Arizona used vehicle dealer bond for new vehicles or used vehicles

Notary Bonds And Notary Public Services For The Entire State of Arizona

We Also Issue
Tax Preparer Surety Bond
Private Investigator Bond
Employment Agency Bond
ERISA Bond
Hunting/Fishing License Agent
Automotive Dismantler/Recycler
Arizona Brewery Bond
Arizona Highway Permit Bond
Arizona Dishonesty Bond
Heating & Air Conditioning Bond
Local License & Permit Bond
Arizona Peddler's Permit Bond
Arizona Probate Bond
Arizona Public Official Bond

This bond requires a submission and an approval procedure using the infomration you supply below. Please fill out this application and we will get back with you shortly regarding this application.

* - Required Field

Current Bond Rate 1%

*Requested effective date

This bond is for a 1 year term

/ /

*Requested Bond Amount

Principal Information

*Business Type
*Name Type
If DBA is Selected please include DBA name here.

*Print your name exactly as you want it to appear on your Bond

*Social Security Number
This bond requires a credit check. By submitting this information you are agreeing to
have RLI Surety pull a copy of your credit report.

*Principal Address

Address Line 1
Address Line 2
City
State
Zip code

*Bond Information

Bond Description:
City of Business Location:
County of Business Location:
State of Business Location:

Name of 1st Person Signing on Behalf of Principal:
Title of 1st Person Signing on Behalf of Principal:

If Partnership, Name of 2nd Partner:
If Partnership, Title of 2nd Partner:
If Partnership, Name of 3rd Partner:
If Partnership, Title of 3rd Partner:

*Applicant Information

Name:

Address1:

Address2:

City

State:

Zip:

Applicant's Percent of Ownership:
Applicant's Date of Birth:	(MM/DD/YYYY)
Applicant's Home Phone Number:
Applicant's Length of Time at Present Address:
Does applicant Own or Rent at current residence?


Current Value of Applicant's Residence (Enter Numeric Response ONLY):

Applicant's Loan Balance on Current Residence (Enter Numeric Response ONLY):
Applicant Ever Declared Bankruptcy?
Any Unpaid IRS or State Liens?
Applicant Have Any Lawsuits Pending?

*Additional Application Information

Nature of Business or Occupation:
Total Number of Owners:
Business Phone Number:
Number of Years in Business:
Previous Surety?
If Yes, Previous Surety Name:
Reason for Changing Surety:

Also a Statement of Assets and Liabilities must be submitted to the Sucato Agency L.L.C.. That statement is available and fillable online via our web site by clicking below.
CLICK HERE TO DOWNLOAD STATEMENT OF ASSETS form.
*NOTE: THIS WILL OPEN IN A NEW WINDOW SO YOU CAN STILL SUBMIT THIS APPLICATION

you can fax the completed financial statement to 602-956-5956
or
email it to orders@arizona-notary-bond.com

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