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BAIL-BOND-ONLINE.COM

SIMPLE, EASY AND FAST TO GET A BOND DONE. GET OUT OF JAIL AND GET ON WITH YOUR LIFE.
I POST BONDS IN THE METRO AREA IN THE STATE OF COLORADO. CALL NOW TO START THE PROCESS AND FOLLOW THE EASY STEPS BELOW.
PHONE OR TEXT: (720) 495-2878

PLEASE READ, FILL OUT APPLICATION AND MAKE A COPY FOR YOUR RECORDS

Application Statement

IMPORTANT NOTICE - FRAUD WARNING
(Pursuant to 10-1-127(7) C.R.S.)

“It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, and denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.”

CO-SIGNER(S): Please be sure to read this document carefully. Each and every question that you have been asked to complete and answer on each document that you have signed to complete your obligation that you have assumed as taking the position of GUARANTOR (co-signer) for the person that you have requested CHARGING BUFFALO BAIL BONDS, or any agent affiliated to post a surety bond for:

INDEMNITOR (CO-SIGNER) INFORMATION
Defendant Name:
RELATIONSHIP:
Indemnitor First Name:
Last Name:
DRIVERS LICENSE (INCLUDE STATE):
SOCIAL SECURITY #:
DATE OF BIRTH:
Address Street 1:
APT#:
City:
Zip Code:	(5 digits)
State:
SPOUSE/PARTNER Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Employment Information
EMPLOYER::
ADDRESS:
SUITE #:
CITY:
STATE:
ZIP:
PHONE::
OCCUPATION:
SUPERVISOR::
INCOME:
Property Information
Property Type:
Occupancy:
Purchase Price:	(USD)
Appraised Value:	(USD)
Mortgage Balance:	(USD if applicable)
Other Information
Comments:	Enter comments here!
	I authorize Charging Buffalo Bail Bond (chargingbuffalobailbond@gmail.com) to verify my credit and employment history.