COURT BOND REQUEST

COURT BOND APPLICATION
APPLICANT INFORMATION
Applicant (Exactly as it will appear on bond)

First NameMiddle NameLast NameSuffix
Social Security # (Applicant):
Applicant Phone Number:
Are you a U.S. Citizen?
If No, what is your residency status?
Applicant's Occupation:
Applicant's Estimated Net Worth
Marital Status

Other
Applicant Email:
example@example.com
Applicant Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does any applicant have any other surety bonds in force?
Please enter name of surety on existing bond(s):
Has any applicant had any bankruptcies, liens, judgments or compromises with any creditors in the past 5 years?
If Yes, please explain:
Are there any co-applicants?
Co-Applicant

First NameLast Name
Social Security # Co-Applicant:
Co-Applicant Phone Number:
Co- Applicant Are you a U.S. Citizen?
Co-Applicant If No, what is your residency status?
Co-Applicant's Marital Status

Other
Co-Applicant's Occupation:
Co-Applicant's Estimated Net Worth
Co-Applicant Email:
Co-Applicant Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
A personal financial statement may be required for each applicant/co-applicant. You may use a bank form or download a form here: Personal Financial Statement form

Please upload your forms with this application or call us to receive a secure upload folder. Please do NOT send personal information using email.
BOND INFORMATION
Type of Bond
Bond Amount:
Type of Probate Bond

Other
Name of Deceased or Minor/Ward
Date of Death if Deceased or Birth if Minor/Ward

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Appointment

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Applicants' relationship to deceased or minor/ward:
Is any applicant indebted to the estate or trust?
How is applicant indebted to the estate or trust (amount, terms, etc.)
Assets of estate or trust (please describe):
Does the estate or trust contain an ongoing business?
Nature of ongoing business and plans for management:
Are their any disputes among heirs/interested parties?
Describe any disputes among heirs/interested parties:
What are applicants' experience in handling fiduciary obligations?
Condition of the Minor/Ward:
What is the source of the guardianship funds?
Are guardianship funds to be used to support Ward?
If yes, please provide details:
Does the deceased or minor/ward have a will? (If bond amount exceeds $500,000, upload a copy)
Is there a Supplemental Needs Trust in place or planned?
Will attorney remain involved through the duration of this estate?
Is the bond applied for intended to replace the bond or a prior Surety?
Is any applicant replacing a prior Fiduciary?
Is the bond being requested on the demand of an interested third party?
Are there any objections to this appointment?
Are there any pending or outstanding lawsuits, judgments or liens involving the any applicant or related to this case?
Purpose of Bond:
Full Name of Plaintiff:
Full Name of Defendant
Attorney Name and Address (if none, please state):
Name and Address of Court:
Docket # if assigned:
NOTICE: By checking the box below, the above named individual(s) herby give consent to Tonry Insurance Group, Inc., its subsidiaries, and surety partners to obtain a consumer credit report about the individual in connection with the application for insurance/bonding. This authorization extends to subsequent consumer credit reports obtained for the purpose of reviewing, increasing the amount of, or any other legitimate purpose associated with the bond.
Submitted By:

First NameLast Name
Email Address of Submitter:
Upload court documents and/or supplemental forms here:

Upload File(s)

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Comments:
Should be Empty:

COURT BOND APPLICATION