Cause No: THE STATE OF TEXAS § IN THE DISTRICT COURT OF VS § FORT BEND COUNTY, TEXAS § JUDICIAL DISTRICT APPLICATION TO RELEASE FUNDS DEPOSITED FOR CASH BAIL BOND TO THE HONORABLE JUDGE OF SAID COURT: , Depositor, who says as follows: NOW COMES, § 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 because on the _______________ day of , 20 , the Judge of the above District Court entered a Final Judgment in the above entitled and numbered case. § No Motion for New Trial or Notice of Appeal has been filed and all matters have been concluded in this criminal case. THEREFORE, the Depositor requests this Court to order the District Clerk of Fort Bend County, Texas, to release the funds previously deposited as a Cash Bail Bond in this case to the Depositor. Respectfully Submitted, Depositor 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. Additionally, pursuant to §117.055, Texas Local Gov’t. Code, 5% of the Cash Bail Bond, not to exceed $50.00, shall be retained by the Fort Bend County district Clerk as an Administrative Fee. IT IS THEREFORE ORDERED, that the District Clerk of Fort Bend County, Texas, confirm the identity of the Depositor of the cash funds in the above case and, upon confirming the identity of such Depositor, release the funds previously deposited as a Cash Bail Bond to the Depositor. Signed this the day of , 20 . JUDGE PRESIDING REVISED 06-23-2009 American LegalNet, Inc. www.FormsWorkFlow.com