Form I221 "Credit Services Organization $100,000 Surety Bond" - Illinois

What Is Form I221?

This is a legal form that was released by the Illinois Secretary of State - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2009;
  • The latest edition provided by the Illinois Secretary of State;
  • 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 I221 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

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Download Form I221 "Credit Services Organization $100,000 Surety Bond" - Illinois

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State of Illinois
Credit Services Organization
$100,000 Surety Bond
Required by Public Act 85-1384, effective January 1, 1989, 815 ILCS 605/10
Secretary of State Index Department
111 E. Monroe
Springfield, IL 62756
217-782-7017
www.cyberdriveillinois.com
A credit services organization is required to continuously maintain a $100,000 surety bond if that organization charges or receives
any money or other valuable consideration prior to full and complete performance of the services the organization has agreed to
perform. A bond also shall be maintained for two years after the date that the organization ceases operations.
Bond Number: __________________________________
Premium: $_____________________________________ Term: _________________________________________
KNOW ALL PERSONS BY THESE PRESENTS:
That _________________________________________________________________________________________________________,
Name of Principal
as principal, doing business under the name of ______________________________________________________________________,
Name of Business
a credit services organization, and whose address is:
___________________________________________________________________________
Street Address
___________________________________________________________________________
City
State
ZIP Code
and ___________________________________________________________________________________________, a corporation
Name of Surety
authorized to transact a general surety business in the State of Illinois, as surety, are held firmly bound unto the People of the State
of Illinois in the penal sum of $100,000, for payment of which, we bind ourselves, our heirs, executors, successors and assigns,
jointly and severally, firmly by these presents.
The principal is engaged in the business of selling the services of a credit services organization within the meaning of the Credit
Services Organizations Act (Public Act 85-1384, approved September 1, 1988, effective January 1, 1989), 815 ILCS 605/10 and is
required to furnish a bond conditioned as herein set forth; and this bond is executed and tendered in accordance therewith.
The conditions of this obligation are that if the principal complies with the provisions of the Credit Services Organizations Act and
does not damage any person by any violation of said Act then this obligation is to be void, otherwise it is to remain in full force and
effect.
Printed by authority of the State of Illinois - December 2009 - 50 - I 221
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State of Illinois
Credit Services Organization
$100,000 Surety Bond
Required by Public Act 85-1384, effective January 1, 1989, 815 ILCS 605/10
Secretary of State Index Department
111 E. Monroe
Springfield, IL 62756
217-782-7017
www.cyberdriveillinois.com
A credit services organization is required to continuously maintain a $100,000 surety bond if that organization charges or receives
any money or other valuable consideration prior to full and complete performance of the services the organization has agreed to
perform. A bond also shall be maintained for two years after the date that the organization ceases operations.
Bond Number: __________________________________
Premium: $_____________________________________ Term: _________________________________________
KNOW ALL PERSONS BY THESE PRESENTS:
That _________________________________________________________________________________________________________,
Name of Principal
as principal, doing business under the name of ______________________________________________________________________,
Name of Business
a credit services organization, and whose address is:
___________________________________________________________________________
Street Address
___________________________________________________________________________
City
State
ZIP Code
and ___________________________________________________________________________________________, a corporation
Name of Surety
authorized to transact a general surety business in the State of Illinois, as surety, are held firmly bound unto the People of the State
of Illinois in the penal sum of $100,000, for payment of which, we bind ourselves, our heirs, executors, successors and assigns,
jointly and severally, firmly by these presents.
The principal is engaged in the business of selling the services of a credit services organization within the meaning of the Credit
Services Organizations Act (Public Act 85-1384, approved September 1, 1988, effective January 1, 1989), 815 ILCS 605/10 and is
required to furnish a bond conditioned as herein set forth; and this bond is executed and tendered in accordance therewith.
The conditions of this obligation are that if the principal complies with the provisions of the Credit Services Organizations Act and
does not damage any person by any violation of said Act then this obligation is to be void, otherwise it is to remain in full force and
effect.
Printed by authority of the State of Illinois - December 2009 - 50 - I 221
Any person damaged by any violation of the Credit Services Organizations Act may bring an action of law against the principal and
surety on this bond in his or her own name to recover such damages.
The liability of surety for any claim arising under this bond shall not exceed the actual damages arising from principal’s violation of
the Credit Services Organizations Act and surety shall not be liable for the punitive damages permitted under Section 11 of the Act.
The aggregate of the surety on all claims whatsoever shall not exceed the amount of this bond.
The bond is executed by the surety to comply with the provisions of the Credit Services Organizations Act and said bond shall be
subject to all of the terms and provisions thereof.
__________________________________________________
__________________________________________________
Name of Officer of Business
Name of Surety
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Address
Address
This bond is executed under an unrevoked appointment or power of attorney.
I certify (or declare) under penalty of perjury under the laws of the State of Illinois that the foregoing is true and correct.
__________________________________________________
__________________________________________________
Signature of Attorney-In-Fact
Date
__________________________________________________
Printed or Typed Name of Attorney-In-Fact
Return completed form to: Secretary of State, Index Department, 111 E. Monroe, Springfield, IL 62756 • 217-782-7017
Printed by authority of the State of Illinois. December 2009 — 50 — I 221
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