Form PCSC002 "Registration of Private Child Support Collector Surety Bond" - Georgia (United States)

What Is Form PCSC002?

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

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Download Form PCSC002 "Registration of Private Child Support Collector Surety Bond" - Georgia (United States)

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OFFICE OF SECRETARY OF STATE
CORPORATIONS DIVISION
313 West Tower
2 Martin Luther King Jr. Dr.
Atlanta, GA 30334
(404) 656-2817
sos.georgia.gov/corporations
Secretary of State
Registration of Private Child Support Collector
SURETY BOND
O.C.G.A. § 10-1-393.9
Applicant
Bond No.:
KNOW ALL MEN BY THESE PRESENTS:
That we,
(Name of Private Child Support Collector)
of
,
(Address)
AS PRINCIPAL, and
,
(Name of Surety)
of
,
(Address)
AS SURETY, a corporation organized and existing under the laws of the State of ___________________________,
and authorized to transact business as surety in the State of Georgia, are hereby held and firmly bound unto the
State of Georgia, for the use and benefit of all interested persons injured by any breach of the conditions of this
obligation, and conditioned on the PRINCIPAL’S compliance with O.C.G.A. §§ 10-1-393.9 and 10-1-393.10 and the
faithful performance of the obligations under the PRINCIPAL’S agreements with its clients, in the sum of Fifty
Thousand ($50,000.00) Dollars lawful money of the United States of America, for the payment of which sum, well and
truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,
firmly by these presents.
SEALED with our seals and dated this
day of
, 20
.
THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH THAT:
WHEREAS, the above-mentioned Principal has applied to the Secretary of State of the State of Georgia for
registration as a Private Child Support Collector, representing by said application and by these presents, that all the
statements set forth in said application to the Secretary of State of Georgia, and that all of the written evidence or
other probative matter filed with the Secretary of State in connection with such application, are true; and obligating
itself and its agents to faithful compliance with all provisions of O.C.G.A. §§ 10-1-393.9 and 10-1-393.10, as now or
hereafter amended; and
WHEREAS, the above-mentioned Principal shall file all contracts for the collection of child support
between Principal and an obligee with the Governor's Office of Consumer Affairs, in compliance with the
requirements set forth in O.C.G.A. § 10-1-393.10, and that all of the statements set forth in said contracts filed
PCSC 002
OFFICE OF SECRETARY OF STATE
CORPORATIONS DIVISION
313 West Tower
2 Martin Luther King Jr. Dr.
Atlanta, GA 30334
(404) 656-2817
sos.georgia.gov/corporations
Secretary of State
Registration of Private Child Support Collector
SURETY BOND
O.C.G.A. § 10-1-393.9
Applicant
Bond No.:
KNOW ALL MEN BY THESE PRESENTS:
That we,
(Name of Private Child Support Collector)
of
,
(Address)
AS PRINCIPAL, and
,
(Name of Surety)
of
,
(Address)
AS SURETY, a corporation organized and existing under the laws of the State of ___________________________,
and authorized to transact business as surety in the State of Georgia, are hereby held and firmly bound unto the
State of Georgia, for the use and benefit of all interested persons injured by any breach of the conditions of this
obligation, and conditioned on the PRINCIPAL’S compliance with O.C.G.A. §§ 10-1-393.9 and 10-1-393.10 and the
faithful performance of the obligations under the PRINCIPAL’S agreements with its clients, in the sum of Fifty
Thousand ($50,000.00) Dollars lawful money of the United States of America, for the payment of which sum, well and
truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,
firmly by these presents.
SEALED with our seals and dated this
day of
, 20
.
THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH THAT:
WHEREAS, the above-mentioned Principal has applied to the Secretary of State of the State of Georgia for
registration as a Private Child Support Collector, representing by said application and by these presents, that all the
statements set forth in said application to the Secretary of State of Georgia, and that all of the written evidence or
other probative matter filed with the Secretary of State in connection with such application, are true; and obligating
itself and its agents to faithful compliance with all provisions of O.C.G.A. §§ 10-1-393.9 and 10-1-393.10, as now or
hereafter amended; and
WHEREAS, the above-mentioned Principal shall file all contracts for the collection of child support
between Principal and an obligee with the Governor's Office of Consumer Affairs, in compliance with the
requirements set forth in O.C.G.A. § 10-1-393.10, and that all of the statements set forth in said contracts filed
PCSC 002
with the Governor’s Office of Consumer Affairs are true, obligating itself and its agents to the faithful
compliance with all provisions set forth in said Code section, as now or hereafter amended.
NOW, THEREFORE, the condition of this obligation is such, that if the Secretary of State of the State of
Georgia shall register the above bounden Principal as such Private Child Support Collector and said Principal shall
faithfully and honestly act as such Private Child Support Collector in accordance with law, and fully comply
with the provisions of O.C.G.A. §§ 10-1-393.9 and 10-1-393.10, and the acts amendatory thereof and supplemental
thereto, and if the Principal shall full indemnify and save harmless from loss the State of Georgia and any person
who may have a cause of action against the Principal for any malfeasance or misfeasance in the conduct of private
child support collection as such Private Child Support Collector, then this obligation shall be void, otherwise to
remain in full force and virtue.
IN WITNESS WHEREOF, said Principal, acting by and through its duly authorized officers, has hereunto
set its hand and seal, and the said Surety has caused these presents to be signed by its duly authorized officers, and
its corporate seal to be hereto affixed this
day of
, 20
.
Name of Principal:
By:
Title:
Signed and sealed in my presence this
day of
, 20
.
(Seal)
Official Witness (Notary)
Name of Surety:
By:
Title:
Signed and sealed in my presence this
day of
, 20
.
(Seal)
Official Witness (Notary)
PCSC 002
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