Home
Who We Are
What We Do
- Insurance
  - CLIPs
  - SURPLUS LINES FRONTING
- Surety
Blog
Payment
Claims
- BMC-84 Freight Broker Bond Claims
- General Surety Claims
Contact Us

Home
Who We Are
What We Do
- Insurance
  - CLIPs
  - SURPLUS LINES FRONTING
- Surety
Blog
Payment
Claims
- BMC-84 Freight Broker Bond Claims
- General Surety Claims
Contact Us

Large Bond Approval Form

LARGE BOND APPROVAL FORM ENTRY

Please fill out the following form and submit for approval.

If you do not receive a telephone call reply to your submission within fifteen minutes, please contact us immediately by telephone.

Defendant *

Bondsman *

Amount *

Bondsman Phone Number *

Power # *

Email* *

Jail/Jurisdiction *

Incarceration Date *

Charges *

Potential Punishment *

Prior Convictions *

Prior Jail Time* *

Facts related to arrest/charges *

When Arrested *YesNo

Private Lawyer *YesNo

Retainer Paid to Lawyer *YesNo

Social Security No. *

Gender *MaleFemale

U.S. CitizenYesNo

Next Court Date*

Expected Duration of Bond *

Defendant's DOB *

Born (City) *

Raised (City) *

Length of residence in current city *

Education/Trade *

How long? *

Employment* *

Length of current employment *

Current Home Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Own home? *YesNo

Living with?

Married?

Spouse's name

Spouse's occupation

Length of marriage

Children?If yes, enter the information below. If no leave it blank.

Child's Name #1 First Name

Child's Name #1 Last Name

Child's Name #2 First Name

Child's Name #2 Last Name

Child's Name #3 First Name

Child's Name #3 Last Name

Child's Name #4 First Name

Child's Name #4 Last Name

Parents Living?If yes, enter the information below. If no leave it blank.

Father First Name

Father Last Name

Mother First Name

Mother Last Name

Siblings?If yes, enter the information below. If no leave it blank.

Sibling's Name #1 First Name

Sibling's Name #1 Last Name

Sibling's Name #2 First Name

Sibling's Name #2 Last Name

Sibling's Name #3 First Name

Sibling's Name #3 Last Name

Sibling's Name #4 First Name

Sibling's Name #4 Last Name

Other Relatives #1 First Name

Other Relatives #1 Last Name

Other Relatives #2 First Name

Other Relatives #2 Last Name

Previously Bailed by Agent? *

FTA History

Who paying premium? *

In Full or Over Time? *

Defendant Check-In Required? *YesNo

GPS Anklet or Other Conditions

Notes

Indemnitors

Indemnitor #1 First Name

Indemnitor #1 Last Name

Indemnitor #1 Relationship

Indemnitor #1 Annual Income

USD

Indemnitor #1 Occupation

Indemnitor #2 First Name

Indemnitor #2 Last Name

Indemnitor #2 Relationship

Indemnitor #2 Annual Income

USD

Indemnitor #2 Occupation

Indemnitor #3 First Name

Indemnitor #3 Last Name

Indemnitor #3 Relationship

Indemnitor #3 Annual Income

USD

Indemnitor #3 Occupation

Indemnitor #4 First Name

Indemnitor #4 Last Name

Indemnitor #4 Relationship

Indemnitor #4 Annual Income

USD

Indemnitor #4 Occupation

Indemnitor #5 First Name

Indemnitor #5 Last Name

Indemnitor #5 Relationship

Indemnitor #5 Annual Income

USD

Indemnitor #5 Occupation

Collateral

Property Location (1)

Owner

FMV

1st Lien

2nd Lien

100% Equity

80% Equity

Documentation Checklist

Completed Bail Bond Application *YesNo

Completed Indemnity Agreements *YesNo

Property Collateral

Deed of Trust/Mortgage *YesNo

Evidence of Property Value (Tax Assessment, Appraisal, DataQuick, etc)? *YesNo

Evidence of Liens (title work, mortgage statement, etc)? *YesNo

Please do not fill in this field.

By clicking here, I agree to be contacted at the number or email provided

888-888-2245

410-625-0800

Lexington National Insurance Corporation
11426 York Road, 2nd Floor
Cockeysville, Maryland 21030

Copyright © 2024. Lexington National. All Rights Reserved.

Website design by Reflective Matrix

Lexington National Terms & Privacy Notice

best-badge

Surety Bonds

Contract Surety Commercial Surety

Validate a Bond

First Name *

Last Name *

Email Address *

Phone *

Bond Number *

Principal *

Obligee *

Name as it appears on the bond *

Comments

Please do not fill in this field.

CONTACT OUR Executive TEAM

Ronald Frank

rfrank@lnic.com
John Dykstra

john@lnic.com
Phyllis Frank

phyllis@lnic.com
Randy Parton

randy@lnic.com
Mark Holtschneider

mark@lnic.com
Kim Marzullo

kim@lnic.com
Robin Frank

robin@lnic.com
Lisa Slater

lisa@lnic.com
Scott Williams

scott@lnic.com
Susan Jordan

susan@lnic.com

Cookie Settings Center

Privacy Overview
Necessary Cookies
Preferences Cookies
Analytics Cookies
Marketing Cookies
Social Media Cookies
See our Cookie Policy

Privacy Overview

We use cookies and other tracking technologies to ensure that we give you the best experience on our website, analyse your use of our products and services, assist with our promotional and marketing efforts, and provide content from third parties. More info

Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site may not work then.

Cookies used:

CookieName1
CookieName2
CookieName3

Preferences Cookies

These cookies allow the provision of enhance functionality and personalization, such as videos, live chats and your preferred language. They may be set by us or by third party providers whose services we have added to our pages. If you do not allow these cookies, then some or all of these functionalities may not function properly.

Cookies used:

CookieName1
CookieName2
CookieName3

Analytics Cookies

These cookies allow us to count visits and traffic sources, so we can measure and improve the performance of our site. They help us know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is anonymous. If you do not allow these cookies, we will not know when you have visited our site.

Cookies used:

CookieName1
CookieName2
CookieName3

Marketing Cookies

These cookies are set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant ads on other sites. If you do not allow these cookies, you will not experience our targeted advertising across different websites.

Cookies used:

CookieName1
CookieName2
CookieName3

Social Media Cookies

These cookies are necessary to display content from social networks such as facebook, twitter, pinterest, etc. In such a way that you can share our content with your favorite social networks.

Cookies used:

CookieName1
CookieName2
CookieName3

Accept All Cookies

Cookie Preferences!

We use cookies to improve your experience. By continuing to use our site, you accept our use of cookies

Accept Cookies

Reject All

Manage Preferences