Form 5 "Personal Bond" - Nova Scotia, Canada

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Form 5
The Police Services Act
PERSONAL BOND
PROVINCE OF NOVA SCOTIA
KNOW ALL MEN BY THESE PRESENTS, That We, __________________________________________
of _____________________________ in the County of __________________________________
as
Principal, and _______________________________ of ____________________________________
in the County of _____________________________ and __________________________________
of _____________________________ in the County of ___________________________________
as Sureties, are held and firmly bound unto our Sovereign Lady the Queen, Her Heirs and Successors, in
the penal sum of $ _______________ that is to say: the said Principal in the sum of $ ______________
and the said Sureties in the sum of $ ________________ each, to be paid to Our Said Lady the Queen,
Her Heirs and Successors, for which payment, well and truly to be made, we severally bind ourselves, Our
Heirs, Executors and Administrators, firmly by these Presents.
Sealed with our Seals, and dated the ______________ Day of ____________________
in the year of
Our Lord Two Thousand _____________ and in the _______________ year of Her Majesty’s Reign.
WHEREAS the said
has been duly appointed
to be
AND WHEREAS security for the faithful performance of the duties of his office as such and for indemnifying all persons
who are injured by his default or misconduct has been required of him by the Governor in Council.
NOW THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, That if the said do, and shall from time to time,
and at all times hereafter, during his continuance in the said office, well and faithfully perform all such acts and duties
as do or may hereafter appertain to the said office, by virtue of any law of this Province, and shall in all respects conform
to and observe all such rules, orders and regulations as now are or may be from time to time established for or in respect
of the said office, and shall well and faithfully keep all such accounts, books and papers, as are or may be required to
be kept by him in his said office, and shall indemnify all persons who are injured by his defaults or misconduct, then the
said obligation to be void, otherwise to be and continue in full force and virtue.
Signed, Sealed and Delivered in the presence of
Form 5
The Police Services Act
PERSONAL BOND
PROVINCE OF NOVA SCOTIA
KNOW ALL MEN BY THESE PRESENTS, That We, __________________________________________
of _____________________________ in the County of __________________________________
as
Principal, and _______________________________ of ____________________________________
in the County of _____________________________ and __________________________________
of _____________________________ in the County of ___________________________________
as Sureties, are held and firmly bound unto our Sovereign Lady the Queen, Her Heirs and Successors, in
the penal sum of $ _______________ that is to say: the said Principal in the sum of $ ______________
and the said Sureties in the sum of $ ________________ each, to be paid to Our Said Lady the Queen,
Her Heirs and Successors, for which payment, well and truly to be made, we severally bind ourselves, Our
Heirs, Executors and Administrators, firmly by these Presents.
Sealed with our Seals, and dated the ______________ Day of ____________________
in the year of
Our Lord Two Thousand _____________ and in the _______________ year of Her Majesty’s Reign.
WHEREAS the said
has been duly appointed
to be
AND WHEREAS security for the faithful performance of the duties of his office as such and for indemnifying all persons
who are injured by his default or misconduct has been required of him by the Governor in Council.
NOW THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, That if the said do, and shall from time to time,
and at all times hereafter, during his continuance in the said office, well and faithfully perform all such acts and duties
as do or may hereafter appertain to the said office, by virtue of any law of this Province, and shall in all respects conform
to and observe all such rules, orders and regulations as now are or may be from time to time established for or in respect
of the said office, and shall well and faithfully keep all such accounts, books and papers, as are or may be required to
be kept by him in his said office, and shall indemnify all persons who are injured by his defaults or misconduct, then the
said obligation to be void, otherwise to be and continue in full force and virtue.
Signed, Sealed and Delivered in the presence of
Affidavit of Surety
Province of Nova Scotia
County of
S.S.
I, _______________________________________ , of _________________________________ in the County of
________________________________ , one of the sureties in the annexed bond, make oath and say as follows:
1.
I am seized and possessed to my own use of property in Nova Scotia of the actual value of
$ __________________________ , over and above all charges upon or incumbrances affecting the same and
over and above my just debts, an all sums for which I am security.
2.
The said property consists of ____________________________________________________
_____________________________________________________________________________
3.
My Post Office address is as follows: _______________________________________________
Signature ___________________________________________
Sworn before me at the __________________________ in the County of _________________________
this _____________________ day of __________________________ in the year __________________.
__________________________________________
(Signature of a Notary Public, Commissioner of Oaths, etc.)
Affidavit of Surety
Province of Nova Scotia
County of
S.S.
I, _______________________________________ , of _________________________________ in the County of
________________________________ , one of the sureties in the annexed bond, make oath and say as follows:
1.
I am seized and possessed to my own use of property in Nova Scotia of the actual value of
$ __________________________ , over and above all charges upon or incumbrances affecting the same and
over and above my just debts, an all sums for which I am security.
2.
The said property consists of ____________________________________________________
_____________________________________________________________________________
3.
My Post Office address is as follows: _______________________________________________
Signature ___________________________________________
Sworn before me at the __________________________ in the County of _________________________
this _____________________ day of __________________________ in the year __________________.
__________________________________________
(Signature of a Notary Public, Commissioner of Oaths, etc.)
Affidavit of Witness
Province of Nova Scotia
County
S.S.
I, _______________________________________________ , of ____________________________ in
the County of ______________________________________________ make oath and say that I am a
subscribing witness to the execution of the foregoing Bond and that I saw the same signed, sealed and
delivered by ________________________________________ of _____________________________
as Principal and by ____________________________________ of ___________________________ as
Sureties therein named.
Signature ___________________________________________
Sworn before me at the __________________________ in the County of _________________________
this _____________________ day of __________________________ in the year __________________.
________________________________________
(Signature of a Notary Public, Commissioner of Oaths, etc.)
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