IN THE DISTRICT COURT OF DOUGLAS COUNTY, NEBRASKA _________________________________ PLAINTIFF CASE NUMBER ___________ Vs BOND ASSIGNMENT ____________________________________ DEFENDANT I, _____________________________________________, defendant herein, hereby assign and transfer my heretofore posted bond in the sum of $___________________ to _____________________________________________ and request the Clerk of the District Court to deliver the bond refund to the person herein named. DATE:_______________________________ DEFENDANTS SIGNATURE:___________________________________________________________ Subscribed and Sworn before me this ________ day of ___________________ _____________________________ Notary Public Print Form American LegalNet, Inc. www.FormsWorkFlow.com