Cash Bond Assignment Template
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2CASH BOND ASSIGNMENT
To request a cash bond assignment, complete this form, including notarization and mail to:
Harris County District Clerk’s Office
P.O. Box 4651
Houston, TX 77210-4651
Without notarization the form must be filed in person by the depositor at 1201 Franklin, Suite
3180. Depositor must provide proper identification. It is essential that cash bond assignments are
completed and filed prior to the conclusion of the criminal case.
*****************************************************************************
NO.
THE STATE OF TEXAS
§
DISTRICT COURT
VS.
§ COUNTY CRIMINAL COURT @ LAW NO.
§
HARRIS COUNTY, TEXAS
I,
, Cash Bond Depositor, in the above numbered and
styled cause, do hereby assign, transfer and to be made payable to
(Name)
(Address)
my cash refund in the amount of $
upon final disposition of the above numbered
and styled cause.
Depositor Signature
STATE OF TEXAS
§
COUNTY OF HARRIS
§
Before me the undersigned authority personally appeared,
,
who being represented to me as the person whose name is subscribed to the foregoing instrument,
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