Form 4-5ba - Indemnity Bond Of Agent - 1990

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(Rev. 2/9/90)
STATE OF UTAH
DEPARTMENT OF COMMERCE
DIVISION OF SECURITIES
FORM 4-5BA
Indemnity Bond of Agent
)
STATE OF UTAH
)
ss.
)
COUNTY OF
KNOW ALL MEN BY THESE PRESENTS, THAT
(Agent)
of the County of
State of
as
and
State of
,
PRINCIPAL
a surety corporation duly qualified to do business in the State of Utah, as surety, is held and firmly
bound unto the State of Utah and/or any person, firm or corporation interested, in the sum of
lawful money of the United States of America for the payment
TWENTY-FIVE THOUSAND DOLLARS
whereof well and truly to be made, we do bind ourselves, our and each of our heirs, assigns,
executors and administrators, jointly and severally, firmly by these presents.
The condition of this obligation is such, that whereas, the Utah Division of Securities of the
State of Utah, under the provisions of the Utah Uniform Securities Act, has registered the said
principal herein named as an
in the State of Utah.
AGENT
, if the above bounden principal herein named as an
shall well and
NOW, THEREFORE
AGENT
truly comply with the provisions of the Utah Uniform Securities Act, then this obligation to be void,
otherwise to remain in full force and effect.
PROVIDED, HOWEVER, AND UPON THE FOLLOWING EXPRESS CONDITIONS:
, that nothing herein shall be construed to make the total maximum
PROVIDED, ALWAYS
liability hereunder of the above named principal and/or surety more than
TWENTY-FIVE THOUSAND
regardless of the number of acts of omission or commission of the above named principal.
DOLLARS
, that before any person, firm or corporation shall have any right of
PROVIDED, FURTHER
action, or any right whatsoever, against the principal and/or surety upon this bond, and before any
such right of action, or any such right whatsoever shall exist or arise, such person, firm or
corporation, within the period of two years after the termination of this bond, must have given to the
surety and the principal written notice of claim under this bond, and it is hereby stipulated and agreed
that the giving of such notice of claim under this bond within said period of two years shall be a
condition precedent to any right of action or right whatsoever against the principal and/or surety and
the failure to give such notice as aforesaid shall render this obligation null and void and of no effect
as to such person, firm or corporation.

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