COMPLETE FOR PROBATE BONDS UNDER $500,000 (GUARDIAN OF MINOR $10,000) Applicant (For partnership, give full names ofpartners and trade names) Please Print Residence Address (Street and Number) (City) (State) (Zip) Social Security #-: Applicant's net worth: Age Business Address (Street and Number) (City) (State) (Zip) Type of Bond Complete name and address of Obligee Occupation or business Previous Surety Yes No Ifyes, give name and reason for change. Amount of Bond Effective Date How long so engaged? Name of deceased (Ward) Date of death Date of appointment Is applicant indebted to the estate or trust? Yes No (If yes, explain on an attached sheet) Name and address of attorney (If none, do not write the bond; submit it to our underwriters) Will the attorney remain involved throughout the duration of this estate? Yes N o Assets of estate or trust (describe) Name, age, and health status of minor(s) incompetent Are guardianship funds to be used for support of ward? Approximately how much per month? Who are the heirs of this estate? Yes Applicant's relationship to deceased ward(s) No Applicant's net worth: $ What is the source of the guardianship funds? (If an insurance settlement, do not execute the bond; instead refer it to an underwriter.) (Please send copy of court order authorizing monthly expenditures.) Has anyone objected to the applicant's appointment as fiduciary? Yes No Is this bond required on the demand of an interested person? Yes No Who? Will any going business (excluding farms) of the estate be No (If yes, send copy of continued by fiduciary? Yes court order.) Name and address of court: What is the applicant's experience in handling fiduciary responsibilities? ATTORNEY'S RECOMMENDATION Your recommendation will be helpful and may be the difference between getting a refusal or having the bond written. Tell us what you know and think of the applicant. I have personally known the Principal for years and offer the following recommendations and information for your consideration in accepting this bond: Our law firm is not very familiar with this applicant. Our law firm knows this applicant and is aware of no adverse or negative information about him/her. Our law firm is well acquainted with this applicant and offers our highest recommendation. Comments: 2000 © American LegalNet, Inc. PROBATE OR FIDUCIARY BOND Amount of bond Up to $2,000 2,000 - $20 and for each additional K to $50,000 50,000 - $260 and for each additional K to $200,000 200,000 - $860 and for each additional K to $500,000 500,000 - $1,61 0 and for each additional K to $ 1,000,000 1,000,000- $2,1 10 and for each additional K Per $1000 Per Annurn $10.00 5.00 4.00 2.50 1.00 .50 On Administrator, Personal Representative & Executor bonds of $25,000 or less, the premiums developed by the above rates are for the term of the bond. No renewal premiums will be charged for such bonds. Term minimum - $ 1 00 All others - Annual minimum premium $100 Premiums on bonds for guardians and conservators of minors must be charged in advance until the minor reaches the age of majority. See prepayment discount schedule below. PROBATE BOND PREPAYMENT DISCOUNT SCHEDULE Discount does not apply on first year premium which is payable in full, but applies to second and subsequent premiums only. Advance payment of 1-5 renewal premiums Advance payment of 6-7 renewal premiums Advance payment of 8-9 renewal premiums Advance payment of 10 or more renewal premiums Premiums are subject to change. Discount 15% 20% 25% 30% 2000 © American LegalNet, Inc.