SURETY BOND
Arkansas State Board of Collection Agencies
523 South Louisiana Street, Suite 460
Little Rock, Arkansas 72201
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501-376-9814 Phone Number
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501-372-5383 Fax Number
Bond Number: ____________________________________
Effective Date: ____________________________________
KNOW ALL PERSONS BY THESE PRESENTS:
That we, _____________________________________________________________________________________, a collection agency,
as Principal, whose address is _____________________________________________________________________________________
and _________________________________________________________________________________________________, as Surety,
whose address is ________________________________________________________________________________________________
and phone number is _______________________________ are held firmly bound unto the State Board of Collection Agencies (“Board”)
in the sum of __________________________________________________________ DOLLARS ($____________________________)
payable to the Board in lawful money of the United States of America.
The Conditions of the Above Obligations Are Such That:
The Surety shall, upon written demand of the Board, pay an amount designated by the Board for the benefit of the Principal’s client(s) from
whom the Principal accepted and collected debts but failed to remit the collected funds to those client(s) in accordance with the Board’s
Rules and Regulations and Arkansas Code Annotated §17-24-101 et seq.
That the aggregate liability of the Surety for a breach of the conditions of the bond shall, in no event, exceed the amount of the bond. The
Surety shall have a right to cancel such bond upon written notice to the Arkansas State Board of Collection Agencies, given at least thirty
(30) days prior to the effective date of such termination; and that thereafter, the Surety shall be relieved of liability for any breach of
condition occurring after the effective date of the cancellation. This bond is effective until canceled by the Surety.
IN WITNESS WHEREOF, said Principal and Surety have executed this bond, this _____ day of _________________________, 2_____.
PRINCIPAL: ________________________________________________________________________
(Please Print)
BY: ________________________________________________________________________
(Signature)
________________________________________________________________________
(Printed Name and Title)
SURETY: ________________________________________________________________________
(Please Print)
BY: ________________________________________________________________________
(Signature)
________________________________________________________________________
(Printed Name and Title)
(SEAL)
(Please Attach Power of Attorney)
Revised March 2016