DISTRICT COURT OF MARYLAND FOR
Located at
Court Address

Case No.
vs.
Defendant D.O.B.

STATE OF MARYLAND

AFFIDAVIT OF UNCOMPENSATED SURETY

STATE OF MARYLAND: CITY/COUNTY OF

I, the undersigned, respectfully submit that: A. I have not received compensation in connection with the execution of this bond. B. I have not charged a fee, premium or service charge in connection with the execution of this bond. C. No collateral has been, or will be, deposited, pledged, or encumbered in connection with the execution of this bond. I solemnly affirm under the penalties of perjury that the contents of the foregoing paper are true to the best of my knowledge, information and belief.

Date

Signature of Bail Bondsman

I.D. No.

Address

Reset

DC/CR 130 (Rev. 8/2008)