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COLLATERAL RECEIPT ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: ACFL- 6314-2098 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 • 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). Return of collateral: Depositor hereby surrenders the original and acknowledges the return and receipt of collateral listed herein and that the collateral has been returned in good and sufficient condition. Depositor hereby relieves the surety and its bail producer from any further liability or responsibility in relation to the collateral. Returning collateral from receipt number(s) Depositor Name Jean Cineus Date Received 06/30/2021 Depositor Address 5506 Arnold Palmer #1415, Orlando, FL 32811 Last Depositor Phone # (407) 283-4403 Defendant Anderson Teneus First Middle Last Case # Power No.(s) N/A, N/A Bond Amt. $ 3,000.00 Collateral Received - describe below, specify condition Amount or Estimated Value Held By • Bail Producer • Surety • MGA Bail Producer Surety LMGA • Bail Producer L Surety • MGA Collateral Funds - in form of • Cash • Check • Money Order • Credit Card $ 3,000.00 If applicable, I acknowledge a Credit Card fee of Depositor: $ $ % in the amount of $ Bail Producer: Signature *08214* Form# ACC.FL.0304-2 (09/13) Signature Jean Cineus Print Name Print Name ONLY FOR USE IN FLORIDA 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 indemnitor(s) 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 a lien 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, Bail Bond Section, 200 East Gaines Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state). Form# ACC.FL.0304-2 (09/13) PREMIUM RECEIPT and STATEMENT OF CHARGES ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: AP- 6314-1764 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 Date Received 06/30/2021 Payment Method • Cash • Check • Money Order • Credit Card Amount Received Three Hundred dollars************ Dollars $ 300.00 Payer Name Jean Cineus First Payer Phone # (407) 283-4403 Middle Last Defendant Anderson Teneus Case # First Middle Last Power No.(s) N/A, N/A Bond Amt. $ 3,000.00 Court Osceola County Circuit Court Appearance Date Appearance Time Collateral Received No Collateral Receipt No.(s) 6314-2097 Itemized Expenses) (if and as permitted by applicable law) Expense Amount Bail Bond Premium $ 300.00 $ Total Expense(s) $0.00 $ Prior Payments) ($0.00 $ Amount Received ($ 300.00 $ Remaining Balance $ 0.00 Paid By: Received By: *08185 * Form# ACC.0304-1 (09/13) Payer Signature Producer/Representative Signature Jean Cineus Marie Garcia Payer Print Name Producer/Representative Print Name NOT FOR USE IN CALIFORNIA, NEW MEXICO AND SOUTH CAROLINA 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. Form# ACC.0304-1 (09/13) INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 PRODUCER PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 BAIL BOND AGREEMENT ("Agreement") - THIS IS A DOUBLE SIDED DOCUMENT; READ ALL SIDES CAREFULLY In consideration of INTERNATIONAL FIDELITY INSURANCE COMPANY/ALLEGHENY CASUALTY COMPANY, 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: Date 06/30/2021 Defendant Anderson Teneus Indemnitors) Jean Cineus Power Number(s) N/A, N/A Total Bond Amount $ 3,000.00 Total Premium $ 300.00 ("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 Indemnitor Sign Sign Print Anderson Teneus Print Jean Cineus Indemnitor Sign Indemnitor Sign Print Print Indemnitor Sign Indemnitor Sign Print Print Translation Request - Solicitud de traducción. Check box and complete the following if translation is required Si no puede leer ni entender Inglés, favor de marcar este cuadro. (If you cannot read or understand English, please 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 (signature) (print name) Translator's Address Date Street City State Zip 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 Form# AIA. FL.0307 (09/14) *& k READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE Page 1 of 4 Print Form Reset Form AIA EMPOWERING AGENTS Terms And Conditions You, the undersigned (referred to herein as "Indemnitor," "Defendant," or together as "you," as applicable), agree to be bound to the following terms and conditions: 1. The premium for the Bond is fully earned upon Defendant's release from custody. The premium is not refundable except as stated herein. The fact that Defendant may have been improperly arrested, the bail was reduced or Defendant's case was dismissed shall not obligate the return of any portion of the premium. 2. Defendant agrees to appear in any Court required in connection with the Bond at the times stated in the Bond and all other times as may be ordered by the Court. Indemnitor will have Defendant appear in any Court as required in connection with the Bond 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. In the event Defendant's surrender is made prior to Defendant's failure to appear in court, and for a reason other than as stated in paragraph 4, then you may be entitled to a refund of the bond premium if required by applicable law (if any) and as stated in the Supplemental Terms and Conditions.\ 4. Unless otherwise provided by applicable law (if any) and as stated in the Supplemental Terms and Conditions, the following events shall constitute a breach of your obligations to the Surety, and the Surety shall have the right to immediately apprehend, arrest and surrender Defendant, and you shall have no right to any 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 change in address; (c) Defendant commits any act that constitutes reasonable evidence of Defendant's intention to cause a forfeiture of the Bond; (d) Defendant is arrested and incarcerated for any other offense (other than a minor traffic violation); (e) Defendant or Indemnitor makes any materially false statement in the any application submitted to Surety for the bond, including the Bail Bond Application and Indemnitor Application (Applications"); (f) Defendant or Indemnitor makes any materially false FORE statement in the Applications; (g) Defendant's bail is increased; (h) Indemnitor requests that Defendant be surrendered; (i) there is a material increase in the risk assumed by the Surety (as determined by the Surety in its sole and absolute discretion) including, by way of example, but not limited to, depreciation or impairment of any real or personal property deposited as security for the Bond ("Collateral," as defined herein). 5. In the event Defendant's apprehension and surrender is required for any reason, including Defendant's failure to appear at any of Defendant's required Court proceedings or hearings, Defendant understands, acknowledges, assumes and accepts that Defendant's failure to appear and resulting apprehension to custody is an activity that poses a peculiar risk of harm both to the Defendant and to others, including any recovery agents), which is beyond and differs from the risks to which members of the public are commonly and generally subjected. Defendant acknowledges and agrees that if Defendant becomes subject to such apprehension and surrender, Defendant is voluntarily participating in the activity of apprehension and recovery such that the risk of harm of such activity is not peculiar to Defendant. Defendant acknowledges and understands the peculiar risk of such activity and Defendant is no longer a member of the general public who cannot anticipate such risk. Defendant knowingly accepts and assumes the subsequent risk of harm to Defendant and others arising out of such apprehension and surrender activities. Defendant agrees to defend, indemnify, and hold harmless the Surety and/or Bail Producer (including all agents, representatives and employees thereof) for any injuries, harm, losses, claims, lawsuits, damages, losses, liability, demands, actions, fees and expenses (including attorneys fees and costs) arising out of such activities. 6. You 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, fees and expenses (including attorneys fees and costs) (together, "Liabilities"), relating to, or arising out of, Surety's issuance or procurement of the Bond, 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 and legal fees incurred, (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is typically ten percent [10%], of the amount of the Bond for an in-state recovery), plus any out of pocket expenses, (c) any and all extradition costs that may be incurred to apprehend and return Defendant to custody, and (d) if a collection action is required under this Agreement, reasonable and actual attorneys fees plus any and other costs, expenses and/or assessments that may be incurred as a result thereof and of any forfeiture of the Bond subject to applicable law (if any) as stated in the Supplemental Terms and Conditions below. The voucher, check or other evidence of any payment made by Surety shall be conclusive evidence of such payment in any action against you both as to the propriety of such payment and as to the extent of your liability to Surety for such payment. Further, you will, upon demand, place with Surety the requisite funds to meet any such Liabilities, whether that demand is made before or after Surety has paid or advanced such funds. 7. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, any real or personal property deposited as security, including cash, for the Bond and this Agreement ("Collateral") is held for the payment of any and all monies and sums due to Surety, including all Liabilities, sustained, made or incurred by Surety on account of, arising out of or relating to the Bond, this Agreement, and the transactions contemplated thereby (including all the items referenced in paragraph 6, above). Your failure to comply with any of terms and conditions of this Agreement, and any and all debt or other obligations arising out of or evidenced by any agreement executed by you or any other indemnitor for the benefit of Surety, may result in the following: If you grant the Surety a lien or a security interest in any Collateral to secure the obligations contained in this Agreement, including without limitation the Liabilities, and if you do not perform such obligations, you authorize the Surety to (a) hold, apply or sell any Collateral, or any part thereof to reimburse the Surety for any and all Liabilities of any kind or nature and to protect or reimburse the Surety by reason of the execution at any time of the Bond or any other bond for or on behalf of Defendant, and (b) hold, apply or sell the Collateral for the purpose of placing the Surety in cash funds to protect the Surety against Liabilities, including any claim, demand, loss or liability under the Bond or any other bond executed on Defendant's behalf. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, the Surety may make any such sale, at its discretion, at public or private sales, and without demand, notice or advertisement of the time and place of said sale, and also with the right to purchase said Collateral at such sale or sales, freed and discharged from any equity or redemption, except as otherwise provided by applicable law. 8. The Surety shall not be liable for the depreciation of any Collateral or for any interest thereon. In the event of depreciation of the Collateral, or any part thereof, or of any Collateral which may be hereafter deposited with the Surety, upon request of the Surety, you shall provide the Surety with additional and satisfactory Collateral so that the total market value of the Collateral shall, at all times, be equal to the market value of the Collateral at the time of its initial deposit. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, if you fail to deposit such additional Collateral, the Surety shall have the full right, power and authority, without further demand or notice, to sell, assign and deliver the whole or any part of such Collateral, including any substituted or additional Collateral, at public or private sale, at its option, and without demand, notice or advertisement, and also with the right to purchase said Collateral at any such sale, freed and Form# AIA.FL.0307 (09/14) Page 2 of 4 Print Form Reset Form AIA EMPOWERING AGENTS Terms And Conditions (Continued from Page 2) 9. If a confession of judgment is taken in connection with security for the Bond, the Surety shall have the right to enter, record and file the judgment at any time, and such judgment shall be alien and entitled to a preference against any of your property, whether or not the Surety is entitled to be indemnified at the time of the entry, recording or filing of such judgment. If such judgment is entered recorded or filed by the Surety against you, the judgment entered shall be effective and available to the Surety against you not only in connection with the Bond and this Agreement but also in connection with any other bond that may have been written by the Surety in which you are either the indemnitor or a defendant. 10. You acknowledge and agree that the Surety may foreclose any or all of the liens and security interests arising out of the transactions relating to the Bond or this Agreement, or exercise any of its rights or remedies under this Agreement, or take any combination of such actions, without waiving any other right or remedy. Failure to exercise any rights or remedies of the Surety at any one time shall not constitute a waiver of the right to exercise them at any other time. Any security or Collateral you give may be substituted, subordinated, or released by the Surety without affecting any other rights. The Surety shall not be obligated to enforce its rights against any security, Collateral or indemnitor prior to enforcing its rights against you or any other indemnitor. 11. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, the Surety will return the Collateral to you when all of the following are satisfied: (a) the Surety receives competent written legal evidence satisfactory to the Surety (for example, written notice from the Court) of the Surety's discharge or release 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 outstanding bonds or obligations executed by, for or on behalf of the Defendant in connection with which the Surety may deem it advisable to retain such Collateral for its protection; and (d) upon the Surety's request, you shall have executed and delivered to the Surety a general release upon the Surety's return of the Collateral to you. If 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 its Collateral or security, including payment of taxes or liens or mortgages and any attorneys fees, costs and service fees for time spent and/or special services rendered. 12. The Surety shall have the right to transfer and/or assign, in whole or in part, its rights and obligations in this Agreement, and/or in the Bond, to the Bail Producer or any other person or entity ("Assignee") without notice to or consent from you. Subject to any limitations imposed upon Assignee by the Surety, Assignee shall have the right to enforce in any suit, foreclosure, action, proceeding or otherwise any of the Surety's rights 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. If more than one bond is made or has been made for the Defendant, then this Agreement shall extend to and cover all those bonds and the terms of this Agreement shall apply to each bond individually or as a group. 13. You hereby acknowledge and agree that neither the Surety nor Bail Producer has recommended or suggested any specific attorney or firm of attorneys to represent the Defendant in any capacity. 14. This Agreement may not be terminated or modified orally. Any modification and termination of this Agreement, including any release of liability hereunder, must be in writing and signed by the Surety and you. 15. To the maximum extent permitted by applicable law, you hereby waive any and all rights you may have under federal law (including, but not limited to, Title 28, Privacy Act-Freedom of Information Act and Title 6, Fair Credit 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, telephone records, medical records, school records, worker compensation records, and employment records. You further authorize, without reservation, any party or agency, private or governmental (local, state or federal) contacted by Surety to furnish to Surety or Bail Producer, in accordance with applicable law, any and all private and public information and records in their possession concerning you to the Surety and direct that a copy of this document shall serve as evidence of said authorization. You irrevocably grant to Surety and Bail Producer, and their agents and representatives, the right to enter your residence, or any other property that you own or occupy, without notice, at any time, for the purpose of locating, arresting, and returning the Defendant to custody, and subject to applicable law, you waive and release any and all causes of action in connection therewith including, without limitation, torts of trespass and false imprisonment. 16. Defendant agrees that Surety may attach a location tracking device on any vehicle owned or driven by Defendant, at any time, without notice, and monitor the location of the vehicle through any available technology. Defendant further agrees that Surety may use location technologies to locate Defendant's wireless device at any time during the period of the Bond is in force and any applicable Bond remission period, and the Bond is conditioned upon your full compliance with the following terms and conditions: (a) Surety, at its discretion, will use network-based location technologies to find Defendant or the Indemnitor; (b) this is the only notice you will receive for the collection of your location information; (c) Surety will retain location data only while the Bond is in force and during any applicable Bond remission period; (d) Surety will disclose location information only to the Courts as required by Court Order; (e) Surety and Bail Producer, including their agents and representatives, will be the only persons with access to your location information; (f) YOU WILL NOT HAVE THE OPTION TO OPT-OUT OF LOCATION USE OR TRACKING DURING THE PERIOD THE BOND IS IN FORCE AND ANY APPLICABLE BOND REMISSION PERIOD; and (g) all questions relating to location capability should be directed to Surety. 17. If you leave the state in which the Bond was issued, subject to applicable law, Defendant waives any rights to oppose extradition proceedings and consents to the application of such force as may be necessary to return Defendant to Surety and the Court where the Bond was posted 18. In the event any provision herein shall be deemed to exceed any applicable state or federal law, then such provision shall automatically be deemed to have been revised to comply with such law so as to provide Surety with the maximum protection from any loss or Liabilities. The invalidity or unenforceability of any provision herein (or portion thereof) shall in no way effect the validity or enforceability of any other provision (or portion thereof) of this Agreement. Surety may assign any of its rights herein or arising out of any of the transactions contemplated hereby to any party including, without limitation, any Assignee without notice to or consent from you. Subject to any limitations imposed upon Assignee by Surety, Assignee shall have the right to enforce in any action or proceeding any of Surety's rights herein or arising out of any of the Form# AIA. FL.0307 (09/14) Page 3 of 4 Print Form Reset Form AIA EMPOWERING AGENTS Terms And Conditions (Continued from page 3) transactions contemplated hereby, and you shall not, and expressly waives any right to, assert the claim or defense that Assignee does not have the right to enforce such rights in any such action or proceeding. 19. 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 execution of this Agreement are contained within this document, and unless they are specifically set forth in this Agreement, are of no force or effect whatsoever in determining the rights and Liabilities of the Surety and you. You further agree to execute and be bound by any other future documents necessary to carry out and effectuate this Agreement. Supplemental Terms And Conditions 1. Surety, as bail, shall have control and jurisdiction over Defendant during the term for which the Bond is executed and shall have the right to apprehend, arrest and surrender Defendant to the proper officials at any time as provided by law. 2. In the event Defendant's surrender is made prior to the time set for Defendant's appearances, and for reasons other than as enumerated below in paragraph 3, then a refund of the Bond premium shall be made to the person whose name appears as Payer on the Premium Receipt. 3. It is understood and agreed that the happening of any one of the following events shall constitute a breach of Defendant's obligations to Surety, and Surety shall have the right to immediately apprehend, arrest and surrender Defendant, and no person shall have any right to any refund of premium whatsoever. The events which constitute a breach of Defendant's obligations hereunder are: (a) If Defendant departs the jurisdiction 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 Defendant's intention to cause a forfeiture of the Bond; (d) If Defendant is arrested and incarcerated for any offense other than a minor traffic violation; or (e) If Defendant makes any material false statement in the Agreement. 4. INFORMATIONAL NOTICE. For any complaints or inquiries, you may contact the Department of Financial Services, Division of Consumer Services, Bail Bond Section, 200 East Gaines Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state) 5. The person whose name appears as Payer on the Premium Receipt shall be entitled to a refund of premium for the Bond if and when it is found that Surety had no liability under the Bond because Defendant did not come under the 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, you agree to indemnify and hold harmless the Surety or its agent for all losses not otherwise prohibited by law or by rules of the Department of Financial Services. 7. You acknowledge receipt of copies of this Agreement, which includes statements as to (1) the restrictions placed on Defendant as a condition of the Bond and (2) the Bail Producer's and Surety's powers relating to the cancellation of the Bond and recommitment of 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. Law enforcement costs for housing, re-arrest, transportation and extradition; and e. A maximum fee of $100 for a surrender allowed by law when there has been no forfeiture of the Bond. 9. Collateral will be returned to the person whose name appears as "Depositor" on the Collateral Receipt within 21 days after proof of final termination of liability on the Bond has been provided to the Surety. 10. Surety shall be entitled to deduct from collateral held or any return premium all fees, expenses, and charges authorized by applicable law, including Florida Administrative Code 69B-221.105. 11. Except as expressly provided in this Supplement, all terms and conditions of the Agreement remain in full force and effect. In the event of a conflict between the terms and conditions of the Agreement and this Supplement, this Supplement shall control. DENO Form# AIA.FL.0307 (09/14) Page 4 of 4 Print Form Reset Form AIA EMPOWERNG AGENTS PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 BAIL BOND INFORMATION SHEET Defendant: Anderson Teneus Power Number(s): N/A, N/A 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; If principal shall depart the jurisdiction of the court without the written consent of the court and the Surety, or its agent; 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 PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT I (We) have received a copy of this information sheet. I (We) have received a copy of all collateral documents that | (We) signed regarding the above bond(s). SIGNATURE: aft SIGNATURE: PRINT NAME: Jean Cineus PRINT NAME: ***** READ CAREFULLY ***** Signed original to agent's bond file Copy to defendant and each indemnitor Form# AIA.FL.0028 (03/14) Print Form Reset Form PRODUCER: Bail 2 GO - Kissimmee P.O. Box 592643 Orlando, FL 32859 (407) 483-7983 PRIVACY DISCLOSURE To protect your privacy interests, you are advised of the following: * In order to conduct our business with you, we may gather necessary information from you or others related to the transaction. This may include, but not be limited to, any intormation bearing on your credit-worthiness. * We will not disclose such gathered information except as necessary and allowed by law. *Of Course, you have the right to refuse this necessary information gathering by simply deciding not to go forward with the transaction. * We will exercise reasonable care to keep your information secure. * This notice is regarding: Defendant: Anderson Teneus Bond amount: $ 3,000.00 Case number: Power number: N/A, N/A *Your signature acknowledges your being advised of your privacy rights, and that you have reviewed this notice. Signature: Print Name: Jean Cineus Date: >> Copy delivered to signer >> Original maintained in bond file Form# AIA.0027 (06/10) Print Form Reset Form BAIL BOND APPLICATION - INDEMNITOR INTERNATIONAL FIDELITY PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: INSURANCE COMPANY Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 ALLEGHENY CASUALTY COMPANY (407) 483-7983 P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 THIS IS A 1-PAGE DOUBLE SIDED DOCUMENT; READ CAREFULLY AND COMPLETE 1. Defendant Information Defendant Name Anderson Teneus First Middle Last Charges 806.13-1B3 - CRIMINAL MISCHIEF $1,000 MORE, 784.03-1A1 - BATTERY; TOUCH OR STRIKE Case # DOB 11/15/1992 Court Name Osceola County Circuit Court Date to Appear POA# N/A, N/A Booking # 1279051 Jail Location / County Osceola County Corrections Department 2. Indemnitor Name and Address Name Jean Cineus First Relationship to Defendant Cousin Social Security # 770-64-5502 Home Phone # Middle Last x Male • Female DOB 02/04/1973 Issuing State FL Driver's License # C520-460-73-044-0 Cell Phone # (407) 283-4403 Work Phone # Current Address 5506 Arnold Palmer #1415 City Orlando Email State FL Zip 32811 How long? • Rent • Own Former Address City State Zip How long? Employer Position • Rent • Own How Long Employer Address Reference Name Phone # Phone# Authorized Signatures I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing International Fidelity Insurance Company/Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Signed, sealed and delivered this Indemnitor Sign auft Print Jean Cineus NOT FOR USE IN CALIFORNIA, NORTH CAROLINA AND PUERTO RICO SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS. DL # C520-460-73-044-0 SSN 770-64-5502 DOB 02/04/1973 Form# AIA.0302-1 (09/14) *08389* Page 1 of 2 Print Form Reset Form AIA EMPOWERING AGENTS IMPORTANT FRAUD WARNINGS 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. 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 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. 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. OHIO RESIDENTS: Any person who, with intent to defraud or knowing that he is facilitating a fraud 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, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person criminal and civil penalties RHODE ISLAND 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. TENNESSEE 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. 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. VASHINGTON RESIDENTS: It is a crime to knowingly provide false, incomplete or misleading information to ar nsurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial o insurance benefits. VEST VIRGINIA RESIDENTS: It is a crime to knowingly provide false, incomplete or misleading information to a nsurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial o insurance benefits. Form# AIA.0302-1 (09/14) Page 2 of 2 Print Form Reset Form AIA EMPOWERING AGENTS COLLATERAL RECEIPT ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: ACFL- 6314-2097 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 • 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). Return of collateral: Depositor hereby surrenders the original and acknowledges the return and receipt of collateral listed herein and that the collateral has been returned in good and sufficient condition. Depositor hereby relieves the surety and its bail producer from any further liability or responsibility in relation to the collateral. Returning collateral from receipt number(s) Depositor Name Jean Cineus Date Received 06/30/2021 Depositor Address 5506 Arnold Palmer #1415, Orlando, FL 32811 Last Depositor Phone # (407) 283-4403 Defendant Anderson Teneus First Middle Last Case # Power No.(s) N/A, N/A Bond Amt. $ 3,000.00 Collateral Received - describe below, specify condition Amount or Estimated Value Held By Promissory Note $ 3,000.00 Bail Producer • Surety • MGA Bail Bond Agreement $ Bail Producer Surety LMGA Collateral Funds - in form of • Cash • Check • Money Order • Credit Card $ Bail Producer Surety LMGA If applicable, l acknowledge a Credit Cardie ot % in the amount of $ Depositor: Bail Producer: Signature Signature *08214* Jean Cineus Form# ACC.FL.0304-2 (09/13) Print Name Print Name ONLY FOR USE IN FLORIDA 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 indemnitor(s) 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 a lien 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, Bail Bond Section, 200 East Gaines Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state). Form# ACC.FL.0304-2 (09/13) 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: Anderson Teneus ('Defendant"). On demands after date, for value received, I/We promise to pay to the order of ALLEGHENY CASUALTY COMPANY the sum of $ 3,000.00 Dollars, at P.O. Box 9810, Calabasas, CA 91372-9810, 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 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 numbers) PIA number(s) N/A, N/A Jean Cineus Maker Name , Osceola COUNTY, FLORIDA Signature Date Maker Name Form# ACC.FL.0036 (11/14) Signature Date Print Form Reset Form *08212 *

File	Classified as	Size	Modified	OCR	Links
1279051.jpg	Unreadable (OCR found very little text) reason: low-text-confidence	38.9 KB	2021-07-21 22:23:01 uploaded 21d after created	yes	Dropbox · History
2021_07_11_14_18_35.pdf Only the original Power of Attorney will bind this Surety. POWER OF ATTORNEY ALLEGHENY CASUALTY COMPANY POWER ASIK-550304 NUMBER P.O. BOX 9810, CALABASAS, CA 91372-9810 THIS POWER VOID IF NOT USED BY ovenber (890-24821 INFO@A/ASURETY.COM POWER AMOUNT $ 1,100 KNOW ALL MEN BY THESE PRESENTS, that ALLE… [show full stored text]	Executed Power (PoA)	274.1 KB	2021-07-21 22:23:01 uploaded 10d after created	no	Dropbox · History
2021_07_11_14_18_36.pdf Only the original Power of Attorney will bind this Surety. POWER OF ATTORNEY ALLEGHENY CASUALTY COMPANY PO. BOX 9810, CALABASAS, CA 91372-9810 POWER NUMBER AS15K-343710 THIS POWER VOID IF NOT USED BY: • NOVeDeL POWER AMOUNT $ 15,000 KNOW ALL MEN BY THESE PRESENTS, that ALLEGHENY CASUALTY COMPANY, a … [show full stored text]	Executed Power (PoA)	274.8 KB	2021-07-21 22:23:01 uploaded 10d after created	no	Dropbox · History
DISCHARGE.PDF IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR OSCEOLA COUNTY, FLORIDA CERTIFICATE OF BOND DISCHARGE Case No: 2021 CF 001846 Bond Power Number AS15K343710 AS1K550304 Bond Amount $2,000.00 $1,000.00 Discharge Date 10/1/2021 10/1/2021 BAIL 2 GO PO BOX 592643 ORLANDO, FL 32859 Defendant:… [show full stored text]	Unclassified	27.3 KB	2021-10-02 03:32:29	no	Dropbox · History
First Data - POS.pdf (Trust).pdf First Data - POS 6/30/21, 8:48 AM ========== TRANSACTION RECORD =====SESSS BAIL 2 GO TRUST 2911 39TH ST STE 700 ORLANDO, FL 32839 United States WWW.BAIL2GO.COM TYPE: Purchase ACCT: Visa $ 3,000.00 USD CARDHOLDER NAME : Jean Y Cineus CARD NUMBER : ############4573 DATE/TIME : 30 Jun 21 08:47:36 REFER… [show full stored text]	Unclassified	38.3 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
IMG_7467.jpeg USA Florida DRIVER LICENSE adbxC520-460-73-044-0 9 CLASS E CINEUS 2JEAN $1908 LAKE HERITAGE CIR APT317 ORLANDO, FL 32839 ров 02/04/1973 15SEX SAFE DRIVER 4b EXP 02/04/2026 16HẾT 5-11* 12 REST NONE 4a ISS 12/07/2017 5DD G711712070032 Operation of a motor vehicle constit consent to any sobriety test r… [show full stored text]	State ID	3.4 MB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
Invoice_20210630_0002.pdf Bail2C0' The undersigned, having made application for (or renewal of) a surety, or bail bond(s), to be issued by BAIL 2 GO Bail Bonds, a Florida licensed bail agent, hereby authorizes BAIL 2 GO Bail Bonds, its employees, agents or representatives to charge the bail bond premium/renewal in the sum of… [show full stored text]	Unclassified	256.5 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
Screenshot 2025-07-29 at 9.44.22 PM.png You edited your payment Amount you'll pay to Jean Cineus Teneus, Anderson $2910.00 Deliver by Aug 06, 2025 Payee name: Status: Transaction number: Pay from: Message to recipient: Jean Cineus Funded 25653031828 Bail Trust (...6955) Collateral Return Personalize your payment experience • Set up a recu… [show full stored text]	Image (unclassified)	197.4 KB	2025-07-30 01:44:28	no	Dropbox · History
Teneus, Anderson - Indemnitor.pdf 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 Jean y cineus 1. Name _ First Middle Last 2. Residence Address. 5506 Arnold Palmer dr apt … [show full stored text]	Indemnitor app (digital)	606 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
Teneus, Anderson Appearances.pdf ALLEGHENY CASUALTY COMPANY P.O. BOX 9810 CALABASAS, CA 91372-9810 FOR FURTHER ACTION ON THIS BOND NOTIFY: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 Transfer agent General Surety Appearance Bond Power # AS1K550304 Arrest # 1279051 IN THE STATE OF FLORIDA VS: Circuit COUR… [show full stored text]	Executed Power (PoA)	247.3 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
Teneus, Anderson Bookingsheet.pdf Osceola County Corrections \| Details Name: ANDERSON TENEUS Name: AKA: DOB: Inmate ID: Booking: Category: 11/15/1992 1279051 21004516 ANDERSON TENEUS Race: Sex: Eyes: Hair: Weight: Height: Offense 741622 741623 Booking 21004516 21004516 Statute 806.13-1B3 - CRIMINAL MISCHIEF $1,000 MORE 784.03-1A1 - … [show full stored text]	Booking Report	72.4 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
Teneus, Anderson CR.png • Collateral Request Form 2025 Defendant's First Anderson Teneus and Last Name? Indemnitor's First Jean Cineus and Last Name? Photo of Indemnitor's State ID or Gov ID Indemnitor's Address? Indemnitor's Phone Number? Indemnitor's Email Address When was the case dismissed ? What type of Collateral did… [show full stored text]	Image (unclassified)	117.5 KB	2025-07-29 21:43:58	no	Dropbox · History
Teneus, Anderson CRC 7:30:25.pdf Pending approvals - All Products - chase.com 7/29/25, 9:44 PM Edit payment You edited your payment Amount you'll pay to Jean Cineus Teneus, Anderson $2910.00 Deliver by Aug 06, 2025 Payee name: Status: Transaction number: Pay from: Message to recipient: Jean Cineus Funded 25653031828 Bail Trust (...… [show full stored text]	Unclassified	60.9 KB	2025-07-30 01:44:54	no	Dropbox · History
Teneus, Anderson CRC Check Confirmation.png Payee name JEAN CINEUS Pay-to address Delivery method Amount Sent on Deposit date Check number Transaction ID 160 AURELIA CT, KISSIMMEE, FL 34758-3928 Based on the info our customer gave us, we sent a paper check by U.S. mail, which can take up to 5 business days. 5 business days paper check $2910.0… [show full stored text]	Image (unclassified)	378.9 KB	2025-08-18 17:27:33	no	Dropbox · History
Teneus, Anderson EP BV.pdf COLLATERAL RECEIPT ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: ACFL- 6314-2098 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 • 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). Return of collateral: Depositor hereby surrenders the original and acknowledges the return and receipt of collateral listed herein and that the collateral has been returned in good and sufficient condition. Depositor hereby relieves the surety and its bail producer from any further liability or responsibility in relation to the collateral. Returning collateral from receipt number(s) Depositor Name Jean Cineus Date Received 06/30/2021 Depositor Address 5506 Arnold Palmer #1415, Orlando, FL 32811 Last Depositor Phone # (407) 283-4403 Defendant Anderson Teneus First Middle Last Case # Power No.(s) N/A, N/A Bond Amt. $ 3,000.00 Collateral Received - describe below, specify condition Amount or Estimated Value Held By • Bail Producer • Surety • MGA Bail Producer Surety LMGA • Bail Producer L Surety • MGA Collateral Funds - in form of • Cash • Check • Money Order • Credit Card $ 3,000.00 If applicable, I acknowledge a Credit Card fee of Depositor: $ $ % in the amount of $ Bail Producer: Signature 08214 Form# ACC.FL.0304-2 (09/13) Signature Jean Cineus Print Name Print Name ONLY FOR USE IN FLORIDA 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 indemnitor(s) 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 a lien 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, Bail Bond Section, 200 East Gaines Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state). Form# ACC.FL.0304-2 (09/13) PREMIUM RECEIPT and STATEMENT OF CHARGES ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: AP- 6314-1764 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 Date Received 06/30/2021 Payment Method • Cash • Check • Money Order • Credit Card Amount Received Three Hundred dollars************ Dollars $ 300.00 Payer Name Jean Cineus First Payer Phone # (407) 283-4403 Middle Last Defendant Anderson Teneus Case # First Middle Last Power No.(s) N/A, N/A Bond Amt. $ 3,000.00 Court Osceola County Circuit Court Appearance Date Appearance Time Collateral Received No Collateral Receipt No.(s) 6314-2097 Itemized Expenses) (if and as permitted by applicable law) Expense Amount Bail Bond Premium $ 300.00 $ Total Expense(s) $0.00 $ Prior Payments) ($0.00 $ Amount Received ($ 300.00 $ Remaining Balance $ 0.00 Paid By: Received By: 08185 Form# ACC.0304-1 (09/13) Payer Signature Producer/Representative Signature Jean Cineus Marie Garcia Payer Print Name Producer/Representative Print Name NOT FOR USE IN CALIFORNIA, NEW MEXICO AND SOUTH CAROLINA 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. Form# ACC.0304-1 (09/13) INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 PRODUCER PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 BAIL BOND AGREEMENT ("Agreement") - THIS IS A DOUBLE SIDED DOCUMENT; READ ALL SIDES CAREFULLY In consideration of INTERNATIONAL FIDELITY INSURANCE COMPANY/ALLEGHENY CASUALTY COMPANY, 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: Date 06/30/2021 Defendant Anderson Teneus Indemnitors) Jean Cineus Power Number(s) N/A, N/A Total Bond Amount $ 3,000.00 Total Premium $ 300.00 ("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 Indemnitor Sign Sign Print Anderson Teneus Print Jean Cineus Indemnitor Sign Indemnitor Sign Print Print Indemnitor Sign Indemnitor Sign Print Print Translation Request - Solicitud de traducción. Check box and complete the following if translation is required Si no puede leer ni entender Inglés, favor de marcar este cuadro. (If you cannot read or understand English, please 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 (signature) (print name) Translator's Address Date Street City State Zip 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 Form# AIA. FL.0307 (09/14) & k READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE Page 1 of 4 Print Form Reset Form AIA EMPOWERING AGENTS Terms And Conditions You, the undersigned (referred to herein as "Indemnitor," "Defendant," or together as "you," as applicable), agree to be bound to the following terms and conditions: 1. The premium for the Bond is fully earned upon Defendant's release from custody. The premium is not refundable except as stated herein. The fact that Defendant may have been improperly arrested, the bail was reduced or Defendant's case was dismissed shall not obligate the return of any portion of the premium. 2. Defendant agrees to appear in any Court required in connection with the Bond at the times stated in the Bond and all other times as may be ordered by the Court. Indemnitor will have Defendant appear in any Court as required in connection with the Bond 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. In the event Defendant's surrender is made prior to Defendant's failure to appear in court, and for a reason other than as stated in paragraph 4, then you may be entitled to a refund of the bond premium if required by applicable law (if any) and as stated in the Supplemental Terms and Conditions.\ 4. Unless otherwise provided by applicable law (if any) and as stated in the Supplemental Terms and Conditions, the following events shall constitute a breach of your obligations to the Surety, and the Surety shall have the right to immediately apprehend, arrest and surrender Defendant, and you shall have no right to any 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 change in address; (c) Defendant commits any act that constitutes reasonable evidence of Defendant's intention to cause a forfeiture of the Bond; (d) Defendant is arrested and incarcerated for any other offense (other than a minor traffic violation); (e) Defendant or Indemnitor makes any materially false statement in the any application submitted to Surety for the bond, including the Bail Bond Application and Indemnitor Application (Applications"); (f) Defendant or Indemnitor makes any materially false FORE statement in the Applications; (g) Defendant's bail is increased; (h) Indemnitor requests that Defendant be surrendered; (i) there is a material increase in the risk assumed by the Surety (as determined by the Surety in its sole and absolute discretion) including, by way of example, but not limited to, depreciation or impairment of any real or personal property deposited as security for the Bond ("Collateral," as defined herein). 5. In the event Defendant's apprehension and surrender is required for any reason, including Defendant's failure to appear at any of Defendant's required Court proceedings or hearings, Defendant understands, acknowledges, assumes and accepts that Defendant's failure to appear and resulting apprehension to custody is an activity that poses a peculiar risk of harm both to the Defendant and to others, including any recovery agents), which is beyond and differs from the risks to which members of the public are commonly and generally subjected. Defendant acknowledges and agrees that if Defendant becomes subject to such apprehension and surrender, Defendant is voluntarily participating in the activity of apprehension and recovery such that the risk of harm of such activity is not peculiar to Defendant. Defendant acknowledges and understands the peculiar risk of such activity and Defendant is no longer a member of the general public who cannot anticipate such risk. Defendant knowingly accepts and assumes the subsequent risk of harm to Defendant and others arising out of such apprehension and surrender activities. Defendant agrees to defend, indemnify, and hold harmless the Surety and/or Bail Producer (including all agents, representatives and employees thereof) for any injuries, harm, losses, claims, lawsuits, damages, losses, liability, demands, actions, fees and expenses (including attorneys fees and costs) arising out of such activities. 6. You 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, fees and expenses (including attorneys fees and costs) (together, "Liabilities"), relating to, or arising out of, Surety's issuance or procurement of the Bond, 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 and legal fees incurred, (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is typically ten percent [10%], of the amount of the Bond for an in-state recovery), plus any out of pocket expenses, (c) any and all extradition costs that may be incurred to apprehend and return Defendant to custody, and (d) if a collection action is required under this Agreement, reasonable and actual attorneys fees plus any and other costs, expenses and/or assessments that may be incurred as a result thereof and of any forfeiture of the Bond subject to applicable law (if any) as stated in the Supplemental Terms and Conditions below. The voucher, check or other evidence of any payment made by Surety shall be conclusive evidence of such payment in any action against you both as to the propriety of such payment and as to the extent of your liability to Surety for such payment. Further, you will, upon demand, place with Surety the requisite funds to meet any such Liabilities, whether that demand is made before or after Surety has paid or advanced such funds. 7. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, any real or personal property deposited as security, including cash, for the Bond and this Agreement ("Collateral") is held for the payment of any and all monies and sums due to Surety, including all Liabilities, sustained, made or incurred by Surety on account of, arising out of or relating to the Bond, this Agreement, and the transactions contemplated thereby (including all the items referenced in paragraph 6, above). Your failure to comply with any of terms and conditions of this Agreement, and any and all debt or other obligations arising out of or evidenced by any agreement executed by you or any other indemnitor for the benefit of Surety, may result in the following: If you grant the Surety a lien or a security interest in any Collateral to secure the obligations contained in this Agreement, including without limitation the Liabilities, and if you do not perform such obligations, you authorize the Surety to (a) hold, apply or sell any Collateral, or any part thereof to reimburse the Surety for any and all Liabilities of any kind or nature and to protect or reimburse the Surety by reason of the execution at any time of the Bond or any other bond for or on behalf of Defendant, and (b) hold, apply or sell the Collateral for the purpose of placing the Surety in cash funds to protect the Surety against Liabilities, including any claim, demand, loss or liability under the Bond or any other bond executed on Defendant's behalf. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, the Surety may make any such sale, at its discretion, at public or private sales, and without demand, notice or advertisement of the time and place of said sale, and also with the right to purchase said Collateral at such sale or sales, freed and discharged from any equity or redemption, except as otherwise provided by applicable law. 8. The Surety shall not be liable for the depreciation of any Collateral or for any interest thereon. In the event of depreciation of the Collateral, or any part thereof, or of any Collateral which may be hereafter deposited with the Surety, upon request of the Surety, you shall provide the Surety with additional and satisfactory Collateral so that the total market value of the Collateral shall, at all times, be equal to the market value of the Collateral at the time of its initial deposit. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, if you fail to deposit such additional Collateral, the Surety shall have the full right, power and authority, without further demand or notice, to sell, assign and deliver the whole or any part of such Collateral, including any substituted or additional Collateral, at public or private sale, at its option, and without demand, notice or advertisement, and also with the right to purchase said Collateral at any such sale, freed and Form# AIA.FL.0307 (09/14) Page 2 of 4 Print Form Reset Form AIA EMPOWERING AGENTS Terms And Conditions (Continued from Page 2) 9. If a confession of judgment is taken in connection with security for the Bond, the Surety shall have the right to enter, record and file the judgment at any time, and such judgment shall be alien and entitled to a preference against any of your property, whether or not the Surety is entitled to be indemnified at the time of the entry, recording or filing of such judgment. If such judgment is entered recorded or filed by the Surety against you, the judgment entered shall be effective and available to the Surety against you not only in connection with the Bond and this Agreement but also in connection with any other bond that may have been written by the Surety in which you are either the indemnitor or a defendant. 10. You acknowledge and agree that the Surety may foreclose any or all of the liens and security interests arising out of the transactions relating to the Bond or this Agreement, or exercise any of its rights or remedies under this Agreement, or take any combination of such actions, without waiving any other right or remedy. Failure to exercise any rights or remedies of the Surety at any one time shall not constitute a waiver of the right to exercise them at any other time. Any security or Collateral you give may be substituted, subordinated, or released by the Surety without affecting any other rights. The Surety shall not be obligated to enforce its rights against any security, Collateral or indemnitor prior to enforcing its rights against you or any other indemnitor. 11. Subject to applicable law (if any), and as stated in the Supplemental Terms and Conditions, the Surety will return the Collateral to you when all of the following are satisfied: (a) the Surety receives competent written legal evidence satisfactory to the Surety (for example, written notice from the Court) of the Surety's discharge or release 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 outstanding bonds or obligations executed by, for or on behalf of the Defendant in connection with which the Surety may deem it advisable to retain such Collateral for its protection; and (d) upon the Surety's request, you shall have executed and delivered to the Surety a general release upon the Surety's return of the Collateral to you. If 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 its Collateral or security, including payment of taxes or liens or mortgages and any attorneys fees, costs and service fees for time spent and/or special services rendered. 12. The Surety shall have the right to transfer and/or assign, in whole or in part, its rights and obligations in this Agreement, and/or in the Bond, to the Bail Producer or any other person or entity ("Assignee") without notice to or consent from you. Subject to any limitations imposed upon Assignee by the Surety, Assignee shall have the right to enforce in any suit, foreclosure, action, proceeding or otherwise any of the Surety's rights 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. If more than one bond is made or has been made for the Defendant, then this Agreement shall extend to and cover all those bonds and the terms of this Agreement shall apply to each bond individually or as a group. 13. You hereby acknowledge and agree that neither the Surety nor Bail Producer has recommended or suggested any specific attorney or firm of attorneys to represent the Defendant in any capacity. 14. This Agreement may not be terminated or modified orally. Any modification and termination of this Agreement, including any release of liability hereunder, must be in writing and signed by the Surety and you. 15. To the maximum extent permitted by applicable law, you hereby waive any and all rights you may have under federal law (including, but not limited to, Title 28, Privacy Act-Freedom of Information Act and Title 6, Fair Credit 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, telephone records, medical records, school records, worker compensation records, and employment records. You further authorize, without reservation, any party or agency, private or governmental (local, state or federal) contacted by Surety to furnish to Surety or Bail Producer, in accordance with applicable law, any and all private and public information and records in their possession concerning you to the Surety and direct that a copy of this document shall serve as evidence of said authorization. You irrevocably grant to Surety and Bail Producer, and their agents and representatives, the right to enter your residence, or any other property that you own or occupy, without notice, at any time, for the purpose of locating, arresting, and returning the Defendant to custody, and subject to applicable law, you waive and release any and all causes of action in connection therewith including, without limitation, torts of trespass and false imprisonment. 16. Defendant agrees that Surety may attach a location tracking device on any vehicle owned or driven by Defendant, at any time, without notice, and monitor the location of the vehicle through any available technology. Defendant further agrees that Surety may use location technologies to locate Defendant's wireless device at any time during the period of the Bond is in force and any applicable Bond remission period, and the Bond is conditioned upon your full compliance with the following terms and conditions: (a) Surety, at its discretion, will use network-based location technologies to find Defendant or the Indemnitor; (b) this is the only notice you will receive for the collection of your location information; (c) Surety will retain location data only while the Bond is in force and during any applicable Bond remission period; (d) Surety will disclose location information only to the Courts as required by Court Order; (e) Surety and Bail Producer, including their agents and representatives, will be the only persons with access to your location information; (f) YOU WILL NOT HAVE THE OPTION TO OPT-OUT OF LOCATION USE OR TRACKING DURING THE PERIOD THE BOND IS IN FORCE AND ANY APPLICABLE BOND REMISSION PERIOD; and (g) all questions relating to location capability should be directed to Surety. 17. If you leave the state in which the Bond was issued, subject to applicable law, Defendant waives any rights to oppose extradition proceedings and consents to the application of such force as may be necessary to return Defendant to Surety and the Court where the Bond was posted 18. In the event any provision herein shall be deemed to exceed any applicable state or federal law, then such provision shall automatically be deemed to have been revised to comply with such law so as to provide Surety with the maximum protection from any loss or Liabilities. The invalidity or unenforceability of any provision herein (or portion thereof) shall in no way effect the validity or enforceability of any other provision (or portion thereof) of this Agreement. Surety may assign any of its rights herein or arising out of any of the transactions contemplated hereby to any party including, without limitation, any Assignee without notice to or consent from you. Subject to any limitations imposed upon Assignee by Surety, Assignee shall have the right to enforce in any action or proceeding any of Surety's rights herein or arising out of any of the Form# AIA. FL.0307 (09/14) Page 3 of 4 Print Form Reset Form AIA EMPOWERING AGENTS Terms And Conditions (Continued from page 3) transactions contemplated hereby, and you shall not, and expressly waives any right to, assert the claim or defense that Assignee does not have the right to enforce such rights in any such action or proceeding. 19. 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 execution of this Agreement are contained within this document, and unless they are specifically set forth in this Agreement, are of no force or effect whatsoever in determining the rights and Liabilities of the Surety and you. You further agree to execute and be bound by any other future documents necessary to carry out and effectuate this Agreement. Supplemental Terms And Conditions 1. Surety, as bail, shall have control and jurisdiction over Defendant during the term for which the Bond is executed and shall have the right to apprehend, arrest and surrender Defendant to the proper officials at any time as provided by law. 2. In the event Defendant's surrender is made prior to the time set for Defendant's appearances, and for reasons other than as enumerated below in paragraph 3, then a refund of the Bond premium shall be made to the person whose name appears as Payer on the Premium Receipt. 3. It is understood and agreed that the happening of any one of the following events shall constitute a breach of Defendant's obligations to Surety, and Surety shall have the right to immediately apprehend, arrest and surrender Defendant, and no person shall have any right to any refund of premium whatsoever. The events which constitute a breach of Defendant's obligations hereunder are: (a) If Defendant departs the jurisdiction 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 Defendant's intention to cause a forfeiture of the Bond; (d) If Defendant is arrested and incarcerated for any offense other than a minor traffic violation; or (e) If Defendant makes any material false statement in the Agreement. 4. INFORMATIONAL NOTICE. For any complaints or inquiries, you may contact the Department of Financial Services, Division of Consumer Services, Bail Bond Section, 200 East Gaines Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state) 5. The person whose name appears as Payer on the Premium Receipt shall be entitled to a refund of premium for the Bond if and when it is found that Surety had no liability under the Bond because Defendant did not come under the 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, you agree to indemnify and hold harmless the Surety or its agent for all losses not otherwise prohibited by law or by rules of the Department of Financial Services. 7. You acknowledge receipt of copies of this Agreement, which includes statements as to (1) the restrictions placed on Defendant as a condition of the Bond and (2) the Bail Producer's and Surety's powers relating to the cancellation of the Bond and recommitment of 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. Law enforcement costs for housing, re-arrest, transportation and extradition; and e. A maximum fee of $100 for a surrender allowed by law when there has been no forfeiture of the Bond. 9. Collateral will be returned to the person whose name appears as "Depositor" on the Collateral Receipt within 21 days after proof of final termination of liability on the Bond has been provided to the Surety. 10. Surety shall be entitled to deduct from collateral held or any return premium all fees, expenses, and charges authorized by applicable law, including Florida Administrative Code 69B-221.105. 11. Except as expressly provided in this Supplement, all terms and conditions of the Agreement remain in full force and effect. In the event of a conflict between the terms and conditions of the Agreement and this Supplement, this Supplement shall control. DENO Form# AIA.FL.0307 (09/14) Page 4 of 4 Print Form Reset Form AIA EMPOWERNG AGENTS PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 BAIL BOND INFORMATION SHEET Defendant: Anderson Teneus Power Number(s): N/A, N/A 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; If principal shall depart the jurisdiction of the court without the written consent of the court and the Surety, or its agent; 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 PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT I (We) have received a copy of this information sheet. I (We) have received a copy of all collateral documents that \| (We) signed regarding the above bond(s). SIGNATURE: aft SIGNATURE: PRINT NAME: Jean Cineus PRINT NAME: ** READ CAREFULLY *** Signed original to agent's bond file Copy to defendant and each indemnitor Form# AIA.FL.0028 (03/14) Print Form Reset Form PRODUCER: Bail 2 GO - Kissimmee P.O. Box 592643 Orlando, FL 32859 (407) 483-7983 PRIVACY DISCLOSURE To protect your privacy interests, you are advised of the following: * In order to conduct our business with you, we may gather necessary information from you or others related to the transaction. This may include, but not be limited to, any intormation bearing on your credit-worthiness. * We will not disclose such gathered information except as necessary and allowed by law. Of Course, you have the right to refuse this necessary information gathering by simply deciding not to go forward with the transaction. We will exercise reasonable care to keep your information secure. * This notice is regarding: Defendant: Anderson Teneus Bond amount: $ 3,000.00 Case number: Power number: N/A, N/A Your signature acknowledges your being advised of your privacy rights, and that you have reviewed this notice. Signature: Print Name: Jean Cineus Date: >> Copy delivered to signer >> Original maintained in bond file Form# AIA.0027 (06/10) Print Form Reset Form BAIL BOND APPLICATION - INDEMNITOR INTERNATIONAL FIDELITY PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: INSURANCE COMPANY Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 ALLEGHENY CASUALTY COMPANY (407) 483-7983 P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 THIS IS A 1-PAGE DOUBLE SIDED DOCUMENT; READ CAREFULLY AND COMPLETE 1. Defendant Information Defendant Name Anderson Teneus First Middle Last Charges 806.13-1B3 - CRIMINAL MISCHIEF $1,000 MORE, 784.03-1A1 - BATTERY; TOUCH OR STRIKE Case # DOB 11/15/1992 Court Name Osceola County Circuit Court Date to Appear POA# N/A, N/A Booking # 1279051 Jail Location / County Osceola County Corrections Department 2. Indemnitor Name and Address Name Jean Cineus First Relationship to Defendant Cousin Social Security # 770-64-5502 Home Phone # Middle Last x Male • Female DOB 02/04/1973 Issuing State FL Driver's License # C520-460-73-044-0 Cell Phone # (407) 283-4403 Work Phone # Current Address 5506 Arnold Palmer #1415 City Orlando Email State FL Zip 32811 How long? • Rent • Own Former Address City State Zip How long? Employer Position • Rent • Own How Long Employer Address Reference Name Phone # Phone# Authorized Signatures I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing International Fidelity Insurance Company/Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein. Signed, sealed and delivered this Indemnitor Sign auft Print Jean Cineus NOT FOR USE IN CALIFORNIA, NORTH CAROLINA AND PUERTO RICO SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS. DL # C520-460-73-044-0 SSN 770-64-5502 DOB 02/04/1973 Form# AIA.0302-1 (09/14) 08389* Page 1 of 2 Print Form Reset Form AIA EMPOWERING AGENTS IMPORTANT FRAUD WARNINGS 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. 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 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. 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. OHIO RESIDENTS: Any person who, with intent to defraud or knowing that he is facilitating a fraud 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, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person criminal and civil penalties RHODE ISLAND 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. TENNESSEE 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. 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. VASHINGTON RESIDENTS: It is a crime to knowingly provide false, incomplete or misleading information to ar nsurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial o insurance benefits. VEST VIRGINIA RESIDENTS: It is a crime to knowingly provide false, incomplete or misleading information to a nsurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial o insurance benefits. Form# AIA.0302-1 (09/14) Page 2 of 2 Print Form Reset Form AIA EMPOWERING AGENTS COLLATERAL RECEIPT ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: ACFL- 6314-2097 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando, FL 32859 (407) 483-7983 • 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). Return of collateral: Depositor hereby surrenders the original and acknowledges the return and receipt of collateral listed herein and that the collateral has been returned in good and sufficient condition. Depositor hereby relieves the surety and its bail producer from any further liability or responsibility in relation to the collateral. Returning collateral from receipt number(s) Depositor Name Jean Cineus Date Received 06/30/2021 Depositor Address 5506 Arnold Palmer #1415, Orlando, FL 32811 Last Depositor Phone # (407) 283-4403 Defendant Anderson Teneus First Middle Last Case # Power No.(s) N/A, N/A Bond Amt. $ 3,000.00 Collateral Received - describe below, specify condition Amount or Estimated Value Held By Promissory Note $ 3,000.00 Bail Producer • Surety • MGA Bail Bond Agreement $ Bail Producer Surety LMGA Collateral Funds - in form of • Cash • Check • Money Order • Credit Card $ Bail Producer Surety LMGA If applicable, l acknowledge a Credit Cardie ot % in the amount of $ Depositor: Bail Producer: Signature Signature 08214 Jean Cineus Form# ACC.FL.0304-2 (09/13) Print Name Print Name ONLY FOR USE IN FLORIDA 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 indemnitor(s) 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 a lien 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, Bail Bond Section, 200 East Gaines Street, Tallahassee, FL 32399-0322, 1-877-693-5236 (in-state). Form# ACC.FL.0304-2 (09/13) 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: Anderson Teneus ('Defendant"). On demands after date, for value received, I/We promise to pay to the order of ALLEGHENY CASUALTY COMPANY the sum of $ 3,000.00 Dollars, at P.O. Box 9810, Calabasas, CA 91372-9810, 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 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 numbers) PIA number(s) N/A, N/A Jean Cineus Maker Name , Osceola COUNTY, FLORIDA Signature Date Maker Name Form# ACC.FL.0036 (11/14) Signature Date Print Form Reset Form 08212	Booking Report	775.3 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
Teneus, Anderson Payment BV.pdf PREMIUM RECEIPT and STATEMENT OF CHARGES ALLEGHENY CASUALTY COMPANY P.O. BOX 9810, CALABASAS, CA 91372-9810 TELEPHONE (800) 935-2245 Receipt No.: AP- 6314-1764 PRODUCER NAME, ADDRESS, PHONE AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE: Bail 2 GO - Kissimmee P.O. Box 592643, Orlando… [show full stored text]	Unclassified	73.8 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
TLOxp - Advanced 2.pdf TLOxp - Advanced 6/29/21, 12:23 PM Your Current Reference ID: NONE 16 Results Found for people located at 29 W SELDEN ST APT 1, MATTAPAN, MASSACHUSETTS 02126-2405 (SUFFOLK COUNTY). (showing all results) STEVE CINEUS , 35 Years Old (Dorchester Center, MA, Mattapan, MA) 29 W SELDEN ST APT 1, MATTAPAN,… [show full stored text]	Unclassified	603.3 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History
TLOxp - Advanced.pdf TLOxp - Advanced Your Current Reference ID: NONE 2 Results Found for people named ANDERSON TENEUS born on 11/15/1992 in the United States. (showing all results) ANDERSON TENEUS, 28 Years Old (Mattapan, MA) 1 of 2 results Possible Relatives ANDERSON TENEUS (09/01/2012 to Cassandra Teneus 1994 Age: 26… [show full stored text]	Unclassified	59.1 KB	2021-07-21 22:23:01 uploaded 21d after created	no	Dropbox · History

Bail 2 GO — Compliance Dashboard

Teneus, Anderson 6:30:21-Kiss

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