Form TR-122 "Uniform Surety Bond for Manufactured Home" - Michigan

What Is Form TR-122?

This is a legal form that was released by the Michigan Department of Licensing and Regulatory Affairs - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2012;
  • The latest edition provided by the Michigan Department of Licensing and Regulatory Affairs;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TR-122 by clicking the link below or browse more documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs.

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Download Form TR-122 "Uniform Surety Bond for Manufactured Home" - Michigan

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Michigan Department of Licensing and Regulatory Affairs
Clear Form
Uniform Surety Bond for Manufactured Home
(To be filed with the application for Certificate of Manufactured Home Ownership)
Applicant Name
Date
Residence Address
City
State
Zip Code
The above applicant wishes to apply for a Certificate of Manufactured Home Ownership for the following unit:
Year
Make
Serial Number
Size
Because the Michigan Department of Licensing and Regulatory Affairs is not satisfied as to the ownership of
this manufactured home, the department requires the applicant to file this bond as a condition of issuing a
Certificate of Manufactured Home Ownership pursuant to section 125.2330a(2) of the Mobile Home
Commission Act [MCL 125.2330(a)(2)].
We, ________________________________ , as Principal, and ___________________________________ ,
C
(Name of Applicant)
(Name of Authorized Surety
ompany)
as Surety, by this instrument firmly bind ourselves, our heirs, executors, administrators and successors, and
assigns, jointly and severally, to the Michigan Department of Licensing and Regulatory Affairs, its officers and
employees, for the benefit of any interested person, in the amount of $________________________ Dollars.
The Principal shall indemnify and hold harmless the Department of Licensing and Regulatory Affairs, every
employee of the Michigan Department of Licensing and Regulatory Affairs, any prior owner, any subsequent
purchaser of the manufactured home described above, and their successors in interest, against any expense,
loss or damage, including reasonable attorney fees, by reason of the issuance of a Certificate of
Manufactured Home Ownership to the Principal for the unit described above, or on account of any defect in
the right, title or interest of the Principal in the manufactured home.
This bond is subject to the following provisions:
1. Any interested party may bring an action in the party’s own name to recover on this bond any damages
sustained by the party for any breach of the conditions for which the bond is deposited, and may recover
costs and reasonable attorney fees.
2. The Surety’s aggregate liability to all interested persons shall not exceed the amount set forth above.
3. If the manufactured home is no longer titled in this state and the currently valid Certificate of
Manufactured Home Ownership is surrendered, the latest the bond will be returned is at the end of five
years from the time it was issued, unless the department receives notification of pending action to recover
on this bond.
The Principal and Surety have executed this bond on ___________________________, 20 ______.
APPLICANT – PRINCIPAL
SURETY
X
X
___________________________________
___________________________________
(Signature of Principal or Authorized Agent of Principal)
(Signature of Authorized Agent of Surety Company)
____________________________________
____________________________________
(Print or Type Name)
(Print or Type Name)
TR-122 (01/12)
Michigan Department of Licensing and Regulatory Affairs
Clear Form
Uniform Surety Bond for Manufactured Home
(To be filed with the application for Certificate of Manufactured Home Ownership)
Applicant Name
Date
Residence Address
City
State
Zip Code
The above applicant wishes to apply for a Certificate of Manufactured Home Ownership for the following unit:
Year
Make
Serial Number
Size
Because the Michigan Department of Licensing and Regulatory Affairs is not satisfied as to the ownership of
this manufactured home, the department requires the applicant to file this bond as a condition of issuing a
Certificate of Manufactured Home Ownership pursuant to section 125.2330a(2) of the Mobile Home
Commission Act [MCL 125.2330(a)(2)].
We, ________________________________ , as Principal, and ___________________________________ ,
C
(Name of Applicant)
(Name of Authorized Surety
ompany)
as Surety, by this instrument firmly bind ourselves, our heirs, executors, administrators and successors, and
assigns, jointly and severally, to the Michigan Department of Licensing and Regulatory Affairs, its officers and
employees, for the benefit of any interested person, in the amount of $________________________ Dollars.
The Principal shall indemnify and hold harmless the Department of Licensing and Regulatory Affairs, every
employee of the Michigan Department of Licensing and Regulatory Affairs, any prior owner, any subsequent
purchaser of the manufactured home described above, and their successors in interest, against any expense,
loss or damage, including reasonable attorney fees, by reason of the issuance of a Certificate of
Manufactured Home Ownership to the Principal for the unit described above, or on account of any defect in
the right, title or interest of the Principal in the manufactured home.
This bond is subject to the following provisions:
1. Any interested party may bring an action in the party’s own name to recover on this bond any damages
sustained by the party for any breach of the conditions for which the bond is deposited, and may recover
costs and reasonable attorney fees.
2. The Surety’s aggregate liability to all interested persons shall not exceed the amount set forth above.
3. If the manufactured home is no longer titled in this state and the currently valid Certificate of
Manufactured Home Ownership is surrendered, the latest the bond will be returned is at the end of five
years from the time it was issued, unless the department receives notification of pending action to recover
on this bond.
The Principal and Surety have executed this bond on ___________________________, 20 ______.
APPLICANT – PRINCIPAL
SURETY
X
X
___________________________________
___________________________________
(Signature of Principal or Authorized Agent of Principal)
(Signature of Authorized Agent of Surety Company)
____________________________________
____________________________________
(Print or Type Name)
(Print or Type Name)
TR-122 (01/12)
Michigan Department of Licensing and Regulatory Affairs
Manufactured Home Uniform Surety Bond
Instruction Sheet
1. Before you can title a manufactured home that has no clearly established record of
ownership, you must file a Manufactured Home Uniform Surety Bond (TR-122)
with the Michigan Department of State along with your application for Certificate
of Manufactured Home Ownership.
2. The bond’s amount must equal twice the value of the manufactured home.
3. The person applying for the Certificate of Manufactured Home Ownership,
whether an individual, partnership, firm or corporation, and a representative of the
insurance company or bonding agency must sign the surety bond. Applicants are
named as the “Principal” and must include their complete residence or business
address.
4. The Michigan Department of Licensing and Regulatory Affairs must license the
surety company. A duly authorized agent of the surety company must issue the
bond. If the agent is a licensed nonresident agent, a licensed resident agent must
countersign the bond.
5. The effective date of the bond must be no later than the date of application for the
title.
6. A surety bond is issued for five years. If no claims are made against it at the end
of five years, the department will return the bond.
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