Cause No. THE STATE OF TEXAS vs. 247 247 247 247 247 IN THE DISTRICT COURT FORT BEND COUNTY, TEXAS TH JUDICIAL DISTRICT APPLICATION TO RELEASE FUNDS DEPOSITED FOR CASH BOND TO THE HONORABLE JUDGE OF SAID COURT: NOW COMES, and represents to the Court that on or about a Cash Bond in the sum of $ was deposited in the above titled cause. I am the person who deposited the cash funds in this case, to be used as a Cash Bail Bond as shown by the receipt records of the District Clerk of Fort Bend County, Texas. I am entitled to receive the funds so deposited based on a final disposition entered of record on the by the Honorable District Court Judge in the above-mentioned cause. No Motion for New Trial or Notice of Appeal has been filed and all matters have been concluded in the above case. NOW THEREFORE, the Applicant/Depositor requests this Court to order the Honorable Beverley McGrew Walker, the District Clerk of Fort Bend County, Texas to release the funds previously deposited as a Cash Bail Bond in this case to the Applicant/Depositor. Respectfully Submitted, Applicant/Depositor Address City, State, Zip Code Telephone Number ORDER On this day, the Court considered the above Application for release of funds held by the District Clerk of Fort Bend County, Texas, and finds that such Application should be Granted Denied As an Administrative Fee, the Fort Bend County District Clerk shall deduct from the amount of the withdrawal a fee in an amount equal to five percent of the withdrawal, but that may not exceed $50.00, pursuant to the Tex. Loc. Gov222t Code Ann. 247 117.055. Signed this the day of , 20 . JUDGE PRESIDING American LegalNet, Inc. www.FormsWorkFlow.com