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Out of Prison Guideline
Out of Prison Guideline
Order of Filing
(No Staples – Only Paper Clips Accepted)
Forms must be filed in the court that has jurisdiction to act on them, which is where the case was heard. That’s the
court that issued the bonds that you want to pay off.
(2 Pages – Front and Back – do not staple but use paper clip)
STATE OF: (State where Notary is from – best to use a notary from the state where the person is incarcerated). If
you are filling out the forms for someone else you can use a notary by your home – you are only verifying your
signature as Power of Attorney.
1. NAME
GEARLD DOVE PAYNE - Must be the name on the Birth certificate. If the
Person has no middle name on the Birth Certificate you must put NMN between
The First and Last Name. Eg.- ERALD NMN PAYNE
2. HOME ADDRESS:
Since the person is in prison – you must use their prison address.
The PRISON NAME and PRISON ADDRESS must be in all CAPS.
FMC ROCHESTER
FEDERAL MEDICAL CENTER
2110 EAST CENTER STREET
ROCHESTER, MN 55904
6. TELEPHONE NUMBER:
HOME: N/A
BUSINESS – N/A
7. THE FOLLOWING IS A TRUE REPRESENTATION OF THE ASSETS I HAVE PLEGED TO THE UNITED
STATES IN SUPPORT OF THE ATTACHED BOND:
(a) See CRIMINAL CASE NUMBER: 8:05-cv-259-T-JDW #38293-018, C-1
(If an appeal then typen in: See APPELLATE CASE # ------------)
See attached OPTIONAL FORM 90 RELEASE OF LIEN ON REAL PROPERTY
See attached OPTIONAL FORM 91 RELEASE OF PERSONAL PROPERTY FROM ESCROW
See attached STANDARD FORM 24 BID BOND
See attached STANDARD FORM 25 PERFORMANCE BOND
See attached STANDARD FORM 25A PAYMENT BOND
(b) Leave Blank In no Appeal. If Appeal then type in both Original Criminal Case # and type in the Appellate
Case # as well.
Notary: It is best to use a Notary from the State where the person is incarcerated. If you are filling out the forms
for someone else and have to use a Notary who lives close to you then that is okay but not the best.
______________
Back Page: Leave blank but attach to Front Page with a Paper Clip (No Staples)
_________________________________________________________ __
by a bond for the performance of U.S. Government Contract Number __(Person who is in prison Social
Security #)
and recorded this pledge on _____CRIMINAL Court Case Number) (If Appeal Use that #) ___(Inmate
#)_______
Notary Notarizes ( The notary has to be in the same county where the person last lived)
Whereas GERALD DOVE PAYNE, of STATE & Birth Certificate number Hyphenated,
(Name) (Place of Residence)
STRAWMAN
For the performance of U.S. Government Contract Number __(Social Security Number)
[Date] ????????
___________________________________________________________ _
Back Page: Leave Blank and attach to the front page with a paperclip.
_____________________________________________________________
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PRINCIPAL: GERALD DOVE PAYNE – The All Capital Letter Person as it appears on Social Security Card. If
no middle name put NMN between 1st and last name.
Under the name in all caps put the current PRISON NAME in all CAPS:
STATE OF INCORPORATION: Type in the Birth Certificate Number and STATE WHERE BORN (ALL CAPS)
PENAL SUM OF BOND: Leave blank - if you desire all who were convicted to get out.
WITNWSS: You need the Notary or someone who is in their office sign off as a witness and date it.
(Today’s Date)
Leave 2. & 3. blank POA’s have put their thumb print in red in space 2. before (Seal)
Corporate Seal: The person who is POA must put their thumb print in red ink over this Corporate seal.
INDIVIDUAL SURETY(IES)
PENAL SUM OF BOND: Leave blank – so everyone in the group can get out.
WITNESS: Have the Notary or someone in their office sign off as witness.
PRINCIPAL:
SIGNATURE(S) 1. Gerald Dove Payne by John Doe as POA
Leave 2. & 3. Blank
Corporate Seal: The person who is POA must put their thumb print in red ink right over the
Corporate Seal
INDIVIDUAL SURETY(IES)
SEAL: The person who is POA must put their thumb print in red ink right over the Seal
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CORPORATE SURETY(IES): Leave everything blank in this section.
STATE OF INCORPORATION: Type in the Birth Certificate Number and STATE WHERE BORN (ALL CAPS)
PENAL SUM OF BOND: Leave blank - if you desire all who were convicted to get out.
WITNWSS: You need the Notary or someone who is in their office sign off as a witness and date it.
(Today’s Date)
Corporate Seal: The person who is POA must put their thumb print in red ink over this Corporate seal.
INDIVIDUAL SURETY(IES)
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