Bond Application

*** Please Contact our office first before filling out forms or the bond may be rejected. ***

Contract Date:

Bail Bond Amount(s) $:

Bail Bond Fee :$

Case No (if available):

Contract

I/We Cosigners, enter into this Contract with COPA 3 BAIL BONDS/San Antonio Bail Bonds 2, Surety, for the benefit of obtaining the release of , Defendant. I understand that by paying the premium amount as stated above and signing the bond as Cosigner(s) that Surety will post a bail bond in the amount as reflected, and that I will be and am responsible for insuring that the Defendant appears in court each and every time that this cause(s) is scheduled for court. I further understand that if the Defendant fails to follow any and all instructions or orders of the Court or fails and refuses to appear in court on any of the scheduled court dates and incurs a bond forfeiture/failure to appear/nisi, that I will be required and responsible for paying the Surety the full value of the bail bond amount(s); .

I/We agree to pay the full value of the bail bond(s) to the Surety in the event that the Defendant fails to appear in court as scheduled. By signing this contract, I, the Cosigner(s) as mentioned above agree to be bound by the terms herein. Surety shall give notice to Cosigner(s) of the Defendant’s failure to appear by notice/e-mail/ requested (address to the Cosigner(s) stated below or provided) for demand for payment of the full value of the bond(s) due to Defendant’s failure to appear in court.

I/We further understand that the premium owing and/or paid on this bond(s) is/are fully earned upon the release of the Defendant from custody. The fact that the Defendant may have been improperly arrested, or his/her bail reduced, or his/her case(s) dismissed, shall not obligate the return or forgiveness of any portion of the premium paid.

Signed and agreed to by all parties as evidenced by their signatures below.

(A) COPA 3 BAIL BONDS /San Antonio Bail Bonds 2 BY: _________________________________

Defendant X:

Cosigner X:

Cosigner

Printed name:

Address:

City, State, Zip Code:

COSIGNER/INDEMNITOR APPLICATION FOR SURETY BOND

A. If Cosigner(s) make any false statement on this application, the bond(s) will or may be surrendered at the option of the
bonding company.
Name: Nickname/Alias/Stage Name:
Date of Birth: Place of Birth: Nationality: US Citizen: Yes or No?

Yes

If No, list resident alien #: Relation to person or are you the Defendant?:
Address where you reside:

(Circle one) Select One

Own

Buying

Renting

Leasing

Living with Family/ Landlord

Mortgage Co. or Complex Name

:
Permanent Mailing Address?: Name Utilities are in:
Mobile Phone #: Tattoos( Yes or No?

Yes

Describe):
Email address/ Snapchat/ Facebook/Twitter/Instagram:
Military Background: Social Security #: State ID or Driver’s Lic. #:
Height: Weight: Color Eyes: Hair: Select One Right or Left Handed

Right Handed

Left Handed

List Special Skills, Carpentry, Framer, Recreational activities:

EMPLOYMENT:

Place of employment: Job title or description: How long?:
Employer’s address: Work Phone#:
If Unemployed, list how you support yourself (examples: side jobs w/whom, how much SSI received, or other government aid):

FINANCIAL INFORMATION:

Name of Bank: or Credit Union:
Name of Credit Card: Acct#: Exp. Date:
AUTOS: ** If you don’t own a vehicle, please list one that you would borrow or someone who would give you a ride?
Year/Make/Model: Color: Plate #:
Year/Make/Model: Color: Plate #:

ARREST/CONVICTION RECORD: HAVE YOU EVER BEEN ARRESTED, ANYWHERE? YES OR NO If so state details, when,
where (County?), charge(s) and if plead guilty or dismissed?:

Are you on Probation: Yes or No?

Yes

Are you on Parole: Yes or No?

Yes

Are you on bond for other charges?: Yes or No

Yes

If so, company &; charges?:

What bonding company(s) have you used before?:
Have you ever FAILED TO APPEAR in court or SIGNED for somebody who did? Yes or No?

Yes

;
Details:

Name of your Attorney/Law Firm you may be hiring or hired: Ph#:

References may/will only be called if the Defendant does not report as required or fails to appear in court.

Cosigner Info

*Cosigner Info*	*Street*	*City/State/Zip*	*Phone*
Full Name- Relationship:
Full Name - Relationship:
Full Name: - Relationship:
Full Name: - Relationship:

Check One

Spouse

Common Law

Girlfriend

Boyfriend

First Name: Middle Name: Last Name:

Address: NickName: Mobile Phone:
Date of Birth: Social Security #: State ID or Driver’s Lic. #:
Employment: Job Title/Position/Description:

*Spouse's Family & Friends*	*Street*	*City/State/Zip*	*Phone*
Father/ Name:
Mother/Name:
Family Member Name:

Revised © 10-18-22ap

*CHILDREN*	*AGE*	*ADDRESS (IF DIFFERENT)*	*PHONE*
Name:
Name:
Name:

RELEASE OF INFORMATION

The individual (aka Cosigner) signing hereby warrants that the foregoing declarations made and answers given are the truth without reservation and are made for the purpose of inducing the Surety to become surety or to procure suretyship on the bond or undertaking applied for herein, with the intent and purpose that they be relied on fully. In addition, the cosigner hereby authorizes and directs his relatives, employers, bankers, the Federal Social Security Administration, the Internal Revenue Service, the Department of Disability Insurance, the United States Armed Forces, the State Division of Motor Vehicles, all Municipal, County, State and Federal Law Enforcement Agencies and any other persons or organizations having information concerning the defendant’s whereabouts to give such information to any agent of A-COPA Bail Bonds/COPA Bail Bonds 3/San Antonio Bail Bonds 2 and apprehension for Court appearance, and for the purpose of securing reimbursement for and expenses incurred as a result of Defendant’s nonappearance. The Cosigner/Indemnitor hereby waives his or her rights with respect to the Privacy Act and authorizes the use of copies of this document by COPA Bail Bonds/COPA 3 Bail Bonds/San Antonio Bail Bonds 2 and its authorized representatives. This release will serve to exonerate you from any and all liability stemming from the release of information to COPA Bail Bonds3/COPA Bail Bonds/San Antonio Bail Bonds 2 which may be imposed upon by Title 5, Section 522-A of the United States Code, commonly known as the Privacy Act, or any comparable federal, state or municipal law governing the release of information. This release is valid for a period to ten (10) years from execution date.Date: Agent/Witness:
Cosigner’s Signature: Mailing Address:

COPA 3 Bail Bonds

San Antonio Bail Bonds 2

1511 W. Martin San Antonio TX 78207

SanAntonioBailBonds.com COPABailBonds.com

210-231-0202 * 210-231-6444

____ Zelle - HYPERLINK "mailto:bailbondpeople@gmail.com"bailbondpeople@gmail.com

____ CashApp - $COPABailBonds

____ Venmo - @SanAntonioBailBonds

Credit Card Authorization Form

I HERBY AUTHORIZE COPA 3 BAIL BONDS/SAN ANTONIO BAIL BONDS 2 TO CHARGE MY CREDIT/DEBIT CARD ABIDING BY THE TERMS AND CONDITIONS OF THE SALE

AMOUNT TO BE CHARGED $

CREDIT CARD NUMBER:

EXPIRATION DATE:

CVV NUMBER (three numbers on back of card):

CARDHOLDER NAME:

(PRINT NAME EXACTLY AS SHOWN ON CARD)

COMPLETE BILLING ADDRESS (ADDRESS, CITY, STATE AND ZIP CODE):

FOR DEFENDANT’S NAME:

SIGNATURE OF CARDHOLDER: DATE

Note: Payments due by 5pm business day. Late fee will equal 25% of payment or minimum of $20 added to the payment.

Payment Interval (One-time, Weekly, Bi-Weekly, Monthly): Acknowledge

Acknowledge

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

July 13, 2025 5:40 pm CDT

Bond Application Uploaded by Alfonso Perez - bailbondpeople@gmail.com IP 172.9.1.128