Form 702 - Motor Fuel, Motor Carrier Or Tobacco Products License Surety Bond Form - Michigan Department Of Treasury Page 2

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702, Page 2
The surety named above reserves the right to withdraw as such surety upon the giving of written notice of
such withdrawal to the State of Michigan. The surety shall not be released from any liability incurred or
accruing on the bond for the period commencing on or before the date of the request and terminating 60 days
after the date of the request. Notwithstanding, this right of withdrawal does not effect or waive any statutory
provisions as set forth in the applicable Michigan statute.
In witness of this bond, we have hereunto set our hands and seals the day and year first written
above.
If a corporation, corporate seal
for Principal
Legal Name of Principal
Legal Signature of President (Owner)
Legal Signature of Secretary or
Treasurer
If a corporation, corporate seal
for Surety
Name of Surety
Legal Signature of Surety
(If executed by a corporation, or other business entity, attach a copy of the resolution and Power of Attorney authorizing
execution hereof.)

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