Free Cash Bond Assignment - Texas

CASH 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 VS. § DISTRICT COURT

§ 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) my cash refund in the amount of $ and styled cause.

(Address) upon final disposition of the above numbered

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,

acknowledged to me that he executed the same for the purposes of consideration therein expressed. Given under my hand and seal of office this day of , A.D. .

Notary signature, seal, and expiration

Loren Jackson, District Clerk Received By: _________________________