TERMS AND CONDITIONS
The following terms and conditions are an integral part of this application for appearance bond No. ___ dated ___ for which ___ Surety Company or its agent shall receive a premium in the amount of ___ ($___) Dollars, and the parties agree that said appearance bond is conditioned upon full compliance by the principal of all said terms and conditions and is a part of said bond and application therefor.
INFORMATIONAL NOTICE
For complaints or inquiries, please contact:
Florida Department of Financial Services
Division of Consumer Services
200 East Gaines St.
Tallahassee, FL 32399-0322
(877) 693-5236 (in-state)
(850) 413-3089 (all areas)
Signed, sealed and delivered this __ day of __, 20___.
Signature of Applicant
_______________________
Mailing address
_______________________
Fla. Admin. Code Ann. R. 69B-221.100
Rulemaking Authority 648.26 FS. Law Implemented 648.4425 FS.
Repromulgated 12-24-74, Formerly 4-1.16, Amended 9-10-91, Formerly 4-1.016, Amended 1-22-03, Formerly 4-221.100.