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Products
Industry Expertise
About Us
Client Corner
- Client Resources
- Client CSR 24 Portal
Blog
Join Our Team
Contact

Litigation Bond Application

Please provide all of the requested information. Any missing information may cause a delay in processing. If you have questions please contact us at 503.977.5624 or jtuomi@jdfulwiler.com.

Fiduciary Bond Application

Please provide all of the requested information. Any missing information may cause a delay in processing. If you have questions please contact us at 503.977.5624 or jtuomi@jdfulwiler.com.

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Applicant Type
Applicant is a
- Entity
- Individual

Entity Information
Entity Name
Type of Entity (Partnership, LLC, Corperation, etc.)
Business Address
Street Address City State ZIP Code
Business Phone
Website
Federal Tax ID #
Number of Owners*
Owners Name
First Last
Owners Address
Street Address City State ZIP Code
Owners Phone Number
Owners Fax Number
Owners Social Security Number
Owners Email
% of Ownership
If not 100% owner, please add additional owner(s) information).

Individual Information
Name
First Last
Address
Street Address City State ZIP Code
Email
Phone Number
Fax Number
Social Security Number

Attorney Information
Please provide information for the attorney that is representing the case.
Attorney Name
First Last
Firm Name
Firm Address
Street Address City State ZIP Code
Contact Person
First Last
Phone Number
Email Address
Fax Number
Case Information
Request for:
- Issue
- Pre-Approval
Type of Bond
Amount of Bond
County
Case #

General Information
Do you or any of your companies have pending lawsuits, unsatisifed judgements, or liens?
- Yes
- No
Have you or any of your businesses (past or present) EVER filed bankruptcy or become insolvent?
- Yes
- No
Has any applicant or owner EVER been convicted of a felony?
- Yes
- No
By checking yes, I (the applicant stated above), hereby certify that the information provided in this application is true. I further understand that I need to maintain legal representation for the duration of the subject matter as a condition of bonding.
- Yes
Authorization for Credit Report
By checking yes, I (the applicant stated above), grant Court Bonds (a division of JD Fulwiler & Co. Insurance) and it's authorized representative or a surety company providing bonds permission to obtain a credit report. I understand the purpose of obtaining a credit report is to evaluate my application for a court bond and that the credit report will not be used for any other reason.
- Yes

Portland

5727 S Macadam Ave
Portland, OR 97239
Tel: 503.293.8325
Fax: 503.293.5418
800.735.8325
info@jdfulwiler.com

Vancouver

330 E Mill Plain Blvd., Ste 403
Vancouver, WA 98660
Tel: 503.293.8325
Fax: 503.293.5418
800.735.8325
info@jdfulwiler.com

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