Individual Bail Agent Registration Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Individual Bail Agent Registration Form. This is a Delaware form and can be use in Justice Of The Peace Court Statewide.
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Tags: Individual Bail Agent Registration, 41IND, Delaware Statewide, Justice Of The Peace Court
JUSTICE OF THE PEACE COURT
FOR THE STATE OF DELAWARE
INDIVIDUAL BAIL AGENT REGISTRATION
Name of Bail Agent:
Address:
(The Court cannot accept a P.O. Box as an address. You must provide a full mailing address)
City:
State:
Telephone Number:
Please select:
Zip Code:
Email Address:
Bond
Bond and Cash
Cash Only
Delaware Business License No:
(Attach copy)
Municipal Business License No:
(Attach copy)
Delaware Department of Insurance License No.
(Attach copy)
Surety Power of Attorney:
(Attach copy)
Picture ID:
(Attach copy)
If any of the above information is missing or incomplete, the registration will be returned to the applicant.
I hereby agree to notify the Court in writing within ten (10) business days of any changes to this document.
Signature and Title
JP Criminal Form 41IND (Issued 12/17/2010)
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JP Criminal Form 41IND (Issued 12/17/2010)
American LegalNet, Inc.
www.FormsWorkFlow.com