DISTRICT COURT OF MARYLAND FOR
City/County
Located at STATE OF MARYLAND
Court Address
Case No. vs.
Defendant
ASSIGNMENT OF BOND
I, on Receipt No. I hereby assign this bond to be paid as: FINE/COSTS Amount: Case No: Defendant: Amount: Pay To: Address: RESTITUTION , posted bond in the amount of $ , in the above mentioned case.
Amount: Case No: Defendant:
Amount: Pay To: Address:
Any remaining balance to be sent to: Name: Address:
Signature of Surety
Date
Signature of Witness/Clerk
Date
DCA 102 (Rev. 6/2003)
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