DIANE M. MATOUSEK
CLERK OF THE CIRCUIT COURT
SEVENTH JUDICIAL CIRCUIT – VOLUSIA COUNTY, FLORIDA
SURETY’S REQUEST TO SET ASIDE/DISCHARGE BOND ESTREATURE/FORFEITURE
Name of Defendant _________________________________Alias in Custody_____________________
Case Number ____________________________________ Booking Number______________________
Bond Power Number (s) ________________________________________________________________
Date of Forfeiture _____________________________________________________________________
Date and Place of Arrest/Surrender ______________________________________________________
Is Defendant currently in custody? Where? __________________________________________________
If Defendant in custody out of Volusia County, date of hold: ____________________________________
Other Grounds for Set Aside/Discharge _____________
_________________________________________
____________________________________________________________________________________________
_____ I HEREBY AGREE to pay the transportation costs of returning the Defendant if I am requesting to
set aside/discharge the forfeiture and the Defendant is/was out of jurisdiction at the time of
arrest/surrender. I understand that unless I also surrender the bond, I remain obligated on the bond after
the forfeiture is set aside/discharged unless the obligation otherwise terminates by operation of law.
__________________________________
________________________________________
Name of Bond Agency
Signature of Surety Agent
CLERK OF COURT’S RESPONSE
TO REQUEST TO SET ASIDE/DISCHARGE BOND ESTREATURE/FORFEITURE
1. _____ The Clerk of Court DOES NOT OBJECT to setting aside the forfeiture subject to the following:
_____ No costs incurred. _____Arrested/surrendered within Volusia County or transported by Surety.
Other: _____________________________________________________________________
_____ Surety to pay transportation costs from _______________County, Florida per Volusia County
Sheriff’s Office Extradition Unit’s Schedule in the amount of $___________________
_____ Surety to pay out of state transportation costs as agreed between the Volusia County Sheriff’s
Office Extradition Unit and the Surety in the amount of $ ________________________
2. _____ The Clerk of Court OBJECTS to setting aside the forfeiture for the following reasons:
_____________________________________________________________________________
Dated: _________________
__________________________________
LAURA ROTH
Attorney for the Clerk of the Court
CL-0810-0809
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