Missouri > Local Circuit Courts > 16th Circuit (Jackson County) > Criminal
Lost Bond Receipt Affidavit - Missouri
| Lost Bond Receipt Affidavit Form. This is a Missouri form and can be used in Criminal 16th Circuit (Jackson County) Local Circuit Courts . |
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IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI STATE OF MISSOURI PLAINTIFF vs CASE NO. _____________________ ____________________________________ DEFENDANT LOST BOND RECEIPT AFFIDAVIT (PROPER I.D. MUST BE PRESENTED AND RECORDED ON THIS RECEIPT) The undersigned hereby certifies that a bond receipt was issued to him/her upon deposit of $_____________ in the above-styled case, that the bond receipt has been lost and cannot be located, and that the right to a refund of the deposit has not been assigned or transferred to any other person. The undersigned acknowledges receipt of $______________ from the Court Administrator of the Circuit Court of Jackson County, Missouri, as full refund of the bond posted in said case. _______________________ Date ________________________________________ Signature ________________________________________ Address ________________________________________ City State Zip ________________________________________ Telephone No. Subscribed and sworn to before me on ______________________________________, 20______ COURT ADMINISTRATOR'S OFFICE DEPARTMENT OF CRIMINAL RECORDS CIRCUIT COURT OF JACKSON COUNTY, MISSOURI By ______________________________________________ Deputy mc: Case File Folder CIRCT 4302 5/85 American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com
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