Transcription of INDEMNITOR APPLICATION AND AGREEMENT
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INDEMNITOR APPLICATION AND AGREEMENT
Bail Standard form No. 2 THIS form NOT FOR USE IN COLORADO Page 1 of 4 Edition Date: 12/4/13 2013 Lexington National Insurance Corporation, et al. INDEMNITOR APPLICATION AND AGREEMENT You, the undersigned INDEMNITOR ( INDEMNITOR 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 Lexington National Insurance Corporation ( Surety ) to issue, or cause to be issued, bail bond(s) or undertaking(s) (singularly or collectively the Bond ) for ( Defendant ), using power of attorney First Middle Last (if known)
Bail Standard Form No. 2 THIS FORM NOT FOR USE IN COLORADO Page 3 of 4 Edition Date: 12/4/13 ©2013 Lexington National Insurance Corporation, et al.
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