Surety Information Sheet
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2AO 100B (Rev. 01/09) Surety Information Sheet
U
S
D
C
NITED
TATES
ISTRICT
OURT
for the
__________ District of __________
United States of America
)
v.
)
Case No.
)
)
)
Defendant
SURETY INFORMATION SHEET
(Under Fed. R. Crim. P. 49.1, this form may only be filed in court if redacted or under seal.)
Use separate information sheet for each surety.
Attach photocopies of two pieces of personal identification, including at least one picture i.d. for each.
Surety information:
Name:
Date of birth:
Social Security No.:
Immigration status:
Alien Registration No.:
Home address:
Home/cell phone No(s).:
Employer’s name:
Employer’s address:
Monthly salary
: $
(gross)
Work phone No.:
Length of employment:
’ months
’ years
Source of additional income
:
(if applicable)
Amount of additional income
:
(if applicable)
Real property owned by surety
:
(if more than one piece of property, please use additional sheets)
Address:
Value: $
Equity in property: $
Are payments/taxes current? ’ Yes
No
’
Any holders of trust deeds:
Is proof of surety’s title to property attached?
’ Yes
’ No
Appraisal?
AUSA:
Surety:
(initials)
(initials)
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