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Maryland Affidavit of Bail Bondsman

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Maryland Affidavit of Bail Bondsman
Maryland Affidavit of Bail Bondsman
DISTRICT COURT OF MARYLAND FOR
Located at Case No.
Court Address
vs.
Defendant
STATE OF MARYLAND
AFFIDAVIT OF BAIL BONDSMAN
STATE OF MARYLAND: CITY/COUNTY OF
I, the undersigned, respectfully submit that I:
A. Am duly licensed in the jurisdiction in which the charges are pending, if that jurisdiction licenses bail bondsmen;
(MD Rule 4-217(d))
B. Am authorized to engage the Surety Insurers shown on the attached bail bond, as surety on that bail bond,
pursuant to a valid general or special power of attorney; (MD Rule 4-217(d))
C. Hold a valid license as an insurance broker or agent in this State and the Surety Insurer is authorized by the
Insurance Commissioner of Maryland to write bail bonds in the State; (MD Rule 4-217(d))
I solemnly affirm under the penalties of perjury that the contents of the foregoing paper are true to the best of my
knowledge, information and belief.
D.O.B.
Date Signature of Bail Bondsman I.D. No.
Address
Power #: Fee: $
Collateral:
Indemnitor: Address:
DC/CR 10 (Rev. 10/2012)
Installment Contract: (Y/N)
Promissory Note: (Y/N)
D. Am appropriately registered as a Professional Surety with District Court and on approved Bail Bond Surety
list maintained by Chief Clerk of the District Court;
E. Am posting a bail bond that is within any limit specified by general power of attorney or real property equity
as shown on the court list;
F. Have disclosed the full fee for my services and any collateral with appropriate disclosure of any agreed upon
promissory note or installment contract.
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Maryland Affidavit of Bail Bondsman