Bail Assignment Form

Bail Assignment Application

NYC Department of Finance | Treasury Division

Section I - Surety/Transfer Information

A. Surety Information - (Information regarding the person who paid the bail and signed the receipt)

1. Name:

2. Current Address: Apt. #:

City: State: Zip Code:

3. Surety’s Phone Number Email Address:

4. Defendant’s Name:

5. Print Cash Bail amount you paid in this case: $

6. Print the Docket and/or Treasury Receipt number:

B. Transfer Information

1. Print the name of the person or business entity you assign, set and transfer your rights, title and interest in this matter to:

2. Assignee’s Mailing Address: Apt. #:

City: State: Zip Code:

3. Print the amount of Cash Bail you are now assigning: $

4. Assignee’s Phone Number: 5. Email Address:

Section II - Certification

I certify that I am the above named surety and authorize this assignment. I hereby acknowledge that the information provided is true and correct to the best of my knowledge.

Signature of Surety:

Sworn to before me on 20

For Official Use Only

Instructions: This form must be completed by the person that paid the Cash Bail (i.e. the Surety). Complete, notarize, and submit this form along with a valid government picture ID such as a driver’s license, passport, or benefit card. If you do not have a valid government issued ID you will need to provide copies of two (2) forms of ID to verify your identity. At least one ID must have a photo and signature such as an employment or school ID. Other types of acceptable identification include a utility bill issued within 60 days, an ATM/Bank Card, or Social Security Card. For additional information visit our Cash Bail/Court & Trust Section at www.nyc.gov/finance or contact us at 212-291-4854 or 212-291-4899 or visit us at nyc.gov/contactcashbail.

Mail to: NYC Department of Finance, Treasury/Court Assets Unit, 66 John Street, 12th Floor, New York, NY 10038