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

Form U-Sb - Uniform Surety Bond Form

Form U-SB

Uniform Surety Bond Form

State/Commonwealth/Territory of

______________________________________________________________________________

Name of Agency

______________________________________________________________________________

Address of Agency

Bond No. __________________

KNOW ALL PERSONS BY THESE PRESENTS:

That,

______________________________________________________________________________

Name and address of broker-dealer or investment adviser

______________________________________________________________________________

as Principal, having filed with the office of the

__________________________________________________

Name of agency requiring bond

on or about the __________ day of _______________, 20_____, an application to transact

business in this State/Commonwealth/Territory as a

______________________________________________________________________________

and

Designate whether principal is B/D or I/A

__________________________________________________ as Surety, a corporation organized

Name and address of Surety

under the laws of the State/Commonwealth/Territory of _______________________and being

duly authorized to transact the business of indemnity and suretyship in this

State/Commonwealth/Territory, do hereby acknowledge our indebtedness to the

State/Commonwealth/ Territory of ____________________ 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 ____________________________provided, however, that the

Statute Requiring Bond

aggregate liability hereunder shall not exceed the sum of ______________________ Dollars,

Form U-Sb - Uniform Surety Bond Form