed in connection with this Agreement set forth 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 set forth in this Agreement, are of no force or effect whatsoever in determining the rights, obligations and/or liabilities between the vou. You further agree to execute and be bound bv an other future documents necessary to carrv 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. Defendant's obligations to : Defendant, and no person shall have any right to any refund of premium whatsoever. The events which constitute a oreach of Defendant's obligations hereunder are: (a) If Defendant departs the iurisdiction of the Court without the written consent of the Court and Surety or Bail Producer: (b) If Defendant moves 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 Detendant's intention to cause a torteiture of the Bond; (a) It Detendant is arrested and incarcerated for any offense other than a minor traffic violation; or (e) If Defendant makes any material false statement in the Agreement. Division of Consumer Services, Bail Bond Section, 200 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 jurisdiction 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, vou 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. Supplemental Terms 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 lodging expenses outside the jurisdiction of the court; (d) for housing, re-arrest, transportation and extradition; and (e) A maximum fee of $100 for a surrender allowed by law when there has seen no torteiture ot 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. au Sure by a i i a i in for lin i 22 10am im all tes, expenses, and charges 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@aiasurety.com BAIL BOND INFORMATION SHEET PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 Defendant Name Taylor Paolo Tapia Power Number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Case Number 2024CT402199AO, 2024CF004592AO, 2023CT002475AO 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 ** PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT I/We have received a copy of this information sheet. I/e have received a copy of all collateral documents that I/We signed regarding the above bond(s). Defendant Signature Indemnitor Signature Print Name Date Taylor Paolo Tapia Signed original to agent's bond file; Copy to defendant and each indemnitor Print Name Blanca Hernanadez Date Form# ACC.FL.0028 (10/22) Page 1 of 1 allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com PRIVACY NOTICE PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 This Privacy Notice applies to your non-public personal information (personal information") received by Allegheny Casualty Company and/or AlA Holdings, Inc., as applicable, ("Surety"), through that 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: THE INFORMATION WE COLLECT: The Bail Producer is a licensed, independent contractor who is appointed by us to write bail. Prior to issuing a bail bond, the Bail Producer will collect, and in some cases, transmit to us your personal information. Your personal information is obtained from a variety of sources: • Applications and other forms (e.g., name, address, social security number, employment information, family member information, assets, income, and property locations and values) and electronically if you use our website or web-based applications (e.g., name of the internet domain, the IP address from which you accessed the site, and the time and date - our website uses cookies to collect individual information about you and your website usage); • Transactions and experiences with us and others, (e.g., credit card and account balances, and payment history); and • Consumer reporting agencies, medical providers, or others (e.g., credit score, background checks, and medical and employment information). HOW WE USE & PROTECT PERSONAL INFORMATION: Your personal information will be used to process the bail bond application, underwrite and post the bond and resolve bond claims or breaches of contract. We may provide your personal information to others working with us who need this information for these purposes, such as attorneys and investigators. Your personal information is used to assess the risk of the bail bond transaction, protect against fraud, or generally to effect, administer or enforce the terms of the bail bond transaction. Only authorized personnel are permitted to access your personal information. We convey to our employees and appointed Bail Producers the need to protect your personal information and require our outside vendors and service providers to keep your personal information PARTIES TO WHOM WE MAY DISCLOSE INFORMATION: We do not disclose your personal information to anyone except as permitted/required by law - for example, to industry regulators, law enforcement agencies, credit bureaus, subpoena, and third parties that assist us in the bail bond process and underwriting. We do not sell your personal information to anyone, and do not share your personal information with any companies or organizations that would use it to contact you about their products and services. CONFIDENTIALITY AND SECURITY: We maintain physical, electronic and procedural safeguards to protect your personal information. We ensure that your personal information is treated responsibly and consistent with our privacy policies. We also restrict access to your personal information within our organization to those persons who must have the information to provide services to you or to conduct our business. Persons who have access to your personal information may use it only for our business purposes. We safeguard your personal information in accordance with applicable laws. You have a right to review your personal information and to request that we correct, amend or delete such information on file. WEB PRIVACY: When you visit AlA's website at (www.aiasurety.com), the Web server automatically collects and maintains statistical information from our site's data logs that concern network traffic flow and volume. The information that is collected does not identify personal information. The collected information is used to improve the usefulness of the website. We reserve the right to change this Privacy Notice at any time. The most up to date version of our Privacy Notice can be found on AIA's website. CALIFORNIA CONSUMER PRIVACY ACT: For California Residents, please visit www.aiasurety.com/CCPA to access our complete California privacy statement under the CCPA. If you would like a full copy of the policy, please contact the Surety at (818) 223-3308 or privacy@aiasurety.com. FURTHER INFORMATION: If you have any questions about how we use the information we collect, please write to us at: AIA Compliance Department, PO Box 5600, Thousand Oaks, CA 91359 Indemnitor / Defendant Signature ADam IN Blanca Hernandez4Jul 1, 2024 16:24 EDT) Indemnitor / Defendant Printed Name Blanca Hernanadez Date Form# ACC.0027 (10/21) •g4 Page 1 of 1 PREMIUM RECEIPT and STATEMENT OF CHARGES a allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com Receipt No.: AP- SOC202407010728 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 Date Received 07/01/2024 Payment Method Payer Name Blanca Hernanadez Defendant Taylor Paolo Tapia Power Number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Court • Cash Check • Credit Card • Money Order Credit Card Authorization Code Appearance Date Itemized Expense(s) (if and as permitted by applicable law) $ $ $ $ 08185 Form# ACC.0304-1 (10/21) Payer Signature Slam He Blanca HernandezJul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Amount Received ($) N/A Payer Phone Number (772) 696-2002 Bond Amount ($) 16,500.00 Case Number(s) 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Appearance Time Collateral Received Collateral Receipt Numbers) • Yes • No 6312-14866, 6312-14867 Expense Amount Bail Bond Premium $ 1,700.00 ÷ Total Expense(s) $ 0.00 Prior Payments) ($1,700.00 Amount Received ($ N/A Remaining Balance $ 0.00 Producer/Representative Signature Producer/Representative Print Name ) ) 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. 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- 6312-8864 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 Date Received 07/01/2024 Payment Method Payer Name Blanca Hernanadez Defendant Taylor Paolo Tapia Power Number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Court • Cash Check • Credit Card • Money Order Credit Card Authorization Code 8512 411022 Appearance Date Itemized Expense(s) (if and as permitted by applicable law) $ $ $ $ 08185 Form# ACC.0304-1 (10/21) Payer Signature Blam Hi Blanca Hernande24Jul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Amount Received ($) 1,700.00 Payer Phone Number (772) 696-2002 Bond Amount ($) 16,500.00 Case Number(s) 2024CT402199AO, 2024CF004592AO, 2023CT002475AO Appearance Time Collateral Received Collateral Receipt Numbers) • Yes • No 6312-14867 Expense Amount Bail Bond Premium $ 1,700.00 • Total Expense(s) $ 0.00 Prior Payments) ($0.00 Amount Received ($1,700.00 Remaining Balance $0.00 Producer/Representative Signature Producer/Representative Print Name Martika Joseph ) 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. COLLATERAL RECEIPT allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com Type • Deposit of collateral: Depositor hereby acknowledges receipt of a copy of this document and agrees to the terms on the reverse side. The collateral identified below is deposited as security for the bail bond(s), premium owed, if any, and all lawful expenses incurred due to underwriting the referenced bail bond(s). Date Received 07/01/2024 Depositor Address Depositor Name(s) Blanca Hernanadez Power Number(s) N/A, N/A, AS15K462991, AS3K596100 Collateral Rec'd Items) Received - describe below, specify condition Promissory Note, SIGNATURE Bail Bond Agreement Collateral funds - in form of If applicable, I acknowledge a Credit Card fee of FLORIDA USE ONLY Form# ACC.FL.0304-2 (01/23) Signature Blame Has Blanca Hernandez Jul 1, 2024 16:24 EDT) Print Name Blanca Hernanadez Receipt No.: ACFL- 6312-14867 PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Orlando P.O. Box 592643, Orlando, FL 32859 (407) 254-5554 ] Return of collateral: Depositor hereby surrenders the original and acknowledge he return and receipt of collateral listed herein and that the collateral has bee turned in good and sufficient condition. Depositor hereby relieves the surety a bail producer from any further liability or responsibility in relation to the collate Returning collateral from receipt numbers) Depositor Phone Number (772) 696-2002 Defendant Name Taylor Paolo Tapia Case Number Bond Amount 2024CT402199AO, 2024CF004592AO, 2023CT002475AO 16,500.00 Amount or Estimated Value $ 16,500.00 $ $ Held By • Bail Producer • Surety Bail Producer Surety Bail Producer Surety % in the amount of $ Signature Print Name Martika Joseph 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. 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: Taylor Paolo Tapia ("Defendant"). On demands after date, for value received, I/We promise to pay to the order of Allegheny Casualty Company the sum of $ 16,500.00 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) 2024CT402199AO, 2024CF004592AO, 2023C, COUNTY, FLORIDA P/A number(s) N/A, AS15K462991, AS3K596100, AS3K596101 Blame HI anca Hernandez ul 1, 2024 16:24 ED Signature Signature Blanca Hernanadez Maker Name Date Maker Name Date Form# ACC.FL.0036 (10/21) 08212* 6.426 Bail 2 GO - Orlando P.O. Box 592643 Orlando, FL 32859 CO Statement of Account July 01, 2024 Blanca Hernanadez Defendant: Taylor Tapia Bond Amount: $16,500.00 Total Bond Premium/Expenses Total Bond Payments Current Bond Balance Amount Due Bond Summary Date Executed: 07/01/2024 Power: AS3K596100, AS15K462991, AS3K596101 $1,700.00 -$1,700.00 $0.00 $0.00 Payment History Date 07/01/2024 07/01/2024 Description Premium / Expenses $1,700.00 Payments Premium Credit Card cc#8512 from Blanca Hernanadez $1,700.00 $1,700.00 $1,700.00 Sincerely, Bail 2 GO - Orlando BAIL BOND APPLICATION - INDEMNITOR 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- Blanca Hernandez Blanca First Middle 2. Residence Address. Last 7706 Holooaw Avenue My friends/family know me as City Ft Pierce _ State. FI _ Zip 34951 3. How Long at Current Address 36 Rent Free Lease Own x Landlord/Mortgagor Name Discover 4. Is Mortgage/Lease in your name? Yes _ No When does Lease Expire Email_hustont13@hotmail.com 5. Cell Phone # 7726962002 Cell Carrier At&t iPhone or Android Iphone _How Long with Cell No. 22yrs 6. Employer Footseas Length 9yrs Position Medical assistant work# 7727709127 Any ownership greater than 20% in any Corporation, LLC, or S-Corp No Any specialized license to work No 7. Social Security No. 261862946 ID# H655072636330 _Wt 163 Ht_ WRace ispan Eye Color 3rowr Hair Blonde 8. Have you ever filed Bankruptcy. 9. Gender emall Place of Birth. No Colombia Do you have any judgements or liens against you currently - No _ If so, where None Date of Birth 04141963 US Citizen Yes Marital Status Married How Long 25yrs 10. Have many years have you lived in FL? 53 yrs Are you a convicted felon? No Are you on any type of Probation or Parole ? No 2014 11. Vehicle Year _ Vehicle Color - Vehicle Make Gord Tag No. 'on'tknow Vehicle Miles 128,000 Amount Owed None 12. Relationship to Defendant Mom How long have you known Defendant 31yrs Defendants Home Address 7706 Holopaw Ave Defendants Cell Phone Number 7725385525 13. Emergency Contact Name Blanca Hernandez 13. Children Yes _No Amount of children 14. Attorney Needs Address 3 _Phone No. Son 7706 Holooaw Avenue Phone No. 7726962002 38/36/31 One Ages 7726962002 Do kids reside with you May we reach out on the defendants behalf No 15. How did you hear about us? Personal References First & Last Name 1. 2. 3. 4. 5._ 6. Pablo Tapia Jerry Jay Patel Michael Zuniga Obed Hernandez Jonathan Relationship Dad Friend Friend Brother Step dad Friend City / State Vero Beach fl Vero Beach fl Orlando fl Orlando fl Ft Pierce fl Orlando fl Phone 7722773861 7729245582 3213008864 4074769004 7729714890 7874240125 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 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 guilty of a felony of the third degree. signature: Bad 1, 20242624 EO Email: hustont13@hotmail.com Blanca Hernandez Print Adobe Acrobat Sign Transaction Number: CBJCHBCAABAApCCT11YOHOinxgGVqQy-TEYOfERMzOUa ID# SSN DOB H655072636340 361853946 04-13-1964 7/1/24, 3:22 PM American Spirit Processing Payment Gateway Transaction Successful Transaction Receipt Merchant: Date/Time: Transaction ID: Axiom Surety Corp - (Orlando, FL) 07/01/2024 3:22:36 PM EDT 9680046377 Card Sale Keyed $1,700.00 Credit Card Information CC Type: CC Number: Auth. Code: Processor: Billing Information Blanca Hernandez hustont13@hotmail.com 7726962002 7706 Holopaw Ave USL 34951 ViSa 3512 411022 Operations Shipping Information US Blam Hv lanca Hernandez4Jul 1, 2024 16:24 EDT) https://americanspiritprocessing.transactiongateway.com/merchants/receipt.php?tid=2ab41a46b6b35a8210fab19d4b10e0d9&transaction_id=9680046... 1/1 Credit Card Authorization form CO 1, Blanca Hernandez , 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. $1700.00 hustont13@hotmail.com Tapia, Taylor Paolo Amount Authorized Cardholder E-mail Defendant's Name & Booking # All fields required Card information Card type U MasterCard Discover VISA AMEX Other 4094510853748512 Cardholder (Name on card) Blanca Hernandez Card number 05/28 Expiration date (MM/YYYY) 34951 ZIP Code (From credit card billing address) 729 cWv Copy of Driver License Recurring Payments Information Charge every: Week Bi- Weekly Monthly Other Charge on this date. (For example, the 1st of every month) Hand Delivered • Emailed Copies To: Jul 1, 2024 Payment Amount Defendant Name / Case # / Power(s) # Terms of agreement: PLEASE REFER TO PROMISSORY NOTE AND INSTALLMENT PAYMENT PLAN FOR UNPAID PREMIUM AND EXPENSES FOR THE DEFENDANT REFRENCED ABOVE. Blan 11 lanca Hernandez Jul 1. 2024 16:24 EDT Customer Signature 07/01/2024 Date Florida USA HUAT SE DRIVER LICENSE с.H655-072-63-633-07 as E: HERNANDEZ L 2 BLANCA LUZ FORTFIERCE, FL: 195 У ес 04/13/1963 10 27P 04/13/20111 16HLТ H-02 12 AGIT NONE Sa END NOVE BHCS SAFE DRIVER So ISS 04/09/2019 500 P812206130143 REPLACED 06/13/2022 * Operation of a motor vehicle constitutes consent to any sobriety test required by law MJ Tapia, Taylor Paolo Indem Bail Vision Paperwork Final Audit Report 2024-07-01 Created: By: Status: Transaction ID: 2024-07-01 (Eastern Daylight Time) Martika Joseph (martika.joseph@bail2go.com) Signed CBJCHBCAABAApCCT11Y0HOinxgGVqQy-TEYOfERMzOUa "MJ Tapia, Taylor Paolo Indem Bail Vision Paperwork" History Document created by Martika Joseph (martika.joseph@bail2go.com) 2024-07-01 - 3:32:23 PM EDT- IP address: 172.56.77.107 Document emailed to hustont13@hotmail.com for signature 2024-07-01 - 3:39:06 PM EDT Email viewed by hustont13@hotmail.com 2024-07-01 - 3:44:30 PM EDT- IP address: 146.75.222.1 Do Signer hustont13@hotmail.com entered name at signing as Blanca Hernandez 2024-07-01 - 4:24:08 PM EDT- IP address: 69.254.18.11 Blanca Hernandez (hustont13@hotmail.com) uploaded the following supporting documents: @ Copy of Driver License 2024-07-01 - 4:24:10 PM EDT Oe Document e-signed by Blanca Hernandez (hustont13@hotmail.com) Signature Date: 2024-07-01 - 4:24:10 PM EDT - Time Source: server- IP address: 69.254.18.11 • Agreement completed. 2024-07-01 - 4:24:10 PM EDT Bail 2CO Powered by Adobe Acrobat Sign	Indemnitor app (digital)	1.5 MB	2024-09-15 10:02:26 uploaded 75d after created	no	Dropbox · History
MJ Tapia, Taylor Paolo Refund American Spirit Processing Payment Gateway - signed.pdf 7/1/24, 10:55 PM American Spirit Processing Payment Gateway Transaction Successfully Refunded Transaction Receipt Merchant: Date/Time: Transaction ID: Transaction Type: Entry Method: Amount: Credit Card Information CC Type: CC Number: Auth. Code: Processor: Billing Information Blanca Hernandez husto… [show full stored text]	Unclassified	180.5 KB	2024-09-15 10:02:26 uploaded 74d after created	no	Dropbox · History
Screenshot 2025-07-31 at 11.35.23 AM.png No Check-ins Active DEBRA THOMPSON is scheduled to check-in Weekly starting 08/02/2025 Next check-in due 08/02/2025 Acceptable types of check-ins are: D Mobile App Mobile Tracing: Enable Disable Device NOT connected Online Check-in Code:WBNJLCFPMD Eula NOT signed Send App Download Link Print Schedul… [show full stored text]	Image (unclassified)	112.6 KB	2025-09-29 15:12:18 uploaded 60d after created	no	Dropbox · History
Screenshot 2025-07-31 at 11.35.41 AM.png Notification Settings Turn Notifications On? Types Notification Settings Turn Notifications On? • DEBRA ANN THOMPSON ( Defendant, Indemnitor) Yes No Appearance Date: N/A Checkin Due Standard Check-In Payment Due : N/A • DAVAN SHANDEL SEMPLE ( sister, Caller, Indemnitor, Rei Yes No [show full stored text]	Notifications screenshot	141.2 KB	2025-09-29 15:12:18 uploaded 60d after created	no	Dropbox · History
Service of Document - TAPIA, 2024-CF-004592-A-O 5 Aug 2024 091550 -0400.pdf E In the Circuit Court of the Ninth Judicial Circuit, in and for Orange County, Florida Division: Div 16 Case No: 2024-CF-004592-A-O Courtroom: 10-D State of Florida, Plaintiff, VS. TAYLOR PAOLO TAPIA Defendant. Date of birth: 4/21/1993 COURT ORDER & SETTING / RESET NOTICE This cause came on this da… [show full stored text]	Court/case doc	145.7 KB	2024-09-15 10:02:26 uploaded 41d after created	no	Dropbox · History
Service of Document - TAPIA, 2024-CT-402199-A-O 4 Jul 2024 082201 -0400.pdf 7/4/2024 5:20 AM FILED IN OFFICE OF TIFFANY M. RUSSELL, CLERK OF COURTS, ORANGE CO. FL IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR ORANGE COUNTY FLORIDA CASE NO: 2024-CT-402199-A-O CITATION NO: A2GYJDP CHARGE: CT- DUI WITH PROP DAMAGE/PERSONAL INJURY STATE OF FLORIDA VS. TAYLOR PAOL… [show full stored text]	Court/case doc	309 KB	2024-09-15 10:02:26 uploaded 73d after created	no	Dropbox · History
Service of Document - THOMPSON, 2025-CT-404161-A-O 26 Jun 2025 130824 -0400.pdf IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR ORANGE COUNTY FLORIDA CASE NO: 2025-CT-404161-A-O CITATION NO: A5G69QP CHARGE: CT-RACING ON HIGHWAY (ANY MANNER OF PARTICIPATION) STATE OF FLORIDA VS. JAKOBE DASHAWN THOMPSON DOB: 02/03/2000 The defendant has hereby entered a plea of NOT G… [show full stored text]	Court/case doc	83.9 KB	2025-09-29 15:11:34 uploaded 95d after created	no	Dropbox · History
Special Conditions.pdf BAIL BOND INFORMATION & SPECIAL CONDITIONS - DEFENDANT 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 Defendant: Address: Power No (s): Conditions of Bond: Phone: L360 GPS Check in… [show full stored text]	Unclassified	512.8 KB	2024-09-15 10:02:26 uploaded 412d after created	no	Dropbox · History
Tapia, Taylor Paolo Booking Inmates - OCFL.pdf Orange County Incarcerations TAPIA, TAYLOR PAOLO Booking Number: Race: Gender: Age: Last Known Location: Cell: Date Booked: Number of Holds: Notes: 24009130 WHITE MALE 31 ORLANDO P-DORM-B 04/05/2024 NONE Case Sequence: Case Status: Bond Amount: Charges 712 PRESENTENCED 500.00 Police Case N/A Number:… [show full stored text]	Unclassified	600.7 KB	2024-09-15 10:02:26 uploaded 75d after created	no	Dropbox · History
Tapia, Taylor Paolo Def Bail Vision Paperwork.pdf allegheny CASUALTY COMPANY PO Box 5600, Thousand Oaks, CA 91359 800.935.2245 info@aiasurety.com THIS IS A 1-PAGE, DOUBLE SIDED DOCUMENT READ CAREFULLY AND COMPLETE BAIL BOND APPLICATION - DEFENDANT PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: B… [show full stored text]	Defendant app (digital)	755.1 KB	2024-09-15 10:02:26 uploaded 75d after created	no	Dropbox · History
TAPIA, TAYLOR PAOLO Def TLOxp - Advanced.pdf 7/1/24, 2:55 PM TLOxp - Advanced Your Current Reference ID: NONE 2 Results Found for people named TAYLOR PAOLO TAPIA born on 04/21/1993 in the United States. (showing all results) TAYLOR PAOLO TAPIA, 31 Years Old (Florida, Massachusetts) 1 of 2 results Possible Relatives TAYLOR PAOLO TAPIA (03/02/20… [show full stored text]	Unclassified	212.3 KB	2024-09-15 10:02:26 uploaded 76d after created	no	Dropbox · History
TAPIA, TAYLOR PAOLO Indem TLOxp - Advanced.pdf 7/1/24, 2:57 PM TLOxp - Advanced Your Current Reference ID: NONE 1 Result Found for people with TLO Person ID 6LX3-QC4H in the United States. BLANCA LUZ HERNANDEZ, 61 Years Old (Florida) BLANCA LUZ HERNANDEZ Possible Relatives Cities (09/01/1987 to 05/02/2024) Carlos Eduardo Duran 1960 Age: 63 Fort … [show full stored text]	Unclassified	199.9 KB	2024-09-15 10:02:26 uploaded 76d after created	no	Dropbox · History
TAPIA, TAYLOR PAOLO Orange County Clerk of Courts Records Search.pdf 7/1/24, 2:59 PM - Print Show # 1 Orange County Clerk of Courts Records Search Search Result: 10 cases 15 v entries Case Number 2024-CT-402199-A-O Search: 2 3 4 5 2024-CF-004592-A-O 2023-TR-201430-A-O 2023-CT-006687-A-O 2023-CT-002475-A-O 6 2023-CC-014697-0 7 2023-CC-002834-0 8 2021-TR-069114-A-O 9 1… [show full stored text]	Court/case doc	102.6 KB	2024-09-15 10:02:26 uploaded 76d after created	no	Dropbox · History
Tapia, Taylor Paolo Refund American Spirit Processing Payment Gateway.pdf 7/1/24, 10:55 PM American Spirit Processing Payment Gateway Transaction Successfully Refunded Transaction Receipt Merchant: Date/Time: Transaction ID: Transaction Type: Entry Method: Amount: Credit Card Information CC Type: CC Number: Auth. Code: Processor: Billing Information Blanca Hernandez husto… [show full stored text]	Unclassified	75.8 KB	2024-09-15 10:02:26 uploaded 75d after created	no	Dropbox · History
TAPIA, TAYLOR PAOLO TLOxp - Criminal and Traffic Offenses.pdf 7/1/24, 2:56 PM TLOxp - Criminal and Traffic Offenses Your Current Reference ID: NONE 4 Results Found for people named TAYLOR PAOLO TAPIA born on 04/21/1993 in the United States. (showing all results) TAYLOR PAOLO TAPIA, 31 Years Old Name: TAYLOR PAOLO TAPIA DOB: XX/XX/1993, Born 31 Years Ago Is Sex… [show full stored text]	Unclassified	187.7 KB	2024-09-15 10:02:26 uploaded 76d after created	no	Dropbox · History
THOMPSON, DEBRA ANN 07262025.pdf Florida • SEAT DRIVER LICENSE 440Lx T512-177-74-883-0 -THOMPSON SEMPLE 2 DAVAN SHANDEL 84838 RED WILLOW AVE ORLANDO, FL 32808-3706 D0B 10/23/1974 L15SEX 40 EX8 10/23/2029 16 HT 5'-06** 12 REST NONE 9a END NONE SAFE DRIVER 4a ISS 10/23/2020 5DD G712010230119 000000600001 Operation of a motor vetlicie… [show full stored text]	State ID	474.1 KB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, DEBRA ANN 07292025.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBER*S6K-1040473 F 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 $6, 000 KNOW ALL MEN BY THESE PRESEN… [show full stored text]	Executed Power (PoA)	622 KB	2025-09-29 15:12:18 uploaded 62d after created	no	Dropbox · History
THOMPSON, DEBRA ANN 1 07292025.pdf Only the original Power of Attorney will bind this surety. POWER OF ATTORNEY Allegheny Casualty Company POWER NUMBERAS6K-1040474 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 $6, 000 KNOW ALL MEN BY THESE PRESENTS… [show full stored text]	Executed Power (PoA)	625.7 KB	2025-09-29 15:12:18 uploaded 62d after created	no	Dropbox · History
THOMPSON, DEBRA ANN 2 EP V10.92024 - Orange.pdf Packet Completed by: LL Indemnitor:DAVAN SHANDEL SEMPLE _ Social Security: _ 8128 ACF#: 072620251400 Ind Add. 4838 red willow Ave Ind Home # Relationship to Def.: IA PN Collateral Explained: _ Collateral in Amount of Collateral held by Bondsman City:_ Orlando State: Florida Zip: 32808 Ind Cell # (35… [show full stored text]	Indemnitor app (digital)	4.3 MB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, DEBRA ANN Credit Card Authorization Form.pdf Credit Card Authorization form , give permission to Axiom Surety Corp dba Bail 2 GO to charge Indemnitor my card for the following transaction(s). My card details will be stored under my Bail 2 GO profile and will only be used for approved transaction(s) and incurred expenses. Amount Authorized All … [show full stored text]	Unclassified	427.1 KB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, DEBRA ANN download.png	Unreadable (OCR found very little text) reason: low-text-confidence	33.6 KB	2025-09-29 15:12:18 uploaded 65d after created	yes	Dropbox · History
THOMPSON, DEBRA ANN EDP V10.9.1.2024 - Orange.pdf Packet Completed By: LL/SC Defendant: THOMPSON, DEBRA ANN Def Add. 1402 pon pon Def Home # (407) 616-3086 Condition(s) of Bond: Check in Schedule: Phone In Days : Mon Walk In Days: Mon Social Security: _ 596-16-0885 _ City: Court State: Fl Zip: 32825 Def Cell # (407) 616-3086 Email :_Bebbiealex@yaho… [show full stored text]	Defendant app (digital)	1.8 MB	2025-09-29 15:12:18 uploaded 64d after created	no	Dropbox · History
THOMPSON, DEBRA ANN ID.pdf Florida DRIVER LICENSE a0L»T512-161-61-728-0 I THOMPSON 2 DEBRA ANN #4924 RED WILLOW AVE ORLANDO, FL 32808 3 coa 06/28/1961 15sex 4b EXP: 06/28/2028 16 HET 5'-02* 12 REST B 9a END NONE POONOR 4a ISS 06/25/2020 099 5DD G742208220173 Debre Thompeo REPLACED 08/22/2022 - Operation of a motor vehicle con… [show full stored text]	State ID	494.7 KB	2025-09-29 15:12:18 uploaded 64d after created	no	Dropbox · History
THOMPSON, DEBRA ANN idiCORE.pdf 7/26/25, 2:20 PM idiCORE idiCoRE Expanded Person Search Last Name: THOMPSON First Name: DEBRA Exact First Name: No Date of Birth: 06/28/1961 State: FL Reference ID: THOMPSON, DEBRA ANN 1 of 1 results). DEBRA ANN THOMPSON DEBRA THOMPSON THOMPSON DEBRA THOMPSON ALEXANDER DEBRA THOMPSON THOMPSON ALEXAN… [show full stored text]	IDI Report	286.1 KB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, DEBRA ANN INDEM idiCORE.pdf 7/26/25, 2:21 PM •..• idiCoRE idiCORE Expanded Person Search Last Name: THOMPSON First Name: DAVAN Exact First Name: No Date of Birth: 10/23/1974 State: FL Reference ID: THOMPSON, DEBRA ANN 1 of 1 results). DAVAN SHANDEL SEMPLE DAVAN THOMPSON SEMPLE DAVAN SHANDEL THOMPSON SEMPLE SEMPLE D THOMPSON DA… [show full stored text]	IDI Report	271 KB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, DEBRA ANN Inmates - OCFL.pdf Orange County Corrections is hiring - Click HERE to apply! Orange County Incarcerations THOMPSON, DEBRA ANN Booking Number: Race: Gender: Age: Last Known Location: Cell: Date Booked: Number of Holds: Notes: 25022139 BLACK FEMALE 64 ORLANDO BRCIA07 07/25/2025 NONE Charges Case Sequence: 158 Case Stat… [show full stored text]	Booking Report	558.8 KB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, DEBRA ANN Screenshot 2025-07-26 at 2.21.35 PM.png 4838 Red Willow Ave 4838 Red Willow Ave Building Directions Save Nearby Send to phone 4838 Red Willow Ave, Orlando, FL 32808 Suggest an edit on 4838 Red Willow Ave Add a missing place Add your business Photos Share 44 Restaurants km Hotels @ Things to do @ Transit World Outreach Center P Parking # P… [show full stored text]	Image (unclassified)	7.6 MB	2025-09-29 15:12:18 uploaded 65d after created	no	Dropbox · History
THOMPSON, JAKOBE D 06222025.pdf Florida CDL моц, Т512-424-00-043-0 THOMPSON 2 JA'KOBE DASHAWN ฿5274 MONTEJO OR TALLAHASSEE, FL 32305-2407 33 02/03/2000 1955X M 10 EXP 02/03/2030 16HỘT 6-00** 12 PEST NONE 9a END NONE SAFE DRIVER 4a ISS 11/04/2022 5DD B702305170025 REPLACED 05/17/2023 Operation of a motor vehicle constitutes consent… [show full stored text]	State ID (weak)	474.3 KB	2025-09-29 15:11:34 uploaded 99d after created	no	Dropbox · History
THOMPSON, JAKOBE D 1 EP V10.92024 - Orange.pdf Indemnitor: UNIQUE WORLDS Ind Add 14855 NW 16 DR Social Security: City: MIAMI 6856 ACF#: 062220250459 Ind Home # (305) 203-9724 Ind Cell # State: (305) 203-9724 FL Zip: 33167 Email: Uniqueworlds06@gme Relationship to Def.: GF How long known Def.: 1YR IA PN Collateral Explained: Mortgagee Deed ($17.0… [show full stored text]	Indemnitor app (digital)	6.8 MB	2025-09-29 15:11:34 uploaded 98d after created	no	Dropbox · History
THOMPSON, JAKOBE D Agents File Checklist.pdf AGENTS Completed File Check List Folder Named Properly - (LAST, FIRST - 06/15/25 - NZ) All Files are named correctly in Folder, - (DOE, JOHN - PREMIUM ) Booking Sheet / Mugshot (Current or Previous) TLO's for all parties involved Clerk Search for "ALL" Relevant Counties State ID's for all signers In… [show full stored text]	Unclassified	226.6 KB	2025-09-29 15:11:34 uploaded 94d after created	no	Dropbox · History
THOMPSON, JAKOBE D BV CHECK IN 2025-06-23 at 9.30.15 AM.png Active JAKOBE THOMPSON is scheduled to check-in Weekly starting 06/23/2025 Next check-in due 06/23/2025 Acceptable types of check-ins are: O Mobile App Mobile Tracing: Enable Disable Device NOT connected Online Check-in Code:TLHHATQVET Eula NOT signed Send App Download Link Print Schedule [show full stored text]	Image (unclassified)	85 KB	2025-09-29 15:11:34 uploaded 98d after created	no	Dropbox · History
THOMPSON, JAKOBE D BV NOTIFICATION 2025-06-23 at 9.32.32 AM.png Notification Settings Turn Notifications On? Types Notification Settings Turn Notifications On? Types • JAKOBE DASH THOMPSON ( Defendant) Yes No U Appearance Date Standard Appearance Track Checkin Due Standard Check-In Payment Due : N/A • UNIQUE WORLDS (Friend, Caller) Yes No Appearance Date Standar… [show full stored text]	Notifications screenshot	243.1 KB	2025-09-29 15:11:34 uploaded 98d after created	no	Dropbox · History
THOMPSON, JAKOBE D COLLATERAL PAID.pdf American Spirit Processing Payment Gateway 6/22/25, 5:56 AM Transaction Successful Transaction Receipt Merchant: Address: Date/Time: Transaction ID: Transaction Type: Entry Method: Cardholder Verification Method: Amount: Credit Card Information CC Type: CC Number: Auth. Code: Processor: EMV Applicat… [show full stored text]	Unclassified	40.6 KB	2025-09-29 15:11:34 uploaded 99d after created	no	Dropbox · History
THOMPSON, JAKOBE D Credit Card Authorization Form.pdf Credit Card Authorization form 1,. JAKOBE THOMPSON , 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. $1… [show full stored text]	Unclassified	432.2 KB	2025-09-29 15:11:34 uploaded 99d after created	no	Dropbox · History
THOMPSON, JAKOBE D EDP V10.9.1.2024 - Orange.pdf Packet Completed By: R RAMOS / LL Defendant: IHOMPSON, JAKOBE DASHAW Social Security: 591-91-3617 Def Add. 5274 montejo drive _ City: Tallahassee _ State: _ Fl Zip: 32305 Def Home # Condition(s) of Bond: Check in Schedule: Phone In Days : Walk In Days: Mon Mon Def Cell # (850) 284-4022 Email :Jakobe… [show full stored text]	Defendant app (digital)	5.4 MB	2025-09-29 15:11:34 uploaded 98d after created	no	Dropbox · History
THOMPSON, JAKOBE D INDEM ID.pdf USA Florida DRIVER LICENSE 0. W236-121-59-600-0° CLASSE IWORLDS UNIQUE QUA-SHAY ·1156 NW 103RD ST MIAMI, FL 33150 Doe 04/06/2000 15 SEX F 4b EXP 04/06/2033 16 HGT 5'-03" 12 REST NONE 9a END NONE prationd đa ISS 03/24/2025 SDD S112503240016 Operation of a motor vehicle constitutes consent to any sobr… [show full stored text]	State ID	214.4 KB	2025-09-29 15:11:34 uploaded 99d after created	no	Dropbox · History
THOMPSON, JAKOBE D MUGSHOT.png	Court/case doc reason: low-text-confidence	29.9 KB	2025-09-29 15:11:34 uploaded 99d after created	yes	Dropbox · History
THOMPSON, JAKOBE D PREMIUM PAID.pdf American Spirit Processing Payment Gateway 6/22/25, 5:58 AM Transaction Successful Transaction Receipt Merchant: Address: Date/Time: Transaction ID: Transaction Type: Entry Method: Amount: Credit Card Information CC Type: CC Number: Auth. Code: Processor: EMV Application ID: EMV Application Label: I… [show full stored text]	Unclassified	39.2 KB	2025-09-29 15:11:34 uploaded 99d after created	no	Dropbox · History
THOMPSON, JAKOBE D RAPSHEET.pdf 6/22/25, 5:45 AM THOMPSON, JAKOBE DASHAWN Booking Number: Race: Gender: Age: Last Known Location: Cell: Date Booked: Number of Holds: Notes: 25017861 BLACK MALE 25 TALLAHASSEE BROMBENA 06/22/2025 1 NONE Charges Case Sequence: Case Status: Bond Amount: Police Case Number: Arresting Agency: Charge/Cou… [show full stored text]	Court/case doc	416.3 KB	2025-09-29 15:11:34 uploaded 99d after created	no	Dropbox · History
THOMPSON, JAKOBE DASHAWN GOOGLE HOME PHOTO.webp	Unreadable (unsupported file type -- not a PDF/JPG/PNG) reason: unsupported-filetype	347.6 KB	2025-09-29 15:11:34 uploaded 94d after created	yes	Dropbox · History
THOMPSON, JAKOBE DASHAWN Orange County Clerk of Courts Records Search.pdf 6/27/25, 12:27 PM Orange County Clerk of Courts Records Search 2 Print Search Result: 1 cases Show 15 V entries Search: JE # 1 Case Number 2025-CT-404161-A-O Description STATE OF FLORIDA vs. THOMPSON, JAKOBE DASHAWN Type Criminal Traffic Status Court Pending Judge DOB Name 02/03/2000 Mark A Skipper … [show full stored text]	Court/case doc	61.2 KB	2025-09-29 15:11:34 uploaded 94d after created	no	Dropbox · History

Bail 2 GO — Compliance Dashboard

Tapia, Taylor Paolo 7.1.24 MJ

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