Form 1585- Justification Of Sureties
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MISSOURI DEPARTMENT OF REVENUE
DRIVER LICENSE BUREAU
301 WEST HIGH STREET - ROOM 470
FORM
TELEPHONE (573) 751-7195
P.O. BOX 200
FAX (573) 526-7365
1585
JEFFERSON CITY, MO 65105-0200
(REV. 8-2008)
JUSTIFICATION OF SURETIES
SURETY
I, __________________________________________________________________________________ , being first duly sworn on oath
depose and state that I am a resident of the State of Missouri, that I am one of the Sureties in the attached bond. That for the purpose
of qualifying on this bond and in accordance with the Financial Responsibility Law, Chapter 303, RSMo, I do hereby schedule the
following described real estate to-wit:
Description of Real Estate, nature and extent of Encumbrances, value of surety’s interest in real estate, name of holder of legal title.
Which real estate is worth the full amount stated in the above schedule, less the encumbrances as therein stated and that the net value
set out above is the actual value of such real estate. That the foregoing property is scheduled as required by the Financial Responsibility
Law of Missouri and is a part and portion of said bond.
SURETY SIGNATURE
DATE
NOTARY
NOTARY PUBLIC EMBOSSER OR
STATE OF
COUNTY (OR CITY OF ST. LOUIS)
BLACK INK RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, THIS
DAY OF
YEAR
USE RUBBER STAMP IN CLEAR AREA BELOW.
NOTARY PUBLIC SIGNATURE
MY COMMISSION
EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
CIRCUIT JUDGE
COUNTY (OR CITY OF ST. LOUIS)
ON THIS
STATE OF MISSOURI
DAY OF
YEAR
Approved and recorded upon the records of this Court by order of the Circuit Judge.
JUDGE
OF THE CIRCUIT COURT OF THE
JUDICIAL CIRCUIT OF MISSOURI.
RECORDER OF DEEDS
RECORDER OF DEEDS SEAL
COUNTY (OR CITY OF ST. LOUIS)
ON THIS
STATE OF
BEFORE
MISSOURI
ME
DAY OF
YEAR
NAME OF RECORDER (PRINT OR TYPE)
RECORDER OF DEEDS IN AND FOR SAID
COUNTY CERTIFY THE WITHIN
TYPE OF DOCUMENT
WAS DULY FILED FOR RECORD AND IS
RECORDED IN THE RECORDS OF THIS OFFICE.
DEPUTY SIGNATURE
BOOK
PAGE
TIME
AM
PM
RECORDER SIGNATURE
MY COMMISSION EXPIRES
USE RUBBER
® ®
STAMP HERE
VISIT OUR WEB SITE AT
MO 860-0452 (8-2008)
DOR-1585 (8-2008)
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