BOND APPLICATION

 

Company Name:
(MUST BE EXACTLY AS IT IS TO APPEAR ON BOND)

Individual    Partnership    Corporation    LLC

Contact Name:

Business Address:

City, State, Zip:

Phone:     FAX:

Type of bond requested

  Dealer License (DMV,yMVD)     Sales Tax Bond     Other

BOND LIMIT: $10,000    $25,000    $50,000    Other

Effective date:

Ownership Information Name Social Security # Drivers License #
1. Owner
    Owner's Spouse
2. Owner
    Owner's Spouse

home address owner #1
                               owner #2

home phone owner #1
                          owner #2

Do you own your home? yes    no

have you or any partners ever claimed bankruptcy? yes    no

number of years in this business
number of years licensed

click below to send form

or complete, print and fax to:
(805) 584-6251

 

  AD-COMP
AD-COMP is a non-profit mutual benefit corporation owned by California franchised auto dealers who have grouped together for the purpose of insuring their Workers Compensation coverage.
Read more

  DEALER LIABILITY
Specializing  in providing 
comprehensive Garage Liability Insurance and Dealers Open Lot coverage...
Read more

  VSI
This program indemnifies you, the lender, against physical loss or damage to eligible collateral on all existing loans at
no additional cost...
Read more

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