Clear Form
CASE NAME: United States v_________________________ CASE NO.______________
SURETY ADDENDUM TO APPEARANCE BOND ( 2 pages)
(Use separate addendum for each surety)
ATTACH PHOTOCOPIES OF TWO PIECES OF IDENTIFICATION,
INCLUDING AT LEAST ONE PICTURE I.D. FOR EACH SURETY
Surety’s Name: _________________________________________________________________
Date of Birth: ___________________________ S.S.#___________________________________
Immigration Status: __________________________________ “A” Number”__________________
Home address: __________________________________________________________________
_____________________________________________ Home Phone: (
)________________
Surety’s relationship to defendant:_____________________________________________________
EMPLOYMENT AND SALARY INFORMATION:
Employer’s name: ________________________________________________________________
Employer’s address: ______________________________________________________________
Length of employment: ______________________ Work phone: (
)______________________
Monthly salary (gross): $ ___________________________________________________________
ADDITIONAL INCOME INFORMATION: (complete if applicable)
Source of additional income:_________________________________________________________
Amount of additional income: $ ________________________________________________________
REAL PROPERTY OWNED: (if more than one piece of property is owned please use
additional sheet)
Address: ______________________________________________________________________
Value of Property: $ _____________________________ Equity in property: $ _________________
Holder(s) of trust deed(s): __________________________________________________________
Are payments/taxes current? ________________________________________________________
Is proof of surety’s title to property attached?_____________________Appraisal?______________
AUSA__________(initials)
SURETY________(initials)
Page 1 of 2 Surety Addendum
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