General Instruction For Court Forms Page 2
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8The Bar Plan Surety and Fidelity Company
The Bar Plan Mutual Insurance Company
1717 Hidden Creek Court, St. Louis, Missouri 63131, (314) 965-3333, Fax (314) 965-7812 or
Toll Free 877-553-6376, Fax (888) 658-6761
Civil Court Bond Application
Please print legibly or type
Mr.
Name of applicant:
First Name
Middle Initial
Last Name
A/K/A or Alias Name:
Address:
City:
State:
Zip:
Type of Bond Requested:
Amount of Bond:
Name & Address of Obligee:
(To whom will the bond be given?)
Case Number:
Has applicant given bond in this case before? Yes
No
If “Yes”, give full
particulars:
Name of Present or Prior Surety if applicable:
Bond to be filed in
Court in the County of
, State of
Is the Court a State or Federal Court?
State Court
If Applicant is an Individual
Social Security #:
Birth Date:
Do you own a home?:
Rent?:
Other:
Are you currently employed?: Yes
No
Employer:
Position/If retired, previous position:
If self employed, explain nature of business:
Address of Employer:
City:
State:
Zip:
Length of employment/ownership:
Have you ever been convicted or pled guilty to a felony? Yes
No
If yes, please explain:
Have you filed for personal bankruptcy?: Yes
No
If yes, when?:
Provide the name of all banks at which you hold accounts:
FA004 – Application for Court Bonds Other than Probate – 4/2012
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