Form 440-2966 "Manufactured Structures Dealer and Limited Manufactured Structures Dealer Surety Bond" - Oregon

What Is Form 440-2966?

This is a legal form that was released by the Oregon Department of Consumer and Business Services - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2017;
  • The latest edition provided by the Oregon Department of Consumer and Business Services;
  • 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 printable version of Form 440-2966 by clicking the link below or browse more documents and templates provided by the Oregon Department of Consumer and Business Services.

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Download Form 440-2966 "Manufactured Structures Dealer and Limited Manufactured Structures Dealer Surety Bond" - Oregon

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Manufactured Structures Dealer and Limited
Manufactured Structures Dealer Surety Bond
Oregon Department of Consumer and Business Services
Surety bond no.:
Division of Financial Regulation
350 Winter St. NE, Room 410, Salem, Oregon 97301-3881
Mailing address: P.O. Box 14480, Salem, OR 97309-0405
503-378-4140  Fax: 503-947-7862  TTY: 503-378-4100
http://dfr.oregon.gov
Note: Complete the appropriate checklist on Page 2.
SURETY BOND
We, ___________________________________________________________________________________, as principal,
and _____________________________________________________________________________________, as surety,
a ___________________________ corporation licensed and authorized to transact a surety business in the state of Oregon,
hereby jointly and severally bind ourselves, our heirs, personal representatives, successors, and assigns to pay
to the State of Oregon for the use and benefit of any interested person the sum of $________________ (“total penal sum
of the bond”).
The above-named principal has applied to the Department of Consumer and Business Services, Division of Financial
Regulation for a license as a manufactured structures dealer or a limited manufactured structures dealer under ORS
Chapter 446, and is required by ORS 446.726 to furnish a bond in the total penal sum of the bond.
If the principal and its agents and employees comply with the provisions of ORS Chapter 446, this obligation shall be
void. If the principal or its agents or employees conduct the manufactured structures dealership with fraud or fraudulent
representation or violate any provisions of ORS Chapter 446 or the rules thereunder, and fail to pay all damages suffered
by any person due to violation of the statute or rules, the surety is obligated to pay damages suffered as a result of the
violations up to the total penal sum of the bond; provided, however, that the maximum amount payable under the bond for
payment of claims by persons other than retail customers of the principal is $20,000.
The bond becomes effective on the _____________ day of __________________ , 2_____________, and shall remain in force
until the department releases the surety from liability, or until the surety cancels this bond by giving 30 days written notice to
the principal and to the Department of Consumer and Business Services, Division of Financial Regulation, P.O. Box 14480,
Salem, OR 97309-0404. If the license of the principal as a manufactured structures dealer or a limited manufactured structures
dealer is not renewed or is voluntarily or involuntarily canceled for any reason, the surety shall be relieved from liability that
accrues after the license is canceled. Cancellation shall not relieve the surety of liability for any acts of the principal described
hereunder or violations of ORS Chapter 446 or the rules thereunder committed by the principal prior to the effective date of
cancellation.
This bond shall be one continuing obligation, and the liability of the surety for the aggregate of any and all claims that
may arise shall not exceed the total penal sum of the bond.
The surety and its heirs, personal representatives, successors, and assigns, and the principal and its heirs, personal
representatives, successors, and assigns bind themselves jointly and severally to the State of Oregon by this agreement.
Principal:
By: ___________________________________________________________ Title: _______________________________
Signature:______________________________________________________ Date: _______________________________
Surety:
Name of attorney in fact or agent: ___________________________________ Title: _______________________________
Signature:______________________________________________________ Date: _______________________________
Place seal here
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440-2966 (4/17/COM)
Manufactured Structures Dealer and Limited
Manufactured Structures Dealer Surety Bond
Oregon Department of Consumer and Business Services
Surety bond no.:
Division of Financial Regulation
350 Winter St. NE, Room 410, Salem, Oregon 97301-3881
Mailing address: P.O. Box 14480, Salem, OR 97309-0405
503-378-4140  Fax: 503-947-7862  TTY: 503-378-4100
http://dfr.oregon.gov
Note: Complete the appropriate checklist on Page 2.
SURETY BOND
We, ___________________________________________________________________________________, as principal,
and _____________________________________________________________________________________, as surety,
a ___________________________ corporation licensed and authorized to transact a surety business in the state of Oregon,
hereby jointly and severally bind ourselves, our heirs, personal representatives, successors, and assigns to pay
to the State of Oregon for the use and benefit of any interested person the sum of $________________ (“total penal sum
of the bond”).
The above-named principal has applied to the Department of Consumer and Business Services, Division of Financial
Regulation for a license as a manufactured structures dealer or a limited manufactured structures dealer under ORS
Chapter 446, and is required by ORS 446.726 to furnish a bond in the total penal sum of the bond.
If the principal and its agents and employees comply with the provisions of ORS Chapter 446, this obligation shall be
void. If the principal or its agents or employees conduct the manufactured structures dealership with fraud or fraudulent
representation or violate any provisions of ORS Chapter 446 or the rules thereunder, and fail to pay all damages suffered
by any person due to violation of the statute or rules, the surety is obligated to pay damages suffered as a result of the
violations up to the total penal sum of the bond; provided, however, that the maximum amount payable under the bond for
payment of claims by persons other than retail customers of the principal is $20,000.
The bond becomes effective on the _____________ day of __________________ , 2_____________, and shall remain in force
until the department releases the surety from liability, or until the surety cancels this bond by giving 30 days written notice to
the principal and to the Department of Consumer and Business Services, Division of Financial Regulation, P.O. Box 14480,
Salem, OR 97309-0404. If the license of the principal as a manufactured structures dealer or a limited manufactured structures
dealer is not renewed or is voluntarily or involuntarily canceled for any reason, the surety shall be relieved from liability that
accrues after the license is canceled. Cancellation shall not relieve the surety of liability for any acts of the principal described
hereunder or violations of ORS Chapter 446 or the rules thereunder committed by the principal prior to the effective date of
cancellation.
This bond shall be one continuing obligation, and the liability of the surety for the aggregate of any and all claims that
may arise shall not exceed the total penal sum of the bond.
The surety and its heirs, personal representatives, successors, and assigns, and the principal and its heirs, personal
representatives, successors, and assigns bind themselves jointly and severally to the State of Oregon by this agreement.
Principal:
By: ___________________________________________________________ Title: _______________________________
Signature:______________________________________________________ Date: _______________________________
Surety:
Name of attorney in fact or agent: ___________________________________ Title: _______________________________
Signature:______________________________________________________ Date: _______________________________
Place seal here
1 of 2
440-2966 (4/17/COM)
SURETY CHECKLIST
Complete this checklist before sending the bond to the applicant.
 Bond number entered
 Applicant’s name correctly entered:
• If a sole proprietorship, applicant’s personal name (no spouses) must appear.
• If a partnership, names of all partners and partnership name must appear.
• If a corporation, only the corporate name (no personal names or assumed business names) must appear.
• If a limited-liability company, only the LLC name (no personal names or assumed business names) must appear.
 Appropriate bond amount entered:
• If the applicant is applying for a manufactured structures dealer license, the required bond amount is $40,000.
• If the applicant is applying for a limited manufactured structures dealer license, the required bond amount is $15,000.
 Bond signed by agent or attorney in fact
 Effective date of the bond, which is the same as the date the bond company signs the bond, entered
 Surety seal affixed
APPLICANT CHECKLIST
Complete this checklist before sending the bond to the Division of Financial Regulation.
 Applicant has signed the bond.
 The original bond is submitted with the license application.
If you have questions, contact Division of Financial Regulation Licensing, 503-378-4140.
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440-2966 (4/17/COM)
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