Form Cr-61 - Amendment Of Certificate Of Professional Bondsman To Approve New Agent
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1State of Alabama
Date Filed
AMENDMENT OF CERTIFICATE OF
Unified Judicial System
PROFESSIONAL BONDSMAN
TO APPROVE NEW AGENT
Form CR-61
Rev.4/99
WHEREAS, *I, _______________________________________________________________, as __________________________
of _______________________________________________ (name of Professional Bail Company/Professional/Professional Surety
Company), filed a Certificate of Professional Bondsman on __________________ (date filed), which was approved by the Presiding Judge
of the __________ Judicial Circuit by order dated ________________.
WHEREAS, _________________________________________________________________ (name of Prospective agent) wishes to
become an agent of the aforementioned Professional Bail Company/Professional Surety Company. I hereby certify that the new agent meets
all the same requirements for agents as provided in the original Certificate of Professional Bondsman and has no outstanding bond
forfeitures pending anywhere in the State of Alabama.
I HAVE NOTICE THAT FALSE STATEMENTS ARE PUNISHABLE AS PERJURY AND CERTIFY THAT THE ABOVE STATEMENTS
ARE TRUE AND CORRECT.
Sworn to and Subscribed before me this
__________________________________________________________
Affiant’s Signature
__________________________________________
date
__________________________________________________________
Name of Prospective Agent
(Printed or Typed)
__________________________________________
Signature /Title
__________________________________________________________
Social Security Number of Prospective Agent
__________________________________________________________
Business Address of Prospective Agent
__________________________________________________________
Business Telephone Number
ORDER
Upon application having been made wishing to add _________________________________________________________________
_________________________ (name of Prospective agent) as agent of the aforementioned company, I hereby continue in effect the
approval of said company, amended to include the aforementioned additional agent.
_______________________________________
___________________________________________________
Date
Presiding Circuit Judge
* Licensed agent of the professional surety company who is a manager or an owner or a president of a corporation, company,
partnership, or other entity that represents the professional surety company;
OR
An owner or officer of a professional bail company.
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