Collateral Receipt Template

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Collateral Receipt
Date:
Receipt No.
Received From:
SSN:
Address:
Home Phone:
Work Phone:
Cell Phone:
The aforementioned individual has deposited the following collateral as security for the
execution of the bail bond:
Monetary Collateral
Cash in the amount of: $
Check in the amount of: $
Money order in the amount of: $
Collateral Documents
Indemnity Agreement
Promissory Note
Mortgage Deed and Promissory Note
Other:
The aforementioned collateral has been put down as security for the bail bond for the following:
Defendant:
Offense(s):
Court:
Bond Amount: $
Power No.
Received by:
I, the depositor, understand that the collateral will be returned to me once the bond has been
discharged and exonerated.
Depositor Signature
Date Signed
Receipt for Return of Collateral
Depositor:
Date:
I, the depositor, have received the following monetary amounts, collateral documents, or items:
$
Collateral Documents:
Other Items:
Received by:

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