Franchisor Surety Bond Form - State Of Maryland Securities Division Page 2

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INSTRUCTIONS:
1.
This side is to be completed by a notary public for both the Principal and the Surety.
2.
Please attach the Power of Attorney and Certified Copy of the Corporate Resolution for the Surety
listed herein.
STATE OF ___________________________)
) ss.
ACKNOWLEDGMENT OF PRINCIPAL
COUNTY OF _________________________)
(INDIVIDUAL PROPRIETORSHIP)
The foregoing instrument was acknowledged before me this ______day of ________, _____
by __________________________________________________________________________________
(Name of Person Acknowledged)
(CORPORATION)
The foregoing instrument was acknowledged before me this ______ day of ________, _____
by ___________________________________________________________, President of
(Name of Corporation President)
____________________________________________, a ___________________________________________
(Name of Corporation)
(State of Incorporation)
corporation, on behalf of the corporation.
(PARTNERSHIP)
The foregoing instrument was acknowledged before me this ______day of _________, _____
by ____________________________________________________________, a partner on behalf of
(Name of Acknowledging Partner)
___________________________________________________, a partnership.
(Name of Partnership)
__________________________________________
Notary Public
NOTARY SEAL
Cty: ______________________
Comm. Exp: ________________________
STATE OF ___________________________)
)ss.
ACKNOWLEDGMENT OF SURETY
COUNTY OF _________________________)
The foregoing instrument was acknowledged before me this ______ day of __________, ______
by __________________________________________________________________________________________
(Name and Title of Officer or Agent)
of _________________________________________________________________________________________,
(Name of Corporation Acknowledging)
a _______________________________________ corporation, on behalf of the corporation.
(State of Incorporation)
__________________________________________
Notary Public
NOTARY SEAL
Cty: ______________________
Comm. Exp: ________________________

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