Probate/Estate Bond Application

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Application Number:

Maximum Premium:

Surrogate Court Location

State
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County
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IN THE MATTER OF:
Court Docket Number:
Bond Amount:
Decedent's Date of Death:

Has an Attorney been retained in the distribution of the estate?

Has any Surety denied an application for this Bond?

Is an ongoing business (including rental property) an asset of the Estate?

Administrator/Applicant's Personal Information:

Home address:

Applicant's Info:

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Has Applicant ever filed for bankruptcy?

Has Applicant ever had a criminal conviction?

Are there any unresolved lawsuits involving Applicant or Applicant's Spouse?

Are there any unpaid judgments or liens against Applicant or Applicant’s Spouse (including judgments or liens in favor of any state/local/federal tax authority, any state agency or for child support)?

Is Applicant over 30 days past due on any credit cards/auto payments/mortgages?

Is Applicant aware of any disputes among heirs or interested parties related to this matter?

Is there a surviving spouse?

Are there surviving children?

Did Decedent have any children with someone other than Decedent's surviving spouse(s)?

The Service Insurance Company, Inc.

(used in CT, GA, KY, MD, MA, MS, MT, NH,

NJ, NY, PA, RI, TN & WV) 

DBA Service Guarantee and Surety

Company in AL, DE, FL, NC, SC, VA

and the District of Columbia.

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