Cause No. THE STATE OF TEXAS VS. Defendant/Principal § § § IN THE OF FORT BEND COUNTY, TEXAS COURT AFFIDAVIT OF SURETY TO SURRENDER /APPLICATION FOR CAPIAS On this day personally appeared the undersigned Surety/Movant who, on oath, states as follows (complete A or B only): A. [ ] NO CAPIAS REQUESTED - DEFENDANT IN CUSTODY IN ANOTHER JURISDICTION The defendant/principal named above is charged in the Court and Cause Number set out above with the FELONY / MISDEMEANOR ; that the said charge is offense of still pending in said court; that a surrender of said defendant/principal into the custody of the Sheriff of Fort Bend County, Texas, is sought; that the surety will remain liable until the following information is verified by the Fort Bend County Sheriff; that NO BOND FORFEITURE HAS BEEN ORDERED IN THIS CASE; and, that the defendant / principal is: [ [ [ ] Incarcerated in ] Incarcerated in Federal custody at thefollowing location: ] Incarcerated in the custody of the State of . Location: County, Texas; OR, , OR, B. [ ] CAPIAS REQUESTED - DEFENDANT NOT CURRENTLY IN CUSTODY The defendant/principal named above is charged in the Court and Cause Number set out above with the FELONY / MISDEMEANOR ; that the said charge is offense of still pending in said court; that a surrender of said defendant/principal into the custody of the Sheriff of Fort Bend County, Texas, is sought; and, that NO BOND FORFEITURE HAS BEEN ORDERED IN THIS CASE. Further, that 1. An appearance bond in the amount of $ was posted on , 20 ; 2. 3. 4. The fee paid: $ ; , 20 Sex DOB at Height Weight ; , , The defendant/principal's next appearance date: The defendant/principal's physical description: Race Hair Eyes DL/ID#State Defendant's most recent physical address, etc. Identifying Marks/Tattoos 5. The cause for the surrender: ; [ [ Further, ] 6. That the attorney for the above defendant/principal is further certify that I have complied with the provisions of Article 17.19 CCP and Rule 21 Tex.Civ.Pro.; ] 7. That the defendant/principal is NOT represented by counsel in the above criminal cause. and I OR, Surety/Movant further states, on oath, that he/she has personal knowledge of the above facts and information and all such statements are true and correct. Telephone: ( ) Bonding Company Name (if applicable): Address (City, State and Zip Code): Signature of Surety/Movant: SWORN TO AND SUBSCRIBED before me, the undersigned authority on this the Notary Public My commission expires: day of , 20 . District or County Clerk of Fort Bend County, Texas By: Deputy Clerk ORDER The Court [ ] DENIES the Application for Capias for failure to state good cause. The Court [ ] GRANTS the Application for Capias for good cause shown and orders the Clerk of this Court to issue an alias capias for the defendant/principal and sets the new bond for said defendant at $ . The surety will remain liable on this bond until defendant is taken into custody. The Court [ ] GRANTS the Surety to Surrender, releasing Surety from liability regarding this cause. Previous Capias is already active for this defendant. Defendant is to be returned to Fort Bend County Sheriff's Office. DATE: JUDGE: American LegalNet, Inc. www.FormsWorkFlow.com