Form SFN52923 "Surety Bond for Deferred Presentment Service Provider" - North Dakota

This version of the form is not currently in use and is provided for reference only.
Download this version of Form SFN52923 for the current year.

What Is Form SFN52923?

This is a legal form that was released by the North Dakota Department of Financial Institutions - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2010;
  • The latest edition provided by the North Dakota Department of Financial Institutions;
  • 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 SFN52923 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Financial Institutions.

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Download Form SFN52923 "Surety Bond for Deferred Presentment Service Provider" - North Dakota

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SURETY BOND FOR DEFERRED PRESENTMENT SERVICE PROVIDER
NORTH DAKOTA DEPARTMENT OF FINANCIAL INSTITUTIONS
2000 Schafer Street, Suite G
CONSUMER DIVISION
Bismarck, ND 58501-1204
Telephone: (701) 328-9933
SFN 52923 (1-2010)
Fax Number: (701) 328-0290
Email: dfi@nd.gov
Website: www.nd.gov/dfi
Bond Number
KNOW ALL MEN BY THESE PRESENTS, that we, _____________________________________________, as Principal and
__________________________________________________________, a corporation duly incorporated under the laws of the
State of ______________________________________________, and authorized to do business in the State of North Dakota,
as Surety, are held and firmly bound unto the State of North Dakota in the principal amount of $_________________________
for the payment of which we hereby bind ourselves, our and each of our heirs, assigns, executors and administrators, jointly
and severally, unconditionally by these presents.
In the event that the Principal fails to faithfully comply with all the provisions of North Dakota Century Code Chapter 13-08, as
the same may be amended from time to time, and any rules promulgated pursuant thereto, then the bond shall be forfeited and
paid to the State of North Dakota or a claimant or authorized representative of a claimant. This bond shall be a continuing
obligation of the Surety. The Surety's liability under this bond for any claim that is made thereunder, either individually, or in the
aggregate, shall in no event exceed the principal amount of the bond.
PROVIDED, FURTHER, that the Surety may cancel this bond by giving thirty (30) days prior written notice to the North Dakota
Department of Financial Institutions at Bismarck, North Dakota. A copy of said notice of cancellation shall also be sent to the
Principal. Any required notice shall be sent by registered or certified mail, return receipt requested. In case of cancellation by
the Surety, no further obligation shall be incurred under this bond after the expiration of said thirty (30) days, but the liability of
the Principal and Surety shall apply as above set out as to any acts or omissions which may have occurred prior to the
effective date of any cancellation or other termination of this bond.
Name of Licensee
Signature of Officer of the Firm
Date
(Seal)
Name of Surety Company
Signature of Officer (Surety)
Date
Title of Officer (Surety)
Effective Date
SURETY BOND FOR DEFERRED PRESENTMENT SERVICE PROVIDER
NORTH DAKOTA DEPARTMENT OF FINANCIAL INSTITUTIONS
2000 Schafer Street, Suite G
CONSUMER DIVISION
Bismarck, ND 58501-1204
Telephone: (701) 328-9933
SFN 52923 (1-2010)
Fax Number: (701) 328-0290
Email: dfi@nd.gov
Website: www.nd.gov/dfi
Bond Number
KNOW ALL MEN BY THESE PRESENTS, that we, _____________________________________________, as Principal and
__________________________________________________________, a corporation duly incorporated under the laws of the
State of ______________________________________________, and authorized to do business in the State of North Dakota,
as Surety, are held and firmly bound unto the State of North Dakota in the principal amount of $_________________________
for the payment of which we hereby bind ourselves, our and each of our heirs, assigns, executors and administrators, jointly
and severally, unconditionally by these presents.
In the event that the Principal fails to faithfully comply with all the provisions of North Dakota Century Code Chapter 13-08, as
the same may be amended from time to time, and any rules promulgated pursuant thereto, then the bond shall be forfeited and
paid to the State of North Dakota or a claimant or authorized representative of a claimant. This bond shall be a continuing
obligation of the Surety. The Surety's liability under this bond for any claim that is made thereunder, either individually, or in the
aggregate, shall in no event exceed the principal amount of the bond.
PROVIDED, FURTHER, that the Surety may cancel this bond by giving thirty (30) days prior written notice to the North Dakota
Department of Financial Institutions at Bismarck, North Dakota. A copy of said notice of cancellation shall also be sent to the
Principal. Any required notice shall be sent by registered or certified mail, return receipt requested. In case of cancellation by
the Surety, no further obligation shall be incurred under this bond after the expiration of said thirty (30) days, but the liability of
the Principal and Surety shall apply as above set out as to any acts or omissions which may have occurred prior to the
effective date of any cancellation or other termination of this bond.
Name of Licensee
Signature of Officer of the Firm
Date
(Seal)
Name of Surety Company
Signature of Officer (Surety)
Date
Title of Officer (Surety)
Effective Date