Form Corp - P06 - Deposit In Lieu Of Surety Bond Form (Page 4 of 4) in pdf

Form Corp - P06 - Deposit In Lieu Of Surety Bond Form Page 4

____________________________________

Banking Commissioner of Texas

____________________________________________________________________________________,

Custodian, hereby acknowledges receipt of the Deposit described in the foregoing agreement, and

covenants and agrees that the same will be held by it for the purposes and subject to the terms and

conditions of this agreement, but reserves the right to resign as Custodian by giving 30 days written

notice to the signers of the Agreement at the addresses specified below.

_____________________________

Banking Commissioner of Texas

_____________________________

2601 North Lamar Blvd.

_____________________________

Austin, Texas 78705

_____________________________

(Registrant's Name and Address)

Custodian will become bound by the terms of this Agreement only after it receives an original counterpart

fully executed by all parties.

_____________________________

(Custodian's Name)

By:_________________________________

(Signature)

Printed Name:________________________________

Title:________________________________

DATED: __________________

_______________________

By:

______________________________

(Date)

(Signature)

____________________________________

(Typed or Printed Name)

____________________________________

(Title)

CORP – P06 [04/13]

Texas Department of Banking

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Form Corp - P06 - Deposit In Lieu Of Surety Bond Form Page 4