( RCr 4.02 )
(Caption)
____________________ (Name of defendant) being now confined in the Franklin County Jail on a charge of ______, offers the following sureties as bail and requests that they be accepted and he be released from confinement:
Name Occupation Address
__________ __________ __________
__________ __________ __________
______________________________
(Attorney for defendant)
Ky. R. Crim. P. Form 12