Form Geo-1 - Geophysical Exploration Bond
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1
2STATE OF MONTANA
Prepare, sign, submit with an original signature and filing fee.
This is the minimum information required.
(This space for use by the Secretary of State only)
GEOPHYSICAL EXPLORATION BOND
LINDA McCULLOCH
MAIL:
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
PHONE:
(406) 444-3665
FAX:
(406) 444-3976
WEB SITE:
sos.mt.gov
Filing Fee: $15.00
24 Hour Priority Filing check box and Add $20.00
1 Hour Expedite Filing check box and Add $100.00
Surety Bond No.: _______________________________________________________________________________
TO FULFILL THE REQUIREMENTS OF SECTION
82-1-104,
MCA, KNOW ALL MEN BY THESE PRESENTS:
That we:
______________________________________________________________________________________________
)
(Name of Corporation
City of: ____________________________________ County of: _________________________________________
State of: ____________________, as Principal, and: ___________________________________________________
(Name of Surety)
A corporation organized and existing under the laws of the State of: _____________________________________,
and duly authorized to transact a general surety business in the State of Montana, as Surety, are held and firmly
bound unto the State of Montana, in the penal sum of $________________________, to the payment where of
well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly
and severally, firmly by these presents.
WHEREAS, said: _________________________________________________________ will engage in geophysical
(Name of Corporation)
exploration with the State of Montana.
NOW, THEREFORE, the condition of the above obligation is such that if said principal, its successors and assigns
shall promptly pay the owners of the property within the State of Montana for such geophysical damage to such
property as may arise as a result of such geophysical exploration by:____________________, then this obligation
________________________________________________________________________________________________________________________________
(Name of Corporation)
shall be and become null and void, but otherwise shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed these presents on this: ________________________ day
of
, 20 ______
____________________________________________________________
PRINCIPAL:
BY:
____________________________________________________________
__________________________________________________
(Name of Assignor)
ATTEST:
SURETY:
____________________________________________________________
________________________________________________
(Secretary-Treasurer)
BY:
COUNTERSIGNED:
_________________________________________________________
_____________________________________________
(Montana Resident Agent)
sos.mt.gov/Business/Forms
78-Geophysical_Exploration_Bond.doc
Revised: 6/15/2011
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