If you are a California resident and are in the process of selling or transferring real property, you will need to complete and submit California Form HS 402. This form is used to report the sale or transfer of real property and is required to be filed within 3 days of the sale or transfer. You can find more information about this form and how to complete it on the California State website. Make sure to submit your form on time so that you don't face any penalties.
| Question | Answer |
|---|---|
| Form Name | California Form Hs 402 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names |
State of |
California Department of Public Health |
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Licensing and Certification Program |
SURETY BOND VERIFICATION
Reply to: California Department of Public Health
Licensing and Certification Program
Centralized Applications Unit
P.O. Box 997377, MS 3402
Sacramento, CA
California Health and Safety Code, Section 1318, Chapter 2, Division 2, requires that licensed health facilities that handle money in excess of $25 per patient or over $500 for all patients in any month, be bonded for not less than $1,000. This is to serve as a guarantee for the faithful and honest handling of the money of such patients.
INSTRUCTIONS: This form is to be completed by the bonding agency. In addition, attach an original copy of the bond. In the event of cancellation of the bond, please send notice to the above licensing office.
BE IT KNOWN THAT:
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, as Surety, are held and firmly bound unto the STATE OF CALIFORNIA in the full and just sum of |
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DOLLARS ($ |
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), for the payment of which the said Principal and said Surety |
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bind themselves, their respective heirs, successors, and assigns, jointly and severally, firmly by these presents. |
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The CONDITION of this obligation is such that |
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WHEREAS, the Principal has applied for or has been issued a license by the California Department of Public Health to maintain or conduct a health facility pursuant to Chapter 2, Division 2, of the Health and Safety Code of the State of California; and
WHEREAS, by the terms of Section 1318 of said code, the Principal is required to file with the California Department of Public Health, Licensing and Certification, the bond running to the State of California.
NOW, THEREFORE, if the above bounden Principal shall faithfully and honestly handle money of patients in the care of said Principal, then this obligation shall be null and void; otherwise to remain in full force and effect.
Every patient injured as a result of any improper or unlawful handling of the money of a patient of a health facility may bring an action in a proper court on the bond required to be posted by the licensee pursuant to this section for the amount of damage he/she suffered as a result thereof to the extent covered by the bond.
This bond may be canceled by the Surety in accordance with the provisions of Section 996.310 et seq. of the Code of Civil |
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Procedure. This bond is effective |
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IN WITNESS WHEREOF, we have subscribed our names and impressed our seal this |
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BONDING AGENCY SEAL
HS 402 (2/08)