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Application Or Renewal To Write Appeal And Appearance Bonds - Kansas
|Application Or Renewal To Write Appeal And Appearance Bonds Form. This is a Kansas form and can be used in 11th Judicial District Local District Court .||
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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: Residential Address and Telephone Number: Company or Agency: Business Address: Telephone Number: Fax Number: Counties Where Approval Sought: 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 financial statement of property & encumbrances. 2. Number and amount of outstanding bonds. 3. List of all other liabilities. Other Requests: SIGNATURE OF APPLICANT DATEReturn to: Hon. John C. Gariglietti Chief Judge 602 N. Locust Pittsburg, Kansas 66762 *Renewal applications must be submitted yearly by April 15.