Read All Items / Terms Carefully As You Are Assuming Specific Obligations / Responsibilities

PROMISSORY NOTE

545 Jefferson Street

St. Charles, Missouri 63301

Read all items / terms carefully as you are assuming specific obligations / responsibilities.

For value received, I / We the undersigned as Principals, promise to pay COX BAIL BONDS the sum of $______, payable at 545 Jefferson Street, Saint Charles, Missouri 63301. The following terms and conditions govern the following terms;

1. On this ______day of ______, 20___ through its agent caused to be signed a bail bond agreement with the State of Missouri, County/City of ______bonding one ______for his/her appearance in the ______Court of ______County/City, State of Missouri.

2. This Promissory Note is being executed for a bail bond by ______a sub-contractor (Executing Agent) or employee of COX BAIL BONDS, on behalf of COX BAIL BONDS, as security of said bail bond agreement for the above named defendant.

3. In the event there is a breach of said bail bond agreement by the above named defendant, this Promissory Note shall be paid on demand at the rate of _____ % interest per annum. The undersigned further agrees to pay all costs of collections, including but not limited to reasonable attorney fees, if this not is not paid according to the terms hereof.

4. This Promissory Note is non-negotiable, and at the expiration of the bail bond agreement with the State of Missouri, County/City of ______, without loss or expense to COX BAIL BONDS, this note along with any signatures and/or assignees executed with this Promissory Note shall be null and void and COX BAIL BONDS shall cause said note to be marked paid. Further, COX BAIL BONDS will cancel, release and/or return to the makers and/or signatures any collateral or guarantees held in connection with this note.

5. Finally, I / We agree to pay any and all premium costs, any fugitive recovery fees, at the rate of NO LESS than 10% of the face amount of the original bond plus any expenses and reasonable attorney fees to enforce the terms of this agreement. Further, I/We understand that any collateral being held for security can and/or will be used to pay outstanding premiums, recovery costs and legal/attorney fees.

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Defendant Signature Defendant Name – Printed

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Indemnitor (Co-Signer) Signature Indemnitor (Co-Signer) Name – Printed

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Indemnitor (Co-Signer) Signature Indemnitor (Co-Signer) Name – Printed

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