Dfi Mt Bond Form, 12-06, Bond Form - Money Transmitters License
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1BOND FORM – MONEY TRANSMITTERS LICENSE
Department of Commerce and Consumer Affairs
INSTRUCTIONS FOR FILING:
Division of Financial Institutions
1.
Complete all sections of form as required.
P.0. Box 2054
2.
Both applicant and surety must complete and
Honolulu, HI 96805
notarize form.
Tel. (808) 586-2820
3.
Failure to submit a completed form will delay
processing of your license.
4.
Attach Power of Attorney if applicable.
BOND NO.
KNOW ALL MEN BY THESE PRESENTS:
THAT WE
,
,
(Name of Applicant)
,
of
State of
__________________, as Principal,
(Address)
,
authorized to do business in the State of Hawaii, as
and
(Name of Surety)
Surety, are held and firmly bound unto the Commissioner of Financial Institutions, as Obligee, in the penal sum of
________________
___ Dollars ($____
_____) lawful money of the United States of America, for
the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and
assigns, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT:
WHEREAS, the above bounden Principal has been granted a license under the provisions of Chapter 489D, Hawaii Revised
Statutes, to conduct and engage in the business of a money transmitter in the State of Hawaii;
NOW, THEREFORE, if the said Principal shall fully and faithfully comply with all provisions of Chapter 489D, Hawaii Revised
Statutes, and with such valid rules and regulations as may be promulgated by the Commissioner of Financial Institutions pursuant
to the provisions of Chapter 489D, Hawaii Revised Statutes, then this obligation shall be void; otherwise, this obligation shall be
and remain in full force and effect.
AND, as provided in Section 489D-7, Hawaii Revised Statutes, the State of Hawaii, or any person who has been or claims to
have been injured by the breach of the above-mentioned conditions shall have a right of action to recover on this bond in his own
name, provided that the aggregate liability of the Surety to all such persons shall in no event exceed the amount of this bond.
AND, this bond shall remain in full force and effect and shall be continuous in nature, and the Surety may cancel or
terminate this bond by giving thirty (30) days written notice to the Obligee.
IN WITNESS WHEREOF, we the said Principal and the said Surety, have hereunto set our hands this
day of
, 20
.
Subscribed and sworn to before me
this
day of
, 20
Principal:
By:
Notary Public, State of
My commission expires:
Its
Subscribed and sworn to before me
this
day of
, 20
Surety:
By:
Notary Public, State of
My commission expires:
Its
DFI MT Bond Form (12-06 Final).doc
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