Fillable Form Ss-6004 - Surety Bond printable pdf download

SURETY BOND NO. __________________________________________________________________________

KNOW ALL MEN BY THESE PRESENTS: That we __________________________________________________________________

(Name of Professional Solicitor)

____________________________________________________________________________________________________________

d/b/a (fictitious name of trade name)

of __________________________________________________________________________________________________________

Street

City

County

State

Zip Code

_________________________________________________________________________________________________ as Principal,

and ________________________________________________________________________________________________________

(Name of Surety)

of __________________________________________________________________________________________________________

Street

City

County

State

Zip Code

are held and firmly bound unto the state of Tennessee for the use of the Secretary of State and any person who may have a cause of

action against the obligor of said bond for any losses resulting from malfeasance, nonfeasance or misfeasance in the conduct of

solicitation activities, in the full sum of twenty-five thousand dollars ($25,000), to the payment of which well and truly to be made, we

hereby bind ourselves, our heirs, administrators, executors, successors and assigns, firmly by these presents.

Signed, sealed, and dated this _____________day of ____________, 20 _______

WHEREAS, by T.C.A. § 48—101—501 et seq., persons desiring to act as professional solicitor of charitable funds are required to register with the

Secretary of State and furnish bond in the amount of twenty-five thousand dollars ($25,000), to be approved by the Secretary of State, conditioned upon

full compliance with the provisions of said Act and the valid rules and regulations adopted by the Secretary of State with respect to same.

NOW THEREFORE, the conditions of this obligation are such that if the above named Principal shall well and truly comply with the provisions of this

Act, as well as with the valid rules and regulations made by the Secretary of State respecting all of the provisions of the said Act, then this obligation

shall be void, otherwise to remain in full force and virtue in law.

This bond is a continuous obligation and shall cover the full period or periods of registration of the Principal, including initial and renewal registrations.

Each renewal registration shall be considered a separate registration period for purposes of this bond. This bond may be cancelled at any time by the

Surety upon giving thirty (30) days written notice to the Secretary of State, in which event the liability of the Surety shall, at the expiration of the said

thirty (30) days, cease except as to such liability as the Principal, on account of claims by persons aggrieved by the misconduct of such professional

solicitor of charitable funds, as may have accrued prior to the expiration of said thirty (30) days, it being understood that the Surety shall be liable, within

the penal sum mentioned herein, for the default of the Principal and fully discharging any liability on its part accruing during the life of its obligation.

IN WITNESS WHEREOF, the said Principal has caused its or his name to be hereunder signed and its seal affixed, and the said

Surety has caused its name to be hereunto duly signed and its seal affixed by __________________________________________

Attorney in Fact, this

day of

, 20

_____________________________________

_________________________________________

Name of Principal

Name of Surety

_____________________________________

_________________________________________

Signature of Signor