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Lost Instrument Bond-Cat. 2 - U.S. Gov't Checks and Postal Money Orders, Etc.


Product Number: 226141
Lost Instrument Bond-Cat. 2 - U.S. Govt Checks and Postal Money Orders, Etc.

Price: To Be Determined




Surety: Merchants Bonding Company

Application Required


HOME OFFICE MAILING ADDRESS
500 NEW YORK AVENUE P.O. BOX 41400
DES MOINES, IOWA 50313-4908 DES MOINES, IOWA 50311
(877) 349-6588 (515) 309-1351
FAX (877) 349-6590 FAX (515) 954-3300

LOST INSTRUMENT BOND

Bond No.

That
herein called the Principal, and MERCHANTS BONDING COMPANY (MUTUAL), a corporation licensed to do
business in the State of , as Surety, are held and firmly bound unto
herein called the Obligee,
in the penal sum of ( ).

WHEREAS, The said

issued to and in the name of

certain herein called the ''Instrument''

dated for

and the Principal alleges that the Instrument has been lost or destroyed.

AND WHEREAS, the Principal has applied to the Obligee for a new instrument and the Obligee is willing to issue
a new instrument, in lieu of the Instrument lost or destroyed, as aforesaid, upon the execution of a Bond of
Indemnity against any and all loss or damage, not to exceed the amount of the penal sum mentioned in the above
obligation, which may arise to the Obligee from the use of the Instrument so lost or destroyed, or from the issue of
said new instrument.

NOW THE CONDITION OF THIS OBLIGATION IS SUCH, That, if the above bounden Principal, heirs, executors,
and administrators, shall and do, from time to time, and at all times hereafter, well and sufficiently indemnify, save
and keep harmless the Obligee, heirs, executors, and administrators, successors and assigns, from and against
any use of the Instrument herein before particularly described, and from and against all claims, demands, suits,
actions, payments, loss, damage, cost and expense to which the Obligee, heirs, executors, and administrators,
successors or assigns, shall or may be subjected by reason of or growing out of the loss or destruction of the
Instrument, as above recited, and by reason of or growing out of the issue of the said new instrument in lieu of the
Instrument so lost or destroyed; and, if the above bounden Principal, heirs, executors or administrators shall and
do surrender or deliver to the Obligee the lost Instrument, if found, then this obligation is to be void, otherwise to
be and remain in full force and virtue.

Signed, sealed and dated on this day of , .

Principal
By
Countersigned (if required):
MERCHANTS BONDING COMPANY (MUTUAL)
By:
Surety

By

MSC 0880 (7/10)


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