Form U-Sb - Uniform Surety Bond Form - Securities Departmnt printable pdf download

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

FORM U-SB

PAGE 1 OF 4

UNIFORM SURETY BOND FORM

STATE OF ARKANSAS

SECURITIES DEPARTMENT

LITTLE ROCK, ARKANSAS

Bond No. ___________________

KNOW ALL PERSONS BY THESE PRESENTS:

That, _________________________________________________________________________

Name and address of broker dealer, investment adviser or agent of the issuer

____________________________________________________________________________________________

Principal, having filed with the office of the Arkansas Securities Department on or about the

________ day of __________, 20 _______, an application to transact business in the State of

Arkansas as a_______________________________________________________________________

Designate whether principal is broker-dealer, investment adviser, agent of the issuer

and_______________________________________________________________________________

Name and address of surety

as Surety, a corporation organized under the laws of the State/Commonwealth/Territory of

_________________________________________________ and being duly authorized to transact the

business of indemnity and suretyship in this State, do hereby acknowledge our indebtedness to the State

of Arkansas, for the use and benefit of any person(s) having a claim under the conditions of this

obligation, in the sum of _______________ Dollars ($________________), as required by the

Arkansas Securities Act [Ark. Code Ann. § 23-42-101 et seq. (1987)], provided, however, that the

aggregate liability hereunder shall not exceed the sum of ___________________________ Dollars

($_________________), regardless of the number of claimants, and shall not be construed as individual

liability.

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