As part of the application and underwriting process:
This is to inform you that a consumer report or an investigative consumer report may be obtained by the bonding company from a Consumer Reporting Agency for the purposes of reviewing and determining your eligibility for a surety bond. This report may contain information bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living from public record sources or through personal interviews with your neighbors, friends or associates. As agents of the bonding company we do not see this information nor do we as agents make any decisions based on the information. All underwriting decisions rest with the bonding company underwriter. A copy of the credit information may be obtained directly from the Consumer Reporting Agency which complied and released the information to the bonding company.
I have read and agree to the bonding company obtaining this report.
Any person completing or filing an application to a surety, insurance company or their agents, for the purpose of obtaining bonding or insurance, knowingly, with the intent to defraud, mislead or induce, make materially false, incomplete or misleading information, or conceal information concerning any material fact, commits a fraudulent act which if convicted is a crime punishable by incarceration and subject to civil penalties as governed by the jurisdiction and applicable State and Federal statutes.
The Fraud Warning has been read and the Application Completed by