UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MISSOURI (This Document to be completed in the presence of Court personnel only) UNITED STATES OF AMERICA, Plaintiff -vs, Defendant | | | | | | | |
Case No.
.
AFFIDAVIT OF OWNERSHIP I, , on oath say that . is/are the legal owner(s) of the $ cash deposited as security on
the bond posted for the defendant named above. The funds deposited are to be returned to the said owner(s) upon exoneration of this bond. I understand that this bond is subject to forfeiture if the defendant does not comply with conditions set by the Court.
Date
Signature of Owner/Agent of Owner of cash security
Address
City/State/Zip
Subscribed and sworn to before me this __________ day of ________________, 20____. JAMES G. WOODWARD, CLERK
By: _______________________________
Deputy Clerk