Form U-Sb - Uniform Surety Bond Form - Securities Department

Form U-Sb - Uniform Surety Bond Form - Securities Department - Arkansas Page 2

FORM U-SB

PAGE 2 OF 2

Arkansas Securities Department (“Department”), in which case this Bond shall be considered

cancelled upon the expiration of said sixty day period, except as to liability for acts or omissions

which occur prior to the date of cancellation. Notice shall be deemed effective upon the receipt

by the Department of said written notice along with sufficient proof of notice to the Principal.

No suit may be maintained to enforce any liability arising under this Bond unless brought within

five years after the act or omission upon which jurisdiction is established against the Principal

and/or the Surety upon this Bond.

It is understood and agreed that any person(s) having a claim under the conditions of this

obligation may initiate suit in any court of competent jurisdiction against the Principal and/or the

Surety upon this Bond.

WITNESS OUR SIGNATURES, this _____ day of ___________________, 20________.

______________________________________

Principal

______________________________________________

Surety

______________________________________________

ACKNOWLEDGMENT

STATE OF __________________________)

COUNTY OF ________________________)

On this _____ day of ____________________, 20___, before me personally appeared

_________________________________, to me known to be the person described herein and

(Authorized Representative of Principal)

who executed the foregoing instrument, as the authorized representative of the Principal and

acknowledged to me that he executed the same.

(NOTARY SEAL)

_______________________________________

Notary Public,

County, ________________________________

My commission expires ___________________

Form U-Sb - Uniform Surety Bond Form - Securities Department - Arkansas Page 2