Affidavit of Undertaking of Bail for Surrender of Defendant

AFFIDAVIT OF UNDERTAKING OF BAIL FOR SURRENDER OF DEFENDANT
PERSUANT TO CALIFORNIA PENAL CODE SECTION
1300 (a)(1) PC Right and Mode of Surrender Exoneration of Sureties.
1301PC Arrest by Sureties or Under Their Authority.
I ___________________________________, DECLARE THAT I AM A CALIFORNIA BAIL LICENSEE DOING BUSINESS AS:
____________________________________________________________: LICENSE NUMBER: ____________________
THE FOLLOWING INFORMATION REPRESENTS A TRUE AND CORRECT STATEMENT OF FACTS AS THEY PERTAIN TO:
BAIL BOND #:______________________________ AMOUNT:__________________ DATE POSTED:____________________
DEFENDANT'S NAME:_________________________________________________________ DOB:_____________________
COURT: SUPERIOR, JUDICIAL DISTRICT:____________________________________ COUNTY:_____________________
CASE/WARRANT:_______________________________
ORIGINAL CHARGES:__________________________________________________________________________________
_____________________________________________________________________________________________________
SURETY COMPANY: SENECA INSURANCE COMPANY
160 WATER STREET, 16Th FLOOR, NEW YORK, NY 10038-4922
Bail Agent:________________________________________________________________________
Address:_________________________________________________________________________
Phone:_____________________
PERSONS AUTHORIZED TO APPREHEND AND SURRENDER DEFENDANT:
Authorized to Apprehend:_____________________________________________________________
Address:__________________________________________________________________________
Phone:______________________________
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT:
___________________________________________________________________________
AFFIANTS SIGNATURE
_________________
DATE
SURRENDER OF DEFENDANT PERSUANT TO CALIFORNIA PENAL CODE
1300 (a)(1) Right and Mode of Surrender Exoneration of Sureties.
1301PC Arrest by Sureties or Under Their Authority.
I HEREBY CERTIFY that the above named defendant is now in my custody pursuant to the provisions of Section
1300(a)(1) or 1301 of the California Penal Code.
__________________________________________________________________ ______________________
Officer/Deputy
Badge / I.D.
___________________________________________________________________ __________________
County /City
State
Date