Your First Name *

Your Middle Name *

Your Last Name *

Cell Phone *

Email *

Defendant First Name *

Defendant Middle Name *

Defendant Last Name *

Jail the Defendant is Located in *

I agree to the terms & conditions that by providing my phone number, I am opting into receive email/text messages from Castle Bail Bonds, Inc. and occasional marketing communications. I am aware Castle uses texting for communication and can reply Stop to opt-out. Message frequency varies & data rates may apply.

For all further questions, You, the undersigned are the "Indemnitor." Please fill out in as much detail as possible.

Alternate name you may be known as (if)

Your Relationship To Defendant *

Home Phone *

Work Phone *

Facebook Username

Other Social Media accounts

Current Home Address *

How long have you lived at your current Home Address? *

Do you currently Rent or Own the home at this address? *

Rent

Own

What is the Landlord Or Mortgage Holder's Name? *

Former Home Address *

Indemnitor (You) Personal Description

Birthday *

Birth Location *

Birth Gender *

Male

Female

Race *

Social Security Number *

Drivers License Number *

Drivers License Issued State *

How long have you lived in the US? *

Are you a US Citizen? *

Yes

Nationality

Alien Number (if)

Additional Notes

Indemnitor (You) Employment

Current Employer *

Job Title *

Number of Years at Job *

Employer Address

Supervisor's Name

Union

Local Number

Military Branch

If in the military, are you Active Duty?

Yes

Discharge Date

Indemnitor (You) Marital Status

If you are not single, fill in the person's information with:

First Name

Middle Name

Last Name

How long have you been together?

Address (if different)

Home Phone (if different)

Cell Phone

Work Phone

Employer

Job Title

Number of years at job

Indemnitor (You) Vehicle

If no current vehicle, type NA into appropriate fields

Year *

Make *

Model *

Color *

License Plate Number *

License Plate State *

Where was the vehicle Financed? *

Indemnitor References

For all references, you must provide at least one phone number, cell preferred.

Reference 1

Name 1 *

Relationship 1 *

Address 1

Employer 1

Type NA in cell phone if providing a home phone number instead.

Cell Phone 1 *

Home Phone 1

Work Phone 1

Reference 2

Name 2 *

Relationship 2 *

Address 2

Employer 2

Type NA in cell phone if providing a home phone number instead.

Cell Phone 2 *

Home Phone 2

Work Phone 2

Reference 3

Name 3 *

Relationship 3 *

Address 3

Employer 3

Type NA in cell phone if providing a home phone number instead.

Cell Phone 3 *

Home Phone 3

Work Phone 3

Indemnitor Notes