Request a Payment Plan

Submit your information for payment-plan review. Approval depends on the bond amount, applicant qualifications, required documentation, and final review by a licensed North Carolina bail bondsman.

Co-Signer Details

Co-Signer Full Name *

As it Appears on your Driver License

Preferred Name *

Cell Phone *

Email *

Define Relationship *

Co-Signer Address

Living Arrangements *

Address *

Street Address

City

State

Postal Code

Co-Signer Personal Details

Place of Birth *

Date of birth *

Driver License / ID Number *

DL / ID State Issued *

Last 4 SSN *

U.S. citizen? *

Co-Signer Employment

Employer *

Work Phone *

Position *

How Long? *

Monthly Salary or Wages *

Pay Frequency *

Co-Signer Vehicle

Year *

Make *

Model *

Color *

Plate Number *

Plate Issued State *

Co-Signer Reference 1

Reference 1 Full Name *

Reference 1 Date of Birth

Reference 1 Relationship *

Reference 1 Phone *

Co-Signer Reference 2

Reference 2 Full Name *

Reference 2 Date of Birth

Reference 2 Relationship *

Reference 2 Phone *

Defendant Details

Defendant Full Name *

Defendant Date of Birth *

Defendant Cell Phone *

Bond Details

Defendant Booking Name (if different)

Defendant - Arrest Charges *

Jail Location *

Total Bond Amount *

Down Payment Percentage *

Down Payment Amount

Amount Owed (After Down Payment)

One Final Step

Upload a clear photo of your valid driver’s license to complete your application. Make sure the full license is visible and the information is easy to read.

Upload Driver License *

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

By submitting, I certify all information is accurate and complete. “N/A” is not accepted and will require a new application. I consent to non-marketing texts from Raleigh Bail Bonds, its staff, and authorized service partners regarding my application, contracts, invoices, and updates. Msg frequency varies. Msg & data rates may apply. Reply STOP to opt out or HELP for help.

Payment Plan Review Notice

Submitting this form does not guarantee payment-plan approval or bond posting. A licensed North Carolina bail bondsman must verify the bond, review the applicant’s information, approve the terms, and complete all required agreements before a payment plan can be finalized.