Credit Services Organization Bond - U.s. Department Of State printable pdf download

Bond No. _____________________

CREDIT SERVICES ORGANIZATION BOND

KNOW ALL MEN BY THESE PRESENTS, that we ____________________________________ (Name of

Credit Services Organization) of _______________________________________________________

(Complete Address, including Street, City, State, Zip Code) hereinafter referred to as the Principal, and

___________________________ (Surety), a corporation duly organized and existing under the laws of the

State of ____________________ and authorized to do business in the Commonwealth of Pennsylvania, as

Surety, are held and firmly bound unto the Commonwealth of Pennsylvania, herein after referred to as Obligee,

in the sum of __________________________ ($_____________) lawful money of the United States of

America, to the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors,

administrators, successors and assigns, jointly and severally.

This bond shall be conditioned upon the faithful performance by the Principal of its obligations as a

credit services organization under the Credit Services Act (Act 150 of 1992), 73 P.S. §§ 2181-2192, and

shall be in favor of the Commonwealth for the benefit of any person who is damaged by any violation of

the Act or by any practices of the credit services organization.

Now, therefore, if the above Principal shall indemnify and keep harmless the Obligee from all loss or damage

which it may sustain or for which it may become liable by reason of said Principal’s failure to provide services

in accordance with the Credit Services Act, then the above obligation shall be void; otherwise, to remain in full

force and effect.

This bond will expire on _________________________ (date), but may be continued by continuation

certificate signed by Principal and Surety. The Surety may at any time terminate its liability by giving thirty

(30) days written notice to the Obligee, and the Surety shall not be liable for any default after such thirty day

notice period, except for defaults occurring prior thereto.

Signed, Sealed and Dated this

day of

, 20

Principal: ________________________________

By: _____________________________________

Name: ___________________________________

Title: ____________________________________

Bonding Company/Surety: _________________________________ EIN = __________________

By: _____________________________________

Name: ___________________________________

_________________________________________

Title (Attach Attorney In Fact if required)

_________________________________________

Qualified Pennsylvania Resident Agent (if required)

Department of State Bureau of Corporations and Charitable Organizations

Credit Services Organization Bond – 73 P.S. §2187

Credit Services Organization Bond - U.s. Department Of State