Civil Court Bond Application Form Page 2
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3Southwest Bonding, LLC
Phone: (817) 509-1511
300 Burnett St. #127
Fax: (817) 796-2637
Fort Worth, TX 76102
License: #0D58538
Your Bonding Resource Center!
Civil Court Bond Application
Type of Bond/Undertaking:
Amount:
Hearing Date:
Case No:
Name of Court: ______________________________________________
Code Section: _______________
ATTORNEY INFORMATION:
Attorney representing principal: ___________________________________ SBN: ________________________
Law Firm: ________________________________________________ Phone No. _____________________
Address:
________________________________________________________________________________
City
______________________________________ State ______________ Zip code _____________
PRINCIPAL INFORMATION:
Name:
__________________________________________________ Tel. # _________________________
Address:____________________________________________________________________________________
City: _________________________________________ State:__________Zip Code: ______________________
IF PRINCIPAL IS AN INDIVIDUAL:
Social Security No. ___________________ Driver’s License # _________________ State _________________
Your Net Worth _______________________________________________ Date of Birth _________________
Employer _____________________________ Position/If retired, previous position ______________________
If self employed, explain nature of business ________________________________________________________
Address ____________________________ City ____________________ State _______ Zip ____________
Tel # ( ____ ) _______________________ Length of Employment/Ownership __________________________
Do you own a home? ______ Do you Rent? _____ Other (explain) ___________________________________
IF PRINCIPAL IS A LEGAL ENTITY:
Nature of business ________________________________________________Tax ID No.___________________
Names of all owners of Business, Residence addresses and Social Security Numbers:
______________________________ ________________________________________ __________________
______________________________ ________________________________________ __________________
______________________________ ________________________________________ __________________
______________________________ ________________________________________ __________________
ALL APPLICANTS
Your Bank _________________________________________ Bank Account # _________________________
Bank Address _______________________________________________________________________________
___________________________________________________________________________________________
Attach a copy of the court order &/or judgment for the Bond. This is required for all court
Bond submissions. In addition, copies of other court documents as well as financial statements
may be required.
Continued on other side …
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