IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI
Estate of ____________________________________________________________ Disabled / Minor No. _______________ Bond $ ____________
CORPORATE SURETY BOND
(CONSERVATORSHIP)
__________________________________________________________________________________________ as principal(s) and ____________________________________________________________________________ as surety are held and firmly bound to the State of Missouri for the use and benefit of ___________________________ ____________________________________, protectee, in the sum of $ __________________________________ for the payment of which we bind ourselves, our heirs, our personal representatives and assigns, jointly and severally. The condition of the bond is that if ______________________________________________, shall faithfully administer the estate, account for, pay and deliver all moneys and property of the protectee and perform all other things touching the conservatorship as required by law, or the order of decree of any court having jurisdiction, then the above bond is void, otherwise to remain in full force.
IN WITNESS WHEREOF, we have hereunto subscribed our names this ____ day of _____________, ______.
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Principal's Signature
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Principal's Signature
___________________________________________
Street Address
________________________________________
Street Address
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City State Zip Code
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City State Zip Code
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Principal's Signature
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Principal's Signature
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Street Address
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Street Address
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City State Zip Code
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City State Zip Code
Approved this _____ day of _________________, _____.
ROBERT C. WEIS, CLERK
Probate Division, Circuit Court St. Louis County, Missouri
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Surety
By: _____________________________________
Attorney in fact (Surety Seal) 5100/A
By: _______________________________________
Deputy Clerk
ACKNOWLEDGMENT OF PRINCIPAL STATE OF ________________________} } SS. COUNTY OF ______________________} Now on this _____ day of ______________, ______, personally appeared before me in the state aforesaid _____________________________________________________________________________________________ _________________________________________________________ to me personally known as the person(s) described in and who executed the foregoing bond as principal s) and acknowledge(s) that _______________________ ( executed the same as ___________________ free act and deed for the uses and purposes therein mentioned. IN TESTIMONY WHEREOF, I hereto sign my name and affix my seal at office in the state of ___________________, this _____ day of ______________, ______. (Notary Seal) Notary Commission expires: ACKNOWLEDGM ENT OF CORPORATE SURETY STATE OF ________________________} } SS. COUNTY OF ______________________} Now on this ______ day of ______________, ______, personally appeared before me in the state aforesaid _________________________________________________________________________________________________, Attorney in fact, to me personally known as the person described in and who executed the foregoing bond on behalf of __________________________________________________________________________________________
(surety)
__________________________________________
Notary Public
and acknowledged that __________________ executed the same as _________________________ free act and deed for the uses and purposes therein mentioned. IN TESTIMONY WHEREOF, I hereto sign my name and affix my seal at office in the state of ___________________, this ______ day of _____________, ______. (Notary Seal) Notary Commission expires: __________________________________________
Notary Public