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#1.) US Fire/Indemnitor App
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PROMISSORY NOTE For Bail Bond Premium Due
Robinson Bonding
3842 Leeds Ave.
North Charleston Sc, 29405
Date
*
Month
City and State
*
Defendant
*
Beginning Balance $
*
Monthly Payment $
*
Due on each:
Day of the Month
*
Beginning on:
*
OR
Weekly or Bi-weekly Payment:
Weekly
Bi-weekly
First payment due:
The Surety bondsman shall identify who is paying the premium and shall represent that the collateral security or other indemnity has not been obtained from any person who has a greater interest in the principal's disappearance than appearance for trial.
Indemnitor
Name:
*
Address:
*
Phone:
*
Email:
*
Indemnitor
Name:
*
Address:
*
Phone:
*
Email:
*
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