All information furnished on this application will be utilized and relied upon in the issuance of any bond on or after the date above. By submitting this application you acknowledge & authorize the procurement and use a credit report for the individuals and/or business listed above. If submitted by a 3rd party, you acknowledge & agree that you have authorization by the applicant.

By checking this box and typing my name below, I am electronically signing my application.
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.