Defendants Contract


One Call Atlanta

Defendant Contract

 

Directions:  Fill out form completely. If line item in unknown you may need to type "Unknow" if the question is required.

Choose One

Probation/Parole Officer: Attorney:  

Defendants Name:  

Date:

Case#:  

Bond: Fee:  

Other Charges Pending:  

Felony/Misd:  

 

Legal Name: Nickname:  

Social Security Number: Date of Birth:

Email: Facebook:  

Address:  Length at Residents:  

Home: Cell:  

Previous Address:  

Race: Sex:  

Height:   Weight:   Eyes: Hair:

Tattoos:  

 

Driver License: State Issued:  

Vehicle:  

 

Employer:

Employer Address:

Employer Phone Number:

Length at Job: Position: Supervisor:  

 

List References with Address and Phone numbers (Other then Mother, Father,  or Co-Signer) All references must be at least 18 years old.

Reference #1

Name:  Phone Number:  

Relationship to Defendant: Years Known:   

Address: City State: Zip Code:  

 

Reference #2

Name: Phone Number

Relationship to Defendant: Years Knows:  

Address: City: State: Zip Code:  

 

Reference #3

Name: Phone Number:

Relationship to Defendant: Years Known:  

Address: City: State: Zip Code:  

 

Reference #4

Name: Phone Number:  

Relationship to Defendant: Years Known:  

Address: City: State: Zip Code:  

 

Reference #5

Name: Phone Number:  

Relationship to Defendant: Years Known:  

Address: City: State: Zip:  

 

Defendant's Parents

Mother's Name: Phone Number:  

Email:  

Address:  

 

Father's Name: Phone Number:  

Email:  

Address:  

 

Defendant's Children

1st Child's Name: Phone Number:  

Age: Who do they live with?:

Address if other then your own:  

 

2nd Child's Name: Phone Number:  

Age: Who do they live with?:  

Address if other then your own:  

 

3rd Child's Name: Phone Number:  

Age: Who do they live with?:

Address if other then your own:  

Failure to Notify 24-7 One Call Atl, of any change of address and or phone will automatically revoke my bond. If I am not present in court on any and all court dates, I will pay all expenses accrued by 24-7 One Call Atl from said revocation.  I understand that there will be no refund if it becomes necessary for 24-7 One Call Atl to revoke bond.  I further understand that any false information will result in my bond being revoked by 24-7 One Call Atl. and that I forfeit any and all money paid.

Extradition Waiver 

 

I have been duly informed of my rights to demand and secure legal counsel to test the legality of my arrest through habeas corpus proceedings and to the issuance and service of a warrant of extradition, and do hereby voluntarily and of my own free will, without any threats, promises, undeu justice, or coercion of any kind of nature, waive my rights to extradition from any state in the United States of America or any foreign country, to the State of Georgia, county of and consent to return to the State of Georgia, County of in the custody of 24-7 One Call Atl, or a Georgia law enforcement agency to answer to the charge(s) which have been brought against me.

December 6, 2024

 

Bail Agent Signature:______________________________________________

 

Leave this empty:

Signature arrow sign here

Signed by One Call of Metro Atlanta
Signed On: October 29, 2023


Signature Certificate
Document name: Defendants Contract
lock iconUnique Document ID: a209ead47cd7df603bc4cde63c84a3f0e6bfaab3
Timestamp Audit
October 29, 2023 12:05 pm ESTDefendants Contract Uploaded by One Call of Metro Atlanta - 247onecallfulton@gmail.com IP 66.115.181.150
October 29, 2023 12:09 pm ESTOne Call ATL - 247onecallfulton@gmail.com added by One Call of Metro Atlanta - 247onecallfulton@gmail.com as a CC'd Recipient Ip: 66.115.181.150