DIANE M. MATOUSEK
CLERK OF THE CIRCUIT COURT
SEVENTH JUDICIAL CIRCUIT – VOLUSIA COUNTY, FLORIDA
SURETY'S SURRENDER / REQUEST TO EXONERATE
Name of Defendant __________________________________ Alias in Custody_____________________
Case Number ____________________________________ Booking Number _________________________
Bond Power Number(s) ___________________________________________________________________
I affirm the grounds for exoneration under §903.21, F.S. are true and accurate as follows:
Defendant arrested on new charges and surety surrendered bond, prior to forfeiture/estreature; OR
______
_____ Discretionary surrender by Surety (receipt of inmate/certificate of acknowledgment attached), prior to
forfeiture/estreature.
Date and Place of Arrest/Surrender: ______________________________________________________
Is Defendant currently in custody? Where? ___________________________________________________
If Defendant in custody out of Volusia County, date of hold: _______________________________________
_________ If the defendant is/was out of jurisdiction at the time of arrest/surrender, I HEREBY AGREE in
writing to pay the transportation costs of returning the defendant to Volusia County.
_____________________________________
____________________________________
Name of Bond Agency
Signature of Surety Agent
CLERK OF COURT'S RESPONSE TO REQUEST TO EXONERATE
1. _____ The Clerk of Court DOES NOT OBJECT to the Surety’s request to Exonerate, subject to
the payment of transportation costs as follows:
_____ No costs incurred. ______Arrested/surrendered within Volusia County or transported by Surety.
Other: _____________________________________________________________________
_____ Surety to pay transportation costs from _______________County, Florida per Volusia County
Sheriff’s Office Extradition Unit’s Schedule in the amount of $_______________________
_____ Surety to pay out of state transportation costs as agreed between the Volusia County Sheriff’s
Office Extradition Unit and the Surety in the amount of $ ____________________________
2. _____ The Clerk of Court OBJECTS to the Surety’s request to Exonerate for the following reasons:
_____________________________________________________________________________
Dated: ___________________
____________________________________
LAURA ROTH
Attorney for the Clerk of the Court
CL-0808-0809