PAYMENT RECEIPT:
Bail Amount: $___________ Bail Fee: $__________ Payment Amount: $__________ Balance: $__________
Payment Date Received: _________________ Payment Method: ______________ (cash,credit,debit etc.)
____________________________ ______________________________ ____________________________
Payor Name Payor Name Defendant Name
PROMISSORY NOTE:
I or We _____________________________ & ______________________________hereby agree to pay all
Indemnitor/Payer 1 Indemnitor/Payer 2
Payments due to AOD Bail Bonds for ____________________________. Both the undersigned Indemnitor
Defendant Name
and Defendant are separately and jointly responsible for the entire outstanding bail bond fee/premium.
PAYMENT SCHEDULE:
Outstanding Bail Fee: $________________
The payment of $_______________ is due every ________________ (week/month) starting on ____________
until the outstanding bail fee is paid in full. A $5 daily late fee will be charged if any payments are not made.
The outstanding bail fee can be paid early or in full at any time before the due date.
Other terms:
__________________________________________________________________________________________
__________________________________________________________________________________________
CREDIT CARD AUTHORIZATION
I ,___________________________, Authorize Always on Duty Bail Bonds to withdraw $_________(amount)
Every_______________________(Week/Month) as payment on the above-referenced Bail Fee or Outstanding
Bond Fee until the balance of the Promissory note is paid in full.
Credit Card Number: _____________________________ Exp. Date: ___________ Security Code: _________
Credit Card Owner/Authorized Signer Signature: ____________________________________
By signing this document, both parties agree to comply with the terms of the payment schedule, and violation of
these terms will result in late fees and revocation of the bail.
Indemnitor / Payor #1 Signature____________________________ Date___________
Indemnitor / Payor #1 Signature____________________________ Date___________
AOD Agent Signature: ___________________________________ Date___________
ALWAYS ON DUTY BAIL BONDS
400 3rd Ave. STE 400, Kingston, PA 18704
Receipt/Promssory Note/Payment Schedule/Card Authorization