No Obligation Consultation

Application For Appearance Bond

  • Terms And Conditions

  • MM slash DD slash YYYY
  • ) Dollars. And the Parties agree that said appearance bond is conditioned upon full compliance of all said terms and conditions and is a part of said bond and application, therefore.
    1. The ALLEGHENY CASUALTY COMPANY INCORPORATED; as bail, shall have control and jurisdiction over the principal during the term for which the bond is executed and shall have the right to apprehend, and arrest and surrender the principal to the proper officials at any time as provided by law.
    2. In the event surrender of principal is made prior to the time set for principal's appearances, and for reason other than as enumerated below in paragraph 3, then principal shall be entitled to a refund of the bond premium.
    3. It is understood and agreed that the happening of any one of the following events shall constitute a breach of principal's obligations to ALLEGHENY CASUALTY COMPANY INCORPORATED hereunder, and ALLEGHENY CASUALTY COMPANY INCORPORATED shall have the right to forthwith apprehend, arrest and surrender principal, and principal shall have no right to any refund of premium whatsoever. Said events which shall constitute a breach of principal's obligations here under are:
      • If principal shall depart the jurisdiction of the court without the written consent of the court and ALLEGHENY CASUALTY COMPANY INCORPORATED of its Agent.
      • If principal shall move from one address to another without notifying ALLEGHENY CASUALTY COMPANY INCORPORATED or its Agents in writing prior to said move.
      • If principal shall commit any act which shall constitute reasonable evidence of principal's intention to cause a forfeiture of said bond.
      • If principal is arrested and incarcerated for any offense other that a minor traffic violation.
      • If principal shall make any material false statement in the application.

    READ ALL ITEMS CAREFULLY!! YOU ARE ASSUMING SPECIFIC OBLIGATIONS!!


  • Landlords Name




  • Employement




  • MM slash DD slash YYYY


  • Vehicle



  • MM slash DD slash YYYY


  • Attorney name and phone number
  • Are you on probation and where?

  • Name #1Yrs KnownOccupationAddressPhone
  • Name #2Yrs KnownOccupationAddressPhone
  • Name #3Yrs KnownOccupationAddressPhone

  • Relation #1NameOccupationAddressPhone
  • Relation #2NameOccupationAddressPhone
  • Relation #3NameOccupationAddressPhone

  • The defendant hereby warrant(s) that the foregoing declarations made and answers given are the truth without reservation and are made for the purpose of inducing the Surety to become surety or to procure suretyship on the bond or undertaking applied for herein, with the intent and purpose that they be fully relied on.

    WARNING: Any person who knowingly and with intent to injure, defraud, or deceive any insurer, files a statement of claim or and application containing any false, incomplete or misleading information is guilty of a felony of the third degree.

    PREMIUM ON THIS BOND IS NOT RETURNABLE EXCEPT AS PROVIDED BY THE RULES AND REGULATIONS.