Motor Vehicle Dealer surety bond is a guaranteed bond imposed for the purpose of protecting the public against the illegal actions of motor dealer. Motor Vehicle Dealer surety bonds are issued to the motor vehicle dealer to procure MVD license
Motor Vehicle Dealer Bond
 
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Motor Vehicle Dealer Bond

Motor vehicle dealer bond gives a guaranteed compliance of the dealer. This bond is issued to protect the obligee from the dealer. The motor vehicle dealer bond protects the public against the illegal action of the dealer. This bond is issued to obtain the license. This bond guarantees compliance with state and federal laws. This bond also guarantees that payment of tax will be properly made to the government within the stipulated period. The motor vehicle dealer bond requires the dealer to obtain a license. The principal is required to obtain license and act according to the terms and condition of the surety bond. The surety bond will varies for each separate bond and the principal is required to fill in the application with the amount of bond.

All Fields Are Required if not actable please just type N/A

BOND REQUIRED

Type of Bond  
Bond Amount  
Obligee (Who I Requiring the Bond)  
Obligee Address Street  
City  
State  
Zip Code  
Bond Effective Date  
Bond Expiration Date  

 


BUSINESS INFORMATION

Name as to appear on Surety Bond  
Address Street  
City  
County  
State  
Zip Code  
Business Phone Number  
Business Fax Number  
Business E-mail  
Federal I.D. #  
License# (If Applicable)  
Business what kind of business is it?  
Business (How is it structured) Are you a   Sole proprietor    Partnership   
Corporation    LLC   
Business Start Date  
List any other related, affiliated subsidiary entities or other dba of applicant.  
If any owners have other equity, interest please describe.  


HAS APPLICANT EVER: CLICK YES or NO

A. Have you had an application for a bond declined?   Yes    No   
B. Have you been compromised with creditors? Have you defaulted on a contract?   Yes    No   
C. Have you defaulted on a contract forcing a Surety to suffer a loss?   Yes    No   
D. Have you experienced a bankruptcy?   Yes    No   
E. Have you been in receivership or had a lien placed on you or your business such as Tax etc...
(If yes to any of the above, attach a full explanation.)
  Yes    No   

 


OWNERSHIP INFORMATION

Owners First Name  
Owners Last Name  
Owners Social Security Number  
Owners Home address  
City  
County  
State  
Zip Code  
Owners Date of Birth  
Ownership Percentage of company  
Business (Years Owned)?  
Related Experience  
Telephone Number  
Fax Number  
E-Mail  
Spouse's Name  
Spouses Social Security Number  
Spouse's Date of Birth  


Personal Financial Information
All Owners with a 10% interest or more must complete the following:

Owner's Name  
Statement as of  

ASSETS

Cash on hand
Checking Account
Savings Accounts
IRA or Retirement Acct.
Accounts & Notes Receivable
Life Insurance - Cash Surrender Value Only
Stocks and Bonds
Real Estate (complete section below)
Automobile - Present Value
Other Personal Property
Other Assets
Total Assets

LIABILITIES

   
Accounts Payable
Notes Payable to Banks and Others
Installment Account (Auto)
Installment Account (Other)
Loan on Life Insurance
Unpaid Taxes
Mortgages On Real Estate
Other Liabilities
Total Liabilities
Net Worth (Assets less Liabilities)
Total Net Worth & Liabilities

ACKNOWLEDGEMENT

I Acknowledge and Authorize Integrity Bonds to pull my credit report Yes    No   
Digital Signature (must type in your name)
   

 

 
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