Application For Remission Of Forfeiture Form - Florida Criminal Division
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2IN THE _____________ COURT OF THE THIRTEENTH JUDICIAL CIRCUIT
IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
CRIMINAL DIVISION
STATE OF FLORIDA
CASE NO.: ____________________
vs.
DIVISION: ____________________
DEFENDANT _________________________,
BOND POWER NUMBER(S):
BOND COMPANY, AND BAIL AGENT,
____________________________________
____________________________________
Defendants.
____________________________________
______________________________________/
APPLICATION FOR REMISSION OF FORFEITURE
(F.S. 903.28)
Petitioner, ________________________, through the undersigned attorney applies to the
court for remission of forfeiture of bond money paid in this case and as grounds therefore states
the following:
1.
The bail agent did in fact post the following bond(s) for the above-named
defendant:
Charge
Amount
Power Number
________________________________
$_____________
________________________
________________________________
$_____________
________________________
________________________________
$_____________
________________________
2.
Because of the willful non-appearance of the defendant, the bond(s) in this case
was/were forfeited on ____________________ ____, 20____. A copy of the Notice(s) of
Forfeiture is/are attached as Exhibit “____.”
3.
On ____________________ ____, 20____, the petitioner paid the bond in this
cause as evidenced by the Clerk’s receipt of payment, a copy of which is attached hereto as
Exhibit “____.”
4.
After the bond was forfeited, the defendant was apprehended. A copy of the
Certificate of Commitment, Hillsborough County Sheriff’s Office Affirmation or similar
admissible evidence of apprehension or surrender is attached hereto as Exhibit “____.”
5.
The defendant was apprehended/surrendered or arrested as follows:
Petitioner apprehended and surrendered defendant on _____________ ___,
20____. An affidavit setting forth the facts concerning the apprehension and
surrender of defendant is attached hereto as Exhibit “____.”
The defendant was arrested by _________________________ (agency) on
____________________ ____, 20____. An affidavit setting forth the facts
concerning the arrest of defendant is attached hereto as Exhibit “____.”
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