Affidavit of Surety Agent-Depositor To Remain On Bond

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COURT

COUNTY OF
......................................................
:
INIndex
THENo.
COUNTY COURT, IN AND FOR
: BROWARD COUNTY, FLORIDA
Calendar No.

STATE OF FLORIDA Plaintiff(s)


:
JUDICIAL SUBPOENA
Plaintiff -against- :
CASE #:
:
JUDGE :
vs. :
Defendant(s) :
......................................................
,
Defendant
/
THE PEOPLE OF THE STATE OF NEW YORK
AFFIDAVIT OF SURETY AGENT/ DEPOSITOR
TO TO REMAIN ON BOND

STATE OF FLORIDA
GREETINGS:
COUNTY OF BROWARD
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorable
The undersigned Surety Agent / Depositor posted at the bond (s) on Courtbehalf of the above Defendant in the ,
County of located at
following amounts on ______________ , 20 ______ :
in room , on the day of , 20 , at o'clock in the noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Count 1. $____________ Count 4. $____________
Count 2. $____________ Count 5. $____________
Count 3. $____________ Count 6. $____________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
The Defendant failed to appear before this Honorable Court as scheduled on the _____ day of
result of your failure to comply.
__________ , 20 _____ , resulting in the isuance of capias against the defendant and the estreature of the
foregoing bonds. The defendant has filed a motion/request to vacate the capias and the estreature, and to
Witness, Honorable , one of the Justices of the
reset this case before the court.
Court in County, day of , 20
The undersigned hereby agrees that should the Court grant Defendant’s request, the original bonds
posted shall be reinstated by the Court and undersigned further agrees to remain obligated thereunder.
(Attorney must sign above and type name below)

Surety Agent / Depositor Address : ________________________________


___________________________ SURETY AGENT / DEPOSITOR NAME
___________________________ Attorney(s) for
BY : ____________________________
TELEPHONE #: _______________ SIGNATURE

SWORN AND SUBSCRIBED before me this ________ day of ______________ , 20 ______ .


Office and P.O. Addressas identification.
Affiant is ( ) personally known to me or ( ) has produced _________________

My Commission Expires :
Telephone No.:
________________________________
Facsimile No.:
Notary Public
E-Mail Address:
Mobile Tel. No.:
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FORM 622 SEARCH FEE : 698 COPY FEE : 699


REVISED 09/03

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