Amount $ 50,000										    Bond No.________                   

	DEBT MANAGEMENT SERVICE PROVIDER BOND

KNOW ALL PERSONS BY THESE PRESENTS THAT_____________________________________________                                                                           of_________________________________in the County of                                        , State of                         , doing business as                                                       as Principal, and                                                                                                                                                                           _____________________________________________, a corporation 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, against the obligor of this bond under the provisions of the Act under which this bond is given, in the aggregate sum of fifty thousand dollars ($50,000 ), to be paid to the said Superintendent as aforesaid, or his successors in office, to which payment well and truly to be made, we hereby jointly and severally bind ourselves, our respective heirs, executors, administrators, successors and 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 a  Debt Management Service Provider pursuant to 32 M.R.S.A., Section 6171 et seq. to be conducted in accordance with the tenure of the registration of 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 32 M.R.S.A., c. 80-A, the Debt Management Services Act, and shall conform and abide by each and every applicable provision of the Chapter and to all rules and regulations lawfully made by the Superintendent hereunder and shall pay to the State and to any such persons any and all monies that may become due or owing to the State, or to such persons from said obligor, under and by virtue of the provisions of these Acts, then this obligation shall become void; otherwise it shall be and remain in full force and effect.

This bond shall continue in full force and effect and shall run concurrently with the entire registration period and for any renewals thereof.  The surety may be relieved of future 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. 200_____ 
												Put Seal
												   Here
								______________________________________
										Principal

							      By:_______________________________________
This must be acknowledged
before a Notary Public.					______________________________________
See Reverse Side								Capacity

								______________________________________
										Surety

							       By:______________________________________ 

								______________________________________ 
										Capacity

	Approved _________________________ day of _________________________ A.D. 20 _____

								______________________________________
	                                                                                            Superintendent, Bureau of Consumer Credit Protection
ACKNOWLEDGMENT BY PRINCIPAL

INDIVIDUAL

STATE OF

	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

PARTNERSHIP

STATE OF

	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 one of the partners of the partnership that executed the within instrument and acknowledged to me that such partnership 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

CORPORATION

STATE OF

	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                                   (title) of the corporation that executed the within instrument, and acknowledged to me that such corporation 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 

STATE OF

	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 attorney in fact of the corporation that executed the within instrument, and acknowledged to me that such corporation 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