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PLC:

a003fz

Agency:

broomfield police detention center

For:

remote bond

Phone:

720-887-2000

Address:

11600 ridge parkway
broomfield, colorado 80021

*Required Field

Payment Information

*The cardholder acknowledges that he/she relinquishes any claim to these funds and understands and agrees that these funds will become the property of the defendant.:

*Furthermore, the cardholder understands that upon disposition of the charges/cases against the defendant, any funds ordered returned by the court will be returned to the defendant and not the cardholder.:

*Defendant Name:

Middle:

*Last:

*Date of Birth:

(Month / Day / Year)

Notes:

Do you intend to sign the bond as the surety? If you plan to sign the bond, you must come to the Detention Center in-person, and you will be called downstairs to the Booking area to sign the bond prior to the defendant being released.

f you sign the bond as the surety, funds will be returned to you once the case has been closed and the defendant appears for all court appearances as directed. If you do not wish to sign as the surety, the funds will be returned to the inmate,

less any restitution and fees ordered by the Court, only after the defendant has appeared for all court appearances as directed.

Payment Amount

Payment Information :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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