Attach a copy of the court order &/or judgment for the bond. This is required for all bond
submissions.
If the applicant is a corporation, please attach a copy of the corporation’s financial
statements.
If the applicant is an individual, collateral is required.
Do you understand the first year’s bond premium is not refundable? Yes
No
Do you understand that the bond is in effect until the Surety receives the Order of
Discharge? Yes
No
Do you understand that the collateral will be held by the Surety until an Order of Discharge
is received at which time the collateral will be released? Yes
No
Do you understand the bond premium is to be paid annually? Yes
No
Attorney Information
Attorney for Principal:
Law Firm Name:
Address:
City:
State:
Zip:
Phone No.:
Fax No.:
E-Mail Address:
How did you hear about our bond program?
Conference/Seminar
Delivery Method….Regular Mail
or Overnight (at the cost of the client)
Overnight Acct #
Registered Agent Name:
Registered Agent Address:
City:
State:
Zip:
FA004 – Application for Court Bonds Other than Probate – 4/2012