Application For Release Without Bond Bail Reduction Form

Justice Court, Henderson Township CLARK COUNTY, NEVADA APPLICATION FOR RELEASE WITHOUT BOND/BAIL REDUCTION FORM NAME: HOME PHONE #: HOME ADDRESS: MONTHLY PAYMENT/RENT: RENT OWN HOW LONG THERE?: HOW LONG IN CLARK COUNTY?: MARITAL STATUS: BIRTH DATE: DRIVERS LICENSE NUMBER / STATE? SOCIAL SECURITY #: ARE YOU PRESENTLY EMPLOYED?: OCCUPATION: EMPLOYER: EMPLOYER ADDRESS & PHONE NUMBER: HOW LONG? EARNINGS: OTHER SOURCE S OF INCOME: MARITAL STATUS: SPOUSE/SIGNIFICANT OTHERS NAME: NUMBER OF DEPENDENTS: LIST ALL AGES & RELATIONSHIP: NAME/ADDRESS OF PARENTS OR RELATIVES (List Local, Then Out of State) 1. 3. 2. 4. CHECKING ACCOUNT BALANCE: SAVINGS ACCOUNT BALANCE: LIST ALL REAL & PERSONAL PROPERTY & ITS VALUE (Land, Jewelry, Furs, Stocks, Bonds, Etc.) LIST MOTOR VEHICLES, BOATS, CAMPERS OWNED: YEAR/MAKE: PRESENT VALUE: BALANCE DUE: YEAR/MAKE: PRESENT VALUE: BALANCE DUE: YEAR/MAKE: PRESENT VALUE: BALANCE DUE: HAVE YOU EVER BEEN ARRESTED: MISDEMEANOR? FELONY? CHARGES: YEAR: SENTENCE: HAVE YOU EVER FAILED TO APPEAR IN COURT? - FOR OFFICIAL USE ONLY - I declare under penalty of perjury that the foregoing is true and correct. OR Granted SIGNATURE DATE O. R. Denied BailRe-Set PRINT NAME OF PERSON COMPLETING APPLICATION Signature RELATIONSHIP TO DEFENDANT:  SELF  SPOUSE  RELATIVE  ATTORNEY  OTHER ____________