Cause No: 247 IN THE DISTRICT COURT OF VS 247 FORT BEND COUNTY, TEXAS 247 JUDICIAL DISTRICT APPLICATION TO RELEASE FUNDS DEPOSITED FOR CASH BOND TO THE HONORABLE JUDGE OF SAID COURT: NOW COMES, , Applicant, who says as follows: On or about , 20 a Cash Bond in the sum of $ was deposited in the above entitled and numbered cause. I am entitled to receive the funds so deposited based on a final disposition entered of record on the day of , 20 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. THEREFORE, the Applicant requests this Court to order the District Clerk of Fort Bend County, Texas, to release the funds previously deposited as a Cash Bond in this case to the Applicant. Respectfully Submitted, Applicant 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. Additionally, the Fort Bend County District Clerk as an Administrative Fee 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., pursuant to the Texas Local Gov222t Code Sec. 117.055. Signed this the day of , 20 . JUDGE PRESIDING American LegalNet, Inc. www.FormsWorkFlow.com