Lost Bail Or Receipt Form
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Lost Bail Or Receipt Form. This is a Washington form and can be use in Clallam Local County.
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Tags: Lost Bail Or Receipt Form, Washington Local County, Clallam
LOST RECEIPT FORM
I, __________________________, have lost the receipt that I received when I
posted bail for (name)___________________________________ on
(approx. date)_____________________.
Dated: ____________________
_________________________________
Signature
REDIRECT OF BAIL MONEY
I, ___________________________, would like the bail money that I posted for
(name)_______________________________, case # _____________________
on (approx. date)_________________:
( ) Returned to the defendant.
( ) Applied to his/her case and balance returned to me.
( ) Applied as follows: ___________________________________________.
( ) Please return the bail money by mail to : (address)
_______________________________________________________________
_________________________
Date
_____________________________________
Signature
SUBSCRIBED AND SWORN to before me this ______ day of ___________.
________________________________
NOTARY PUBLIC IN AND FOR THE
State of _________________
Residing in _________________
My commission expires __________
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