CONVEYANCE BOND

County )
) Asseveration
Republic )
)
United States of Aerica )
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Si$ned only in correct public capacity
As beneficiary to t%e ori$inal &urisdiction"
NO'(CE O) SURE'Y AC' AND BOND
*NO+ A!! ,EN BY '-ESE .RESEN'S/ (/ Offeror)ullNae/ .rinciple/ surety/
$uarantor/ a free ,an0+oan upon t%e )ree soil of t%is republic/ state t%at ( a of le$al
a$e/ copetent to testify/ %ave personal first %and 1no2led$e of t%e trut%s and facts
%erein bein$ true/ correct/ coplete/ certain and not isleadin$"
3" (/ Offeror)ullNae /of y o2n free 2ill and accord/ in t%e presence of t%e Ali$%ty
4od/ in $ood conscience/ do 2illin$ly underta1e to act as surty/ to pled$e and provide
private bond in t%e aount of t2enty one dollars in silver coina$e/ "5666 fine/ inted by
t%e Aerican 'reasury/ united States of Aerica/ pre73588 issue/ !a2ful coin dollars of
t%e united States of Aerica %eld by t%e undersi$ned"
9" '%is bond is to t%e credit of t%e private party listed %ereon/ ,y7)ull: Nae/ as full
fait% and credit $uarantee under Seal in !a2ful specie oney of account of t%e united
States of Aerica to any !a2ful Bill in Redeption duly presented/ to 2it;
8" '%e Bill of Redetion is a tender as set7off for any alle$ed contract/ a$reeent/
consent/ assent purportedly %eld/ as an obli$ation or duty a$ainst ,y7)ull: Nae so as to
cause an iputed disability or presuption a$ainst t%e capacity/ Ri$%ts and po2ers of
,y7)ull: Nae" '%e specific intent of t%e bond under seal is to establis%/ by 2itness of
t%e undersi$ned/ t%e $ood credit in !a2ful oney specie of ,y7)ull: Nae"
(/ Offeror)ullNae/ do %erby a1e t%is surety/ pled$e/ bond under ,y seal as full fait%
and credit $uarantee under Seal in !a2ful oney of account of t%e united States of
Aerica/ to any !a2ful Bill duly presented to t%e undersi$ned/ in t%e atter of correct
public &udicial actions in t%e foru of Ori$inal Rules/ Ori$inal <urisdiction/ for t%e
benefit and credit of t%e particular private party listed above"
'%e intent of t%e bond/ under Seal/ is to establis%/ by 2itness of t%e undersi$ned/ t%e $ood
credit/ in t%e su certain aount of at least t2enty one dollars in silver coina$e/ "
5666fine/ inted by t%e Aerican 'reasury/ of t%e united States of Aerica/ available to
bond t%e actions of t%e private party listed above" )urt%er/ in reservation of Ri$%ts under
Ori$inal <urisdiction/ Ori$inal Rules/ ,y7)ull: Nae %as a bond in tender of t2enty one
silver dollars/ Coina$e Act of A"D 3=59/ Bond of (dentity and C%aracter as proof positive/
copetent evidence/ t%at ,y7)ull: Nae cannot be ban1rupt/ t%e causa debeni/ cannot be
under t%e doctrine of cession bonoru/ or a forra pauperis/ dolus trust"
'%e life of t%is bond is for a period of one year fro date belo2/ 2%ereby/ by t%e
si$nature of Offeror)ullNae / surety/ $uarantor/ %ereon confirs/ attests/ affirs t%is
bond"
Done t%is t%e ### day of t%e#####ont%/ Anno Doini/ in t%e year of our Creator/ '2o
t%ousand######
>SEA!?
!"S######################No Dolus
Si$ned only in correct public capacity
As beneficiary to t%e ori$inal &urisdiction
S'A'E O)
COUN'Y O)
Before e/ a notary public in and for t%e said County and State/ personally appeared t%e
above naed Offeror)ullNae /2%o ac1no2led$ed t%at %e0s%e did si$n t%e fore$oin$
instruent and t%at t%e sae is %is0%er free and voluntary act and deed"
(N 'ES'(,ONY +-EREO)/ ( %ave %ereunto set y %avd and official seal t%is ###day
of ######## 96###"
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Notary .ublic
>SEA!?
,y coission e@pires;
!"S"##########################No Dolus