Free CSO-2 - West Virginia

State of West Virginia
Building 1 Suite 157-K 1900 Kanawha Blvd. E Charleston WV 25305-0770

Secretary of State

Telephone:(304) 558-8000 Toll Free: 1-866-SOS-Vote FAX: (304)558-8381

SURETY BOND CREDIT SERVICES ORGANIZATION (WV CODE CHAPTER 46A, ARTICLE 6C) Bond Number ________________
KNOW ALL PERSONS BY THESE PRESENTS That _____________________________________________________________as PRINCIPAL, a credit service organization, and whose address for service of process is ___________________________ and ______________________________, a corporation authorized to transact a general surety business in the State of West Virginia, as surety, whose address is __________________________________________, are held and firmly bound to the State of West Virginia in the sum of fifteen thousand dollars ($15,000), for the payment of which, we bind ourselves, our heirs, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, The principal is engaged in the business of selling the services of a credit services organization within the meaning of Section 46A-6C-2 of the West Virginia Code and is required by the provisions of Section 46A-6C-3(1) and 46A-6C-4 of the West Virginia Code to furnish a bond conditioned as herein set forth, and this bond is executed and tendered in accordance therewith. NOW, THEREFORE, The conditions of this obligation are that if the principal complies with the provisions of Chapter 46A, Article 6C of the West Virginia Code and does not damage any person by any violation of said article then this obligation is to be void, otherwise it is to remain in full force and effect. Any person damaged by any violation by the principal of Chapter 46A, Article 6C of the West Virginia Code may bring an action of law against the principal and surety on this bond in his or her own name to recover such damages. The liability of surety for any claim arising under this bond shall not exceed the actual damages arising from the principal's violation of said code provisions and surety shall not be liable for the punitive damages permitted under Section 46A-6C-9 of the West Virginia Code. The aggregate liability of the surety on all claims whatsoever shall not exceed the penal sum of the bond. This bond shall be effective from the _______day of _____________, 20___, and continue for two years after the date that the credit service organization ceases operations, unless new security is provided in the form of a surety trust account as permitted by West Virginia Code 46A-6C-4. IN WITNESS WHEREOF, the principal and surety have executed this instrument the ______ day of _______________, 20_____.

{Raised Seal}

{Raised Seal}

____________________________ Name of Business

____________________________ Name of Business

__________________________ Signature

__________________________ Signature

__________________________ Title

__________________________ Title

Countersigned By __________________________ WV Resident Agent Attach Power of Attorney with raised seal, current as of execution date.

Official Form CSO-2

Acknowledgement by Principal if Individual or Partner STATE OF __________________________, SS County of ____________________________, to-wit

I, ________________________________, a Notary Public in and for the county and state foresaid, do hereby certify that __________________________________ whose name is signed to the
Name of individual or partner

foregoing writing has this day acknowledged the same before me in my said county. Given under my hand this ___________ day of ____________________________, 20_____.

(Notary Seal)

__________________________________________________ Signature of Notary Public

My commission expires on the _____ day of _______________________, 20_____.

________________________________________________________________________
Acknowledgement by Principal if Corporation STATE OF __________________________, SS County of ____________________________, to-wit

I, ________________________________, a Notary Public in and for the county and state foresaid, do hereby certify that ________________________________________________, who as
Name of Corporate Officer _________________________________________, signed Title/Office

the foregoing writing for _______________________,

A corporation, has this day, in my said county, before me, acknowledged the said writing to be the act and deed of the said corporation. Given under my hand this ___________ day of ____________________________, 20_____.

(Notary Seal)

__________________________________________________ Signature of Notary Public

My commission expires on the _____ day of _______________________, 20_____. Official Form CSO-2

Acknowledgement by Surety
STATE OF __________________________, SS County of ____________________________, to-wit

I, ________________________________, a Notary Public in and for the county and state foresaid, do hereby certify that ______________________________________________________
Name of corporate officer with Power of Attorney (see instructions below)

who as _______________________________________________, signed the foregoing writing for
Title/Office

__________________________________________________________________, a corporation, has
Name of Corporation

this day, in my said county, before me, acknowledged the said writing. Given under my hand this ___________ day of ____________________________, 20_____.

(Notary Seal)

__________________________________________________ Signature of Notary Public

My commission expires on the _____ day of _______________________, 20_____.

________________________________________________________________________
Approved as to Form and Sufficiency of Execution by the Attorney General Dated this ______ day of ___________________, 20_____. By _________________________________
Assistant Attorney General

________________________________________________________________________
POWER OF ATTORNEY INSTRUCTIONS FOR SURETY Certificate of Power of Attorney for Surety must be attached to this form and it must show that it was in full force and effect on bearing date (execution) indicated on the face of the bond. The raised corporate seal must also be affixed to the Power of Attorney. 1. Name of attorney in fact must be listed. If attorney is a non-resident, West Virginia resident agent must countersign bond. 2. Power of Attorney may not exceed imposed limitations. 3. Certificate date, preferably the bearing date of bond, but not earlier than bearing date, must be entered. 4. Signature of authorizing official must be affixed to power of attorney. (Signature may be facsimile) 5. Raised seal must be affixed to power of attorney.

________________________________________________________________________
NOTICE: THIS BOND MUST BE MAINTAINED UNTIL TWO YEARS AFTER THE DATE THAT THE CREDIT SERVICES ORGANIZATION CEASES OPERATIONS UNLESS NEW SECURITY IS PROVIDED IN THE FORM OF A SURETY TRUST ACCOUNT AS PERMITTED BY WEST VIRGINIA STATE CODE, 46A-6C-4.