AMOUNT $ _________________						BOND NO:  _________________

STATE OF MAINE BUREAU OF CONSUMER CREDIT PROTECTION 
SUPERVISED LENDER BOND

KNOW ALL PERSONS BY THESE PRESENTS THAT _______________________________________________
(Formal business name of applicant)
located at ________________________________________________________ in the County of ______________,
(Street address and City/Town)
State of _____________________________, doing business as _________________________________________
	(State)	(Applicant’s d/b/a name, if any)
as Principal, and ______________________________________________________________________________
(Name of bonding company)
a bonding company duly organized and existing under the laws of the State of _____________________________, and being duly qualified to transact business in the State of Maine, as Surety, are holden and stand firmly bound unto the Superintendent of the Bureau of Consumer Credit Protection of the State of Maine, for use of any person or persons who may have a cause of action against the obligor of this bond in the just sum of ___________________________________________________________ dollars ($ _____________), to be paid to the said person or persons as aforesaid, to which payment well and truly to be made, we hereby jointly and severally bind ourselves, our respective heirs, executors, administrators, successors or assigns, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the said ______________________________ shall faithfully perform the duties and obligations pertaining to the business of making and/or servicing Supervised Loans to be conducted in accordance with the tenure of the license to engage in said business issued to ______________________________ by the Superintendent of the Bureau of Consumer Credit Protection of the State of Maine under the authority, of and as provided in Title 9-A M.R.S.A., the Maine Consumer Credit Code, and shall conform and abide by all provisions of state law, including the Code and to all rules and regulations lawfully made by the Superintendent hereunder and shall pay to the State and to any such person or persons, any and all monies that may become due or owing to the State, or to such person or persons from said obligor, under and by virtue of the provisions of these laws, then this obligation shall become void; otherwise it shall be and remain in full force and effect.

This bond shall cover all claims collected, property converted and losses occasioned by the licensee during the term of the license covered by the bond, but the aggregate liability of the surety for any and all claims which arise under the bond shall in no event exceed the above principal amount.

This bond shall continue in full force and effect and shall run concurrently with the entire current license period and for any renewals thereof.  The surety may be relieved of further liability hereunder by giving 30 days written notice to the principal and to the Superintendent of the Bureau of Consumer Credit Protection of the State of Maine.

IN WITNESS WHEREOF we have hereunto set our hands and seals,

This ____________________ of ____________________ A.D. ___________

Put Seal
Here
___________________________________
Principal

By: ________________________________

___________________________________
Capacity
___________________________________
Surety

By: ________________________________

___________________________________
Capacity

Approved ____________________ day of ____________________ A.D. ________________

___________________________________
Superintendent, Bureau of Consumer Credit Protection 

ACKNOWLEDGMENT BY PRINCIPAL

	County of _______________ss.

	On this ___________________ day of ___________________, before me, __________________, a notary public in and for the County and State aforesaid, residing therein, duly commissioned and sworn, personally appeared ____________________ known to me to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same.

	IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year in this certificate first above written.

											(Seal)			

_______________________________
Notary Public

	

ACKNOWLEDGMENT BY SURETY (BONDING COMPANY)

	County of _______________ss.

	On this ___________________ day of ___________________, before me, __________________, a notary public in and for the County and State aforesaid, residing therein, duly commissioned and sworn, personally appeared ____________________ known to me to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same.

	IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year in this certificate first above written.

										(Seal)				

_______________________________
Notary Public