DD Form 462 Bond of Person Designated to Act on Behalf of Incompetent Member or Former Member of the Uniformed Services

DD Form 462 - also known as the "Bond Of Person Designated To Act On Behalf Of Incompetent Member Or Former Member Of The Uniformed Services" - is a Military form issued and used by the United States Department of Defense.

The form - often incorrectly referred to as the DA form 462 - was last revised on May 1, 2003. Download an up-to-date fillable DD Form 462 down below in PDF-format or find it on the Department of Defense documentation website.

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BOND OF PERSON DESIGNATED TO ACT ON BEHALF OF INCOMPETENT MEMBER
OR FORMER MEMBER OF THE UNIFORMED SERVICES
PRIVACY ACT STATEMENT
s s
AUTHORITY: E.O. 9397 and 37 U.S.C. 602.
PRINCIPAL PURPOSE: To provide a suitable bond by a designated trustee in instances where payments to a mentally incompetent member
or former member of the uniformed services are to be made to that trustee.
ROUTINE USES: Disclosures may be made to those as generally permitted under 5 U.S.C. 552a(b) of the Privacy Act. In addition,
information may be disclosed to the Department of Veterans Affairs, and the Internal Revenue Service.
DISCLOSURE: Disclosure is voluntary; however, appointment as trustee would be denied if subject information is not provided by the
proposed trustee.
Know all men by these presents that we,
of
in the country of
, state of
as principal and
as surety, are held and firmly bound unto the United States of America, hereinafter called the Government, for the use and
benefit of
, an incompetent, in the penal sum of
dollars,
for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and
successors, jointly and severally, firmly by these presents.
The condition of this obligation is such, that, whereas, under the provisions of
the Secretary of
(37 USC 601 - 604)
Defense, on this date, designated the principal to receive from the Government any active duty pay and allowances, or
any amounts due for accumulated or accrued leave, or any retired or retainer pay, otherwise payable to
, a mentally incompetent member of the uniformed services.
Now therefore, if the principal, in accordance with regulations prescribed by the Secretary of Defense shall apply the
amounts so received to the use and benefit of such incompetent member, shall faithfully execute and discharge all duties
imposed upon him, shall honestly account for all amounts so received without fraud or delay, and, upon termination of his
designation, shall deliver any balance to the person entitled to receive it, then this obligation to be void; otherwise to
remain in full force and virtue.
Upon application of the principal or surety to the Secretary of Defense and upon rendering of a complete and
satisfactory accounting by the principal herein, including evidence of actual possession of the assets of the beneficiary and
the supplying of a new bond acceptable to said Secretary of Defense, if any be required, the surety herein may be released
from liability for subsequent occurrences upon such terms and conditions as said Secretary of Defense may prescribe.
In witness whereof, the parties hereto have executed this instrument under their several seals this
day of
,
, the name and corporate seal of the corporate surety being hereto affixed, and these
presents duly signed by its undersigned representative pursuant to authority of its governing body.
In presence of
(Seal)
INDIVIDUAL PRINCIPAL
ADDRESS
STREET NO.
CITY
STATE
Attest:
CORPORATE SURETY
STREET NO.
CITY
STATE
BY
(Affix Corporate Seal)
ATTORNEY-IN-FACT OR AGENT AUTHORIZED TO SIGN
ADDRESS (No., Street, City, State, ZIP Code)
DD FORM 462, MAY 2003
PREVIOUS EDITION IS OBSOLETE.
Reset
Adobe Professional 7.0
BOND OF PERSON DESIGNATED TO ACT ON BEHALF OF INCOMPETENT MEMBER
OR FORMER MEMBER OF THE UNIFORMED SERVICES
PRIVACY ACT STATEMENT
s s
AUTHORITY: E.O. 9397 and 37 U.S.C. 602.
PRINCIPAL PURPOSE: To provide a suitable bond by a designated trustee in instances where payments to a mentally incompetent member
or former member of the uniformed services are to be made to that trustee.
ROUTINE USES: Disclosures may be made to those as generally permitted under 5 U.S.C. 552a(b) of the Privacy Act. In addition,
information may be disclosed to the Department of Veterans Affairs, and the Internal Revenue Service.
DISCLOSURE: Disclosure is voluntary; however, appointment as trustee would be denied if subject information is not provided by the
proposed trustee.
Know all men by these presents that we,
of
in the country of
, state of
as principal and
as surety, are held and firmly bound unto the United States of America, hereinafter called the Government, for the use and
benefit of
, an incompetent, in the penal sum of
dollars,
for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and
successors, jointly and severally, firmly by these presents.
The condition of this obligation is such, that, whereas, under the provisions of
the Secretary of
(37 USC 601 - 604)
Defense, on this date, designated the principal to receive from the Government any active duty pay and allowances, or
any amounts due for accumulated or accrued leave, or any retired or retainer pay, otherwise payable to
, a mentally incompetent member of the uniformed services.
Now therefore, if the principal, in accordance with regulations prescribed by the Secretary of Defense shall apply the
amounts so received to the use and benefit of such incompetent member, shall faithfully execute and discharge all duties
imposed upon him, shall honestly account for all amounts so received without fraud or delay, and, upon termination of his
designation, shall deliver any balance to the person entitled to receive it, then this obligation to be void; otherwise to
remain in full force and virtue.
Upon application of the principal or surety to the Secretary of Defense and upon rendering of a complete and
satisfactory accounting by the principal herein, including evidence of actual possession of the assets of the beneficiary and
the supplying of a new bond acceptable to said Secretary of Defense, if any be required, the surety herein may be released
from liability for subsequent occurrences upon such terms and conditions as said Secretary of Defense may prescribe.
In witness whereof, the parties hereto have executed this instrument under their several seals this
day of
,
, the name and corporate seal of the corporate surety being hereto affixed, and these
presents duly signed by its undersigned representative pursuant to authority of its governing body.
In presence of
(Seal)
INDIVIDUAL PRINCIPAL
ADDRESS
STREET NO.
CITY
STATE
Attest:
CORPORATE SURETY
STREET NO.
CITY
STATE
BY
(Affix Corporate Seal)
ATTORNEY-IN-FACT OR AGENT AUTHORIZED TO SIGN
ADDRESS (No., Street, City, State, ZIP Code)
DD FORM 462, MAY 2003
PREVIOUS EDITION IS OBSOLETE.
Reset
Adobe Professional 7.0

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