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Gates Bail Bonds, Inc
14624 Main Street, Upper Marlboro, Maryland 20772

 Raymond F. Gates      •      Deborah K. Gates      •     Colette D. Yost     •     Lawrence F. Robinson
Defendants Information:
We would appreciate it if you would take a few moments to answer the following questions. Please be assured that we do not share or sell personal information about you except when we have your permission.
First Name
M.I.
Last Name
Address Line 1
Address Line 2
City
State
Zip Code
Country
E-mail Address
Home Phone
Bold = Required field
US Citizen
Yes
No
AKA
Race
Date of Birth
Nickname
Place Of Birth
Cell Phone
How Long at Current Address
Employer's Name & Address
How Long
Position Held
Supervisor's Name
Work Phone
Has the defendant ever been arrested before?
Yes
No
County
Previously on bond
Yes
No
Bonding Company
Still on Bond
Yes
No
Name of Attorney
Phone
Mother
Address
Phone
Father
Address
Phone
Brother
Address
Phone
Sister
Address
Phone
Spouse
Address
Phone
Name
Address
Phone
Children's name(s) / age(s)
Additional Notes
SS#
Driver's Lic#
Defendant County
Bond Amount
Arresting County
 Family Information
Other Contact
Indemnitor's Information

We would appreciate it if you would take a few moments to answer the following questions. Please be assured that we do not share or sell personal information about you except when we have your permission.
First Name
M.I.
Last Name
Address
City
State
Zip Code
Country
E-mail Address
Phone
Alternate Phone
Bold = Required field
US Citizen
Yes
No
How Long
Date of Birth
SS#
Driver's Lic
Employer's Name & Address
Place of Birth
Position Held
Length of Employment
Work Phone
Relationship to Defendant
Spouse Name & Address
Home Phone
Work Phone
Personal References (Relationship, Name, Address & Phone #)
Date
THe Indemnitor hereby warrant(s) that the forgoing declarations made and answers given are the truth without reservation and are made for the purpose of inducing the Surety to become surety or to procure surety ship on the bond for the named defendant                                                         or undertaking applied for therin, with the intent and purpose that they be fully relied on. If any false information is provided the defendant can be turned in with no refund of the bond fee.
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