Bail Information Sheet {AO 100A}

AO 100A (Rev. 01/09) Bail Information Sheet UNITED STATES DISTRICT COURT for the __________ District of __________ United States of America v. ) ) ) ) ) Case No. Defendant BAIL INFORMATION SHEET (Under Fed. R. Crim. P. 49.1, this form may only be filed in court if redacted or under seal.) Defendant's information: Name: Date of birth: Immigration status: Home address: Home/cell phone No(s).: Employer's name: Employer's address: Work phone No.: Length of employment: ' months ' years Social Security No.: Alien Registration No.: Name, address, and phone number of any persons with whom defendant will live during pendency of the case: Name, address, and phone number of any persons residing in the United States who will know how to contact defendant, aside from sureties on this bond: I swear under penalty of perjury that the above information is true. Defendant's signature Defendant's attorney information: Name: Address: Phone(s): AUSA: (initials) Defendant's Attorney: (initials) American LegalNet, Inc. www.FormsWorkflow.com