CASH BONDING AGENT
PROFESSIONAL CASH BAIL AGENT
CASH QUALIFICATION BOND
The condition of this special deposit (cash qualification bond) is to guarantee that
______________________________ shall well and truly make full and prompt payment of any
(Typewritten name of Principal)
bail bond issued by himself or herself to the court ordering such bond forfeited. It is understood
that the cash qualification bond shall be held in the name of the Colorado Division of Insurance
and upon written demand by the Commissioner of Insurance, this deposit shall be immediately
declared to be the property of the State of Colorado and subject to immediate withdrawal by the
proper Commissioner as required by law. This special deposit must consist of assets, which
may be immediately liquidated by the Colorado Division of Insurance.
It is further understood that this special deposit cannot be withdrawn or transferred by
the Principal unless authorized in writing by the Commissioner of Insurance.
This special deposit in the amount of $ ____________________________________________
(no less than fifty thousand dollars)
is identified as Account Number __________________________________________________.
It is further understood and agreed that interest shall be paid to the principal pursuant to the
terms of the deposit agreement, unless the money is withdrawn before any regular interest
period. However, no interest shall be paid to the Principal if the special deposit has fallen below
the bond amount set forth above, unless prior to said interest payment, the Principal has
deposited sufficient additional funds to return the special deposit to the bond amount set forth
above, as required by C.R.S. 1973, 12-7-103(3)(a) & (b), C.R.S. If the Principal fails to deposit
such additional funds to the special deposit, the amount of the remaining deposit plus any
accumulated interest, the total of which does not exceed the bond amount above, shall be
considered to be the property of the State of Colorado and subject to withdrawal by the State as
set forth in the first paragraph hereof.
_____________________________________________
NAME OF BANK
_____________________________________________
_____________________________________________
(SEAL) _____________________________________________
ADDRESS
_____________________________________________
SIGNATURE OF OFFICER OF THE BANK
_____________________________________________
NAME AND TITLE 0F OFFICER
SUBSCRIBED AND SWORN to before me this ___________ day of
_______________________, A.D. ________.
____________________________________ _____________________________________
MY COMMISSION EXPIRES NOTARY PUBLIC
_____________________________________________
SIGNATURE OF PRINCIPAL
SUBSCRIBED AND SWORN to before me this ___________ day of
_______________________, A.D. _________.
_____________________________________ _____________________________________
MY COMMISSION EXPIRES NOTARY PUBLIC
H:\INSDIV\INVESTIG\ CASHBOND
DOI INV (6/01)
STOCK# 6006-39 7/01