Online Application

Quick Release Bail Bonds Indemnitor Application & Contract

Wallace/Shoshone County

"*" indicates required fields

Defendant Information

(Full bond amount, not the premium)

Indemnitor's Information

Indemnitor's Name*
Select date MM slash DD slash YYYY
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 4 MB.
Please upload a snapshot of your driver's license (jpg, png, or pdf)
Last 4 Digits Only
Indemnitor's Address*
Is the Indemnitor a US military veteran or a current member of any branch of the US military?*

Indemnitor's Vehicle Information

(Honda, Ford, Toyota, etc.)
(2011, 2019, etc.)

Indemnitor's Current Employment Information

Is the Indemnitor Currently Employed?*

Indemnitor's Living Situation

Do you rent or own your home?*

Indemnitor's Marital Status / Spouse Employment

Are You Married?*

You Will Need to Provide 3 Contacts to Complete this Application

Indemnitor - Contact Person 1

Contact Person 1 - Name*
Contact Person 1 - Address*

Indemnitor - Contact Person 2

Contact Person 2 - Name*
Contact Person 2 - Address*

Indemnitor - Contact Person 3

Contact Person 3 - Name*
Contact Person 3 - Address*
Recovery/Apprehension Agreement*
Clear Signature
This field is for validation purposes and should be left unchanged.