Application Or Renewal To Write Appeal And Appearance Bonds
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Application Or Renewal To Write Appeal And Appearance Bonds Form. This is a Kansas form and can be use in 11th Judicial District Local District Court.
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Tags: Application Or Renewal To Write Appeal And Appearance Bonds, Kansas Local District Court, 11th Judicial District
IN THE ELEVENTH JUDICIAL DISTRICT OF KANSAS
Application or Renewal to Write Bail and Appearance Bonds
(Please return one application per individual)
Name of Applicant:
Business Name:
________
Business Address:
(Both street and P.O. Box, if applicable)
Business Telephone Number:
Fax Number:
Counties Where Approval Sought:
Cherokee
Crawford
Labette
To be certified to write Insurance Bonds, please provide:
1.
Name Of Insurance Company:
Attach Certificate of Authority from the State of Kansas.
2.
Agent License Number:
Attach photocopy of Kansas Agency license (showing number).
3.
Surety Limits Sought:
Attach Power of Attorney for each county sought.
To be certified to write Pocket Bonds, please attach the following:
1.
Verified (signed and notarized) financial statement of property & encumbrances.
2.
Number and amount of outstanding bonds.
3.
List of all other liabilities.
Other Requests:
SIGNATURE OF APPLICANT
Return to:
DATE
Hon. John C. Gariglietti
Chief Judge
602 N. Locust
Pittsburg, Kansas 66762
*Renewal applications must be submitted yearly by April 15.
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