In the Circuit/County Court in and for Manatee County, Florida State of Florida Case No. __________________________ -vs- ___________________________________ Defendant Assignment of Cash Bond I, (name of depositor), the depositor of cash bond number ___________ for $ ___________ , do hereby authorize the assignment of the cash bond to ___________________________________ , address: _________________________________________________________________________. _________________________________________ Signature of Depositor Sworn (or affirmed) and subscribed before me this _________ day of ___________________, 20____. He/She is personally known to me or has presented _________________________________________ as identification. _________________________________________ Notary Signature/ Seal _________________________________________ Notary Name Printed