Amount $25,000										    Bond No.________	
					   STATE OF MAINE
					LOAN BROKER BOND

KNOW ALL PERSONS BY THESE PRESENTS THAT _____________________________________________________
(Formal business name of applicant)
doing business as__________________________________________________________________________as Principal,
					  (Applicant’s d/b/a name, if any)

(hereinafter) “Loan Broker” located at _____________________________________________________________________ 
			(Street address and City/Town)

in the County of __________________________________,State of _____________________________________________, 

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, against the obligor of this bond in the aggregate sum of twenty-five thousand dollars ($25,000), 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 Loan Broker shall faithfully perform the duties and obligations pertaining to the business of a Loan Broker pursuant to state law including 9-A M.R.S.A., Section 10-101 et seq., to be conducted in accordance with the tenure of the license of the said Loan Broker, issued to the Loan Broker 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 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 laws, then this obligation shall become void; otherwise it shall be and remain in full force and effect.

This bond shall be continuous in nature and remain in force until the Surety is released from liability by the Superintendent of the Bureau of Consumer Credit Protection or until cancelled by the Surety.  The Surety may be relieved of future liability hereunder by giving 30 days written notice to the Loan Broker 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. 20______ 
       Put Seal
         Here
								______________________________________
										Loan Broker

							      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 LOAN BROKER)

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