For: Defendant
U.S. Fire Defendant Bail Bond Application and Agreement (Form #1)
Part one of the surety's defendant application: bond details, contact details, description and employment.
Part 1 of 2
Bond Details and Defendant Name and Address
Form #1
DEFENDANT BAIL BOND APPLICATION AND AGREEMENT
You, the undersigned Defendant (“Defendant” or “you”), hereby represent and warrant that the following declarations made and answers given are true, complete and correct and are made for the purpose of inducing United States Fire Insurance Company (“Surety”) to issue, or cause to be issued, a bail bond or undertaking for you, using power of attorney number(s) (if known):
On the paper form: “using power of attorney number(s) (if known): ____”
On the paper form: “in the total amount of ____ Dollars ($____)”
On the paper form: “in the ____ Court of”
On the paper form: “Court of ____ ("Bond").”