OATH OF EXEMPTION
and
CERTIFICATION OF ATTORNEY CLIENT RELATIONSHIP

STATE OF TEXAS

COUNTY OF HARRISON

	BEFORE ME, the undersigned authority, personally appeared ____________________________________, known to me to be the same person executing this document, and, after being duly sworn by me did depose and say as follows:

“My name is ________________________________________.  I am duly licensed to practice law in the State of Texas, and such license is in good standing with the State Bar of Texas.  As such I am exempt from the licensing provisions of Chapter 1704, Texas Occupations Code.  I certify that I am counsel of record for _____________________________________________, whose bond I am seeking to execute as surety. 

“I understand that by making this bond, I become subject to the rules and regulations of the Harrison County Bail Bond Board concerning conduct of bail bondsmen, as authorized by Chapter 1704, Texas Occupations Code.

“These facts I certify to under oath, and under penalty of perjury, as being true and correct.

“Witness my hand this the _______ day of ___________________________, 200__.”

					___________________________________________

					___________________________________________
					(Print lawyer’s name, legibly, here)

	SIGNED and SWORN TO before me by the said ________________________________ this the _______ day of _______________________, 200__.

					___________________________________________
					Notary Public in and for the State of Texas