Form 4-5ba - Indemnity Bond Of Agent - 1990 (Page 2 of 2) in pdf

Form 4-5ba - Indemnity Bond Of Agent - 1990 Page 2

Page 2 of 2

Form 4-5BA

, that the liability of the surety on this bond is limited to actual cases of

PROVIDED, FURTHER

fraud or dishonesty committed by the principal in an AGENT capacity.

, that either the principal or the surety may cancel this bond as an entirety

PROVIDED, FURTHER

by giving sixty (60) days written notice to the Utah Division of Securities at Salt Lake City, Utah, and

if cancelled by the surety, copy of said notice of cancellation shall be sent by registered mail to the

principal hereunder. Said notice to the Utah Division of Securities shall also be sent by registered

mail. In case of such cancellation by either the principal or the surety, no further obligation shall be

incurred under this bond after the expiration of said sixty days, but the liability of the principal and

surety shall apply as above set out as to any acts or omissions which may have occurred prior to the

effective date of such cancellation.

The period for which this bond shall remain in force and effect, unless previously cancelled

as hereabove provided for, shall be for the effective period of the registration statement of

, at the expiration of which time it shall ipso facto cease and terminate as to

all future transactions only.

, the said parties hereunto have set their hands and affixed their

IN WITNESS WHEREOF

respective seals this

day of

, 19

(Signature of Principal)

(Title)

(Surety)

(Capacity of person signing)

(Seal)

Attach Statutory Affidavit in this space.

Form 4-5ba - Indemnity Bond Of Agent - 1990 Page 2