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PLC:

a006wz

Agency:

montezuma county sheriffs office

For:

bond - remote

Phone:

970-565-8452

Address:

730 driscoll street
cortez, colorado 81321

*Required Field

Payment Information

*Disposition of security deposits upon forfeiture or termination of bond.:

I have read and want to continue

*(1) (a) If a defendant is released upon deposit of cash in any amount or upon deposit of any stocks or bonds and the defendant is later discharged from all liability under the terms of the bond:

I have read and want to continue

*the clerk of the court shall return the deposit to the person who made the deposit, INCLUDING WHEN BOND IS POSTED ONLINE. CO HB25-1015:

I have read and want to continue

*Check Yes if you understand the Verbiage above:

Yes

*Defendant Name:

Middle:

*Last:

*Defendant Date of Birth:

(Month / Day / Year)

*Payor Name:

*Payor phone number:

(### - ### - ####)

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number: