Form D-20ts - Vehicle Title Service Agent Bond

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KANSAS
VEHICLE TITLE SERVICE AGENT BOND
DEPARTMENT OF REVENUE
DIVISION OF VEHICLE
The original bond must be signed and mailed to the
Titles & Registrations/Dealer License Bureau, address on back of form.
TS/Folder #:
Bond #:
KNOW ALL MEN BY THESE PRESENTS:
, a
THAT
Individual Proprietorship
Partnership
Corporation
LLC
LL
LC
with main office location at
(Street Address)
(City)
(State)
(Zip)
as principal, and
a corporation authorized to transact
(Surety)
business in Kansas, as surety, are held and firmly bound unto the STATE OF KANSAS and severally to such persons who shall conduct business
with said principal in its capacity as a vehicle title service agent in the sum of Twenty-five thousand dollars ($25,000.00), lawful money of the United
States, to the payment of which, well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, assigns and successors
firmly by these presents.
WHEREAS, the above-named principal is a vehicle title service agent within House Bill 2645 passed during the 2006 Legislative Session,
concerning acting as a vehicle title service agent and is required by such article to comply with the provisions applicable to the licensee, this bond
exists as indemnity for any loss sustained by a vehicle title service agent by reason of any act by the licensee constituting grounds of suspension or
revocation of the license, in accordance with and under authority House Bill 2645 passed during the 2006 Legislative Session
NOW, THEREFORE, the condition of this obligation is such that if the above-named principal shall faithfully comply with the provisions of said
article concerning acting as a vehicle title service agent and rules and regulations promulgated pursuant thereto, this obligation shall be void and of
no effect; otherwise it shall be remain in full force and effect.
IT IS FURTHER UNDERSTOOD AND AGREED that the above obligation shall extend, without notification to the Surety, to any change of
officers of the Principal, if the Principal is a corporation, to any additional locations or changes of address of the Principal or to any substitution of
business name of the Principal wherein ownership is not changed.
IT IS FURTHER UNDERSTOOD AND AGREED that regardless of the number of years this bond may remain in force and number of claims which
may be made against this bond, the aggregate liability of the surety for any and all claims shall not exceed the amount stated above, and that the
surety shall have the right to cancel the bond upon the giving thirty (30) days written notice of cancellation to the Principal and the Kansas
Department of Revenue, Division of Vehicles, Titles & Registrations/Dealer License Bureau, Topeka, KS 66626-0001.
This bond effective on and after the:
Month
Day
Year
.
RENEWAL DATE OF BOND:
Month
Day
Year
.
Witness our hands at
, Kansas, this:
Month
Day
Year
.
City
Principal:
BY:
ATTEST:
Signature of Vehicle Title Service Owner or President
Signature of Second Corporate Officer
Hand Printed Name of the Person that Signed Above
Hand Printed Name of the Person that Signed Above
Position Title w/in Corp.
S
I
URETY
S
NFORMATION
(
)
Surety’s Name
Phone Number
Address
City
State
ZIP
(Seal of Corporate Surety)
Signature of
Attorney in Fact:
Attorney-in-fact must attach a copy of written authority (Power of Attorney)
Hand Printed Name of the Person that Signed Above
D-20ts (New 12-/06)

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