Fl Bond Issuance Form printable pdf download

STATE OF FLORIDA

OFFICE OF FINANCIAL REGULATION

BOND NO. _______________

We, _________________________________________, of ____________________________________

(Name of Commercial Collection Agency)

_______________________________ County of _____________, State of ________________________

(Street Address)

_______________________, principal and _____________________________________, a corporation

(Name of Surety Corporation)

incorporated under the laws of the State of _________________, and duly licensed to transact a surety

business in the State of Florida, are bound to the Financial Services Commission of the State of Florida as

Head of the Office of Financial Regulation, and the successors in the office of said Financial Services

Commission, for the use and benefit of any credit grantors as obligee, in the sum of fifty thousand dollars

($50,000), for which payment we bind ourselves and our respective heirs, legal representatives,

successors, and assigns, jointly and severally.

Principal is acting as a commercial collection agency as defined in Section 559.543(2), Florida

Statutes. Pursuant to Chapter 559, Part V, principal must obtain a bond in the amount of fifty thousand

dollars ($50,000), written by an acceptable surety, conditioned on conformance with Chapter 559, Part V,

Florida Statutes, as a commercial collection agency.

The condition of this bond is that principal shall act as a commercial collection agency in

compliance with the provisions of Chapter 559, Part V, Florida Statutes, and any promulgated rules that

may be issued now or hereafter of the State of Florida, Office of Financial Regulation, or its successors

and other lawful orders of the State of Florida, Office of Financial Regulation or its successors, and any

amendments to them, for this obligation to be null and void; otherwise it shall remain in full force and

effect.

This bond is issued subject to the following expressed conditions:

1. The principal shall file a copy of the original surety bond with the State of Florida, Office of

Financial Regulation, 200 E. Gaines Street, Tallahassee, FL 32399-0376, or its successors, upon applying

for registration and upon applying for renewal of such registration.

2. The bond may be cancelled by surety by giving thirty (30) days notice in writing to the

principal and the State of Florida, Office of Financial Regulation, 200 E. Gaines Street, Tallahassee, FL

32399-0376, or it successors, by United States certified mail and this bond shall be deemed cancelled at

the expiration of said thirty (30) days from the service of said notice, the surety remaining liable for all or

any parts of obligations covered by this bond which may have accrued by default of the principal prior to

the effective date of the cancellation.

Subject to the foregoing provisions for termination, this bond shall be deemed to be

continuous in form and shall remain in full force and effect and shall run until the date the surety receives

notice from principal by United States certified mail that principal is no longer acting as a commercial

collection agency, after which liability shall cease except as to any liability incurred or accrued during the

period of this bond. Within fourteen (14) days of receipt of notice that principal is no longer acting as a

commercial collection agency, surety shall serve a copy of principal's notice to the State of Florida, Office

of Financial Regulation, 200 E. Gaines Street, Tallahassee, FL 32399-0376.

OFR-CCA-101 Revised 5-01-2004

Fl Bond Issuance Form