Form Bmc 85 PDF Details

Form BMC 85 is a critical business document that all businesses should have in their possession. It outlines the company's bylaws and can help protect your business in the event of litigation. This form should be completed with the help of an attorney to ensure that it is accurate and meets all legal requirements.

You'll discover info about the type of form you need to submit in the table. It will show you the time you'll need to finish form bmc 85, what fields you will have to fill in, and so on.

QuestionAnswer
Form NameForm Bmc 85
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesICC, BMC-85, OMB, hereinbefore

Form Preview Example

ORM BMC-85 Revised 03/11/2014

OMB No.: 2126-0017 Expiration: 02/28/2017

 

 

A Federal Agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2126-0017. Public reporting for this collection of information is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC-RRA, Washington, D.C. 20590.

United States Department of Transportation

Federal Motor Carrier Safety Administration

Broker’s or Freight Forwarder’s Trust Fund Agreement under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement

FORM BMC-85

Filer FMCSA Account Number:

License No. MC-

KNOW ALL MEN BY THESE PRESENTS, that we,

 

,

  (Name of Broker or Freight Forwarder)

of

 

 

 

 

 

 

 

 

 

 

,

 

  (Street)

 

 

  (City)

 

 

(St te)

 

  (Zip)

 

 

 

 

 

Alabama

 

 

 

as TRUSTOR (hereinafter called Trustor), and

 

 

 

 

 

Alaska

 

 

,

 

 

  (Name of Trustee)

 

 

American Samoa

 

 

 

a financial institution created and existing under the laws of the State of

 

 

 

 

 

 

 

 

as TRUSTEE (hereinafter called Trustee)

 

 

 

 

 

(St te)

 

 

Arizona

 

 

 

 

 

 

 

 

Alabama

 

Arkansas

 

 

 

hold and firmly bind ourselves and our heirs, executors, administrators, successors,Alaska and assigns, jointly and severally, firmly by these

presents.

 

 

 

American Samoa

 

California

 

 

 

WHEREAS, the Trustor is or intends to become either a Broker or a Freight Forwarder pursuant to the provisions of the Title 49 U.S.C.

 

 

 

 

 

Arizona

 

Colorado

 

 

 

13904, and the rules and regulations of the Federal Motor Carrier Safety Administration (FMCSA) relating to insurance or other security

for the protection of motor carriers and shippers, and has elected to file

Arkansas

 

Connecticut

 

 

 

with the Federal Motor Carrier Safety Administration such a Trust

Fund Agreement as will ensure financial responsibility and the supplying of transportation subject to the ICC Termination Act of 1995 in

California

Delaware

accordance with contracts, agreements, or arrangements therefor, and Colorado

District of Columbia

WHEREAS, this Trust Fund Agreement is written to assure compliance by the Trustor as either a licensed Broker or a licensed Freight

 

Connecticut

Florida

Forwarder of Transportation by motor vehicle with 49 U.S.C 13906(b), and the rules and regulations of the Federal Motor Carrier Safety

 

 

Georgia

Administration, relating to insurance or other security for the protection ofDelawaremotor carriers or shippers, and shall inure to the benefit of

any and all motor carriers or shippers to whom the Trustor may be legally liable for any of the damages herein described.

 

District of Columbia Guam

NOW, THEREFORE, the trustor and trustee, to accomplish the above, agree as follows:

Hawaii

 

Florida

1.  Trustee agrees that payments made pursuant to the security provided herein to shippers and motor carriers pursuant to this

 

Georgia

Idaho

Agreement will be made exclusively and directly to shippers or motor carriers that are parties to contracts, agreements or

arrangements with Trustor.

Guam

Illinois

 

 

Indiana

2.  Trustee agrees that the protection afforded to shippers and motor carriersHawaiihereby will continue until any and all claims made by

shippers or motor carriers for which Trustor may be legally liable have been settled or until the funds deposited by Trustor pursuant

to this Agreement have been exhausted, whichever comes first.

Idaho

Iowa

Illinois

Kansas

 

3.  The parties hereto acknowledge and certify that said Trustee shall exclusively manage the security and trust fund, as herein set forth,

 

Indiana

Kentucky

and shall have legal title to the security and trust fund, pursuant to the terms and conditions as set forth in this agreement. Further,

 

 

acknowledge and certify that (a) said

the parties hereto, and the said Trustee, as evidenced by their signatures to this agreement, Louisiana

 

Iowa

 

Trustee, neither has nor expects to have any interest, financial, proprietary, or otherwise, whatsoever, in Trustor; and (b) said Trustor,

 

Kansas

Maine

neither has nor expects to have any interest, financial, proprietary, or otherwise, whatsoever, in Trustee.

 

Kentucky

Marshall Islands

4.  Trustee acknowledges the receipt of the sum of Seventy Five Thousand Dollars ($75,000) for a Broker or Freight Forwarder, to be held

in trust under the terms and conditions set forth herein.

Louisiana

Maryland

 

 

Massachusetts

5.  Trustee may, within its sole discretion, invest the funds comprising theMainecorpus of this trust fund consistent with its fiduciary

obligation under applicable law.

Marshall Islands

Michigan

6.  Trustee shall pay, up to a limit of Seventy Five Thousand Dollars ($75,000) for a Broker or Freight F rwarder, directly to a shipper or

 

Maryland

Micronesia

motor carrier any sum or sums which Trustee, in good faith, determines that the Trustor has failed to pay and would be held legally

 

 

Minnesota

liable by reason of Trustor’s failure to perform faithfully its contracts, agreementMassachusetts, or arrangements for transportation by authorized

motor carriers, made by Trust or while this agreement is in effect, regardless of the financial responMississippiibility or lack thereof, or the

solvency or bankruptcy, of Trustor.

Michigan

Missouri

Micronesia

 

 

Minnesota

Montana

 

FORM BMC-85 Page 1 of 2Mississippi

Nebraska

 

Missouri

Nevada

ORM BMC-85 Revised 03/11/2014

OMB No.: 2126-0017 Expiration: 02/28/2017

 

 

7.  In the event that the trust fund is drawn upon and the corpus of the trust fund is a sum less than Seventy Five Thousand Dollars ($75,000) Brokers or Freight Forwarders, Trustor shall, within thirty (30) days, replenish the trust fund up to Seventy Five Thousand Dollars ($75,000) Brokers or Freight Forwarders by paying to the Trustee a sum equal to the difference between the existing corpus of the trust fund and Seventy Five Thousand Dollars ($75,000) Brokers or Freight Forwarders.

8.  Trustee shall immediately give written notice to the FMCSA of all lawsuits filed, judgments rendered, and payments made under this trust agreement and of any failure by Trustor to replenish the trust fund as required herein.

9.  This agreement may be canceled at any time upon thirty (30) days written notice by the Trustee or Trustor to the FMCSA on the form printed at the bottom of this agreement. The thirty (30) day notice period shall commence upon actual receipt of a copy of the trust fund agreement with the completed notice of cancellation at the FMCSA’s Washington, DC office. The Trustee and/or Trustor specifically agrees to file such written notice of cancellation.

10.  All sums due the Trustee as a result, directly or indirectly, of the administration of the trust fund under this agreement shall be billed directly to Trustor and in no event shall said sums be paid from the corpus of the trust fund herein established.

11.  Trustee shall maintain a record of all financial transactions concerning the Fund, which will be available to Trustor upon request and reasonable notice and to the FMCSA upon request.

 

 

 

 

12.  This agreement shall be governed by the laws in the State of

 

 

 

 

 

 

, to the extent not inconsistent with the rules

 

 

 

 

 

and regulations of the FMCSA.

 

 

 

 

 

 

 

Alabama

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alaska

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This trust fund agreement is effective the

 

 

 

day of

 

 

American Samoa ,

 

 

 

 

 

 

, 12:01 a.m., standard time at the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st

 

January

 

 

2013

 

 

 

 

 

 

 

 

 

 

 

 

 

address of the Trustor as stated herein and shall continue in force Arizonauntil terminated as herein provided.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

February

 

 

2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Arkansas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trustee shall not be liable for payments of any of the damages hereinbefore described which arise as the result of any contracts,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd

 

March

 

 

2015

 

 

 

 

 

 

 

 

 

 

 

 

 

agreements, undertakings, or arrangements made by the Trustor Californiathe supplying of transportation after the cancellation of this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th

 

April

 

 

2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Colorado

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agreement, as herein provided, but such cancellation shall not affect the liability of the Trustee for the payment of any such damages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5th

 

May

 

 

2017

 

 

 

 

 

 

 

 

 

 

 

 

 

arising as the result of contracts, agreements, or arrangements madeConnecticutby the Trustor for the supplying of transportation prior to the date

 

 

 

 

such cancellation becomes effective.

 

 

6th

 

June

 

 

2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7th

 

JulyDelaware

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

District of Columbia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8th

 

August

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Florida

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN WITNESS WHEREOF, the said Principal and Surety have9thexecuted this instrumentSeptembern the

 

 

 

day of

 

 

 

 

,

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Georgia

1st

 

 

 

 

 

January

 

 

2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10th

 

October

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11th

 

 

 

Guam

2nd

 

 

 

 

 

February

 

 

2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

November

 

 

 

 

 

 

 

 

 

 

 

 

 

TRUSTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hawaii

 

 

 

 

 

 

 

March

 

 

2015

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12th

 

 

 

 

TRUSTEE3rd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13th

 

 

 

Idaho

4th

 

 

 

 

 

April

 

 

2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Illinois

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14th

 

 

 

Indiana

5th

 

 

 

 

 

May

 

 

2017

 

 

 

 

 

 

COMPANY NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

15th

 

 

 

Iowa

6th

 

 

 

 

 

June

 

 

2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPANY NAME

 

 

 

 

 

July

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16th

 

 

 

Kansas

7th

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

17th

 

 

 

 

STREET8thADDRESS

 

 

 

 

 

August

CITY

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

September

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18th

 

 

 

Kentucky9th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Louisiana10th

 

 

 

 

 

October

 

 

 

 

 

 

 

 

 

Alabama

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alabama

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

ZIP CODE

 

TELEPHONE NUMBER

Maine

 

 

 

 

 

 

ZIP CODE

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

 

 

 

Alaska

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20th

 

 

 

 

Alaska11th

 

 

 

 

 

November

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marshall Islands

 

 

 

 

 

December

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

American Samoa

 

 

 

 

 

 

 

 

 

 

 

 

 

21st

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

American Samoa

 

 

 

 

 

 

 

 

 

 

 

 

 

Arizona

 

 

(type or print Principal officer’s name and title)

 

 

 

Maryland13th (type or print Principal officer’s name and title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22nd

 

 

 

 

Arizona

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Massachusetts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23rd

 

 

 

 

 

14th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Arkansas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ark

sas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

California

 

(Principal officer’s signature)

 

 

 

Michigan

15th

 

 

(Principal officer’s signature)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24th

 

 

 

 

California

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Micronesia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Colorado

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25th

 

 

 

 

 

16th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Colorado

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minnesota

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Connecticut

 

(type or print witness’s name)26th

 

 

 

 

 

17th

 

 

(type or print witness’s name)

 

 

 

 

 

 

 

 

 

 

 

 

 

Connecticut

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mississippi

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Delaware

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27th

 

 

 

 

 

18th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Delaware

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Missouri

19th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

District of Columbia

 

 

 

 

 

 

 

 

 

 

 

28th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Florida

 

 

 

 

 

 

(witness’s signature)

 

 

29th

 

 

 

Montana

20th

 

 

 

(witness’s signature)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Florida

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nebraska

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Georgia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30th

 

 

 

Only financial21st institutions as defined under 49 CFR 387.307(c) may qualify

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Georgia

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTICE OF CANCELLATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nevada

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Guam

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31st

 

 

 

to act as Trustee. Trustee, by the above signature, certifies that it is a financial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Guam

22nd

 

 

 

 

 

 

 

 

 

 

 

 

 

This is to advise that the above Trust Fund Agreement executed on the

 

 

NewinstitutionHampshireand has legal authority to assume the obligations of Trustee and

 

 

 

 

 

23rd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hawaii

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

theHawaiifinancial ability to discharge them.

 

 

 

 

 

 

 

 

dayIdahoof

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Jersey

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

is hereby cancelled as

 

Idaho

24th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Mexico

 

 

 

 

 

 

 

 

 

 

 

 

 

1st

 

 

January

 

 

 

 

 

 

 

 

2013

 

 

 

 

 

 

 

 

 

 

 

25th

 

 

 

 

 

 

 

 

 

 

 

 

security in compIllinoisance with the FMCSA security requirements under 49 U.S.C.

 

Illinois

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

February

 

 

 

 

 

 

 

2014

 

 

 

 

 

 

 

 

 

New York26th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indiana

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

day of

 

 

 

 

Indiana

 

 

 

 

 

 

 

 

 

 

 

 

13906(b) and 49 CFR 387.307, effective as of the

 

 

 

 

 

 

 

 

 

North Carolina

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd

 

 

March

 

 

 

 

 

 

 

 

2015

 

 

 

 

 

 

 

 

 

 

 

 

27th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Iowa

 

 

 

 

 

 

 

 

 

 

 

1st

 

 

 

 

 

 

 

 

Iowa

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th

 

 

April

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North Dakota

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2016

 

 

 

 

 

 

 

 

 

 

 

28th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kansas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kansas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

, 12:01 a.m., standard time at the address

Northern Marianas

 

 

 

 

 

 

 

 

 

 

 

 

 

5th

 

 

May

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

 

 

 

29th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

January

 

Kentucky 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kentucky

 

 

 

 

 

 

 

 

 

 

 

 

of the trustor, provided such date is not less than thirty (30) days after the

 

 

Ohio

 

 

 

 

 

(affix Trustee seal)

 

 

 

 

 

 

6th

 

 

June

 

 

 

 

 

 

 

 

 

 

 

3rd

 

 

 

 

 

 

 

 

 

30th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

February

 

Louisiana2014

 

 

 

 

 

 

 

 

4th

 

 

 

 

 

 

 

 

Louisi na

 

 

 

 

 

 

 

 

 

 

 

 

actual receipt of this notice by the FMCSA.

 

 

 

 

 

 

 

 

Oklahoma

 

 

 

 

 

 

 

 

 

 

 

 

 

7th

 

 

July

 

2015

 

 

 

 

 

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

31st

 

 

 

 

 

 

 

 

 

 

 

 

 

March

 

Maine

 

 

 

 

 

 

 

 

 

5th

 

 

 

 

 

 

 

 

Maine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8th

 

 

August

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oregon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

April

 

 

 

 

2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marshall Islands

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marshall Islands

 

 

 

 

 

 

 

 

6th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9th

 

 

September

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Palau

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Authorized Representative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Signed

 

Maryland2017

 

 

 

 

 

 

 

 

Maryland

 

 

 

 

 

 

 

 

 

 

 

 

 

May

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10th

 

 

October

 

 

 

 

 

 

of Trustee or Trustor

 

 

 

Pennsylvania

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

June

 

 

 

 

2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Massa husetts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Massachusetts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11th

 

 

November

 

 

 

 

 

 

 

 

8th

 

 

 

 

 

 

 

Puerto Rico

 

 

 

 

 

 

 

 

 

 

 

 

 

July

 

Michigan 2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Michigan

 

 

 

 

 

 

 

 

 

 

 

 

 

12th

 

 

December

 

 

 

 

 

 

 

 

9th

 

 

 

 

 

 

 

Rhode Island

 

 

 

 

 

 

 

 

 

 

 

 

 

August

 

 

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Micronesia

 

 

 

 

 

 

 

 

 

 

 

 

 

13th

 

Micronesia

 

 

 

 

 

 

 

 

 

10th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

South Carolina

 

 

 

 

 

 

 

 

 

 

 

 

 

September

 

Minnesota

 

 

 

 

 

 

 

 

 

11th

 

 

 

FORM BMC-85 Page 2Minnesotaof 2

 

 

 

 

 

 

 

 

 

 

 

 

 

14th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

South Dakota

 

 

 

 

 

 

 

 

 

 

 

 

 

October

 

Mississippi

 

 

 

 

 

 

 

 

 

12th

 

 

 

 

 

 

 

 

Mississippi

 

 

 

 

 

 

 

 

 

 

 

 

 

November15th

 

Missouri

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tennessee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TexasMissouri

 

 

 

 

 

 

 

 

 

 

 

 

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CFR empty fields to consider

Type in the necessary particulars in reasonable notice and to the FMCSA, This agreement shall be governed, to the extent not inconsistent, and regulations of the FMCSA, This trust fund agreement is, day of, am standard time at the, Trustee shall not be liable for, IN WITNESS WHEREOF the said, day of, TRUSTOR, TRUSTEE, COMPANY NAME, COMPANY NAME, and STREET ADDRESS section.

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You will have to put down particular particulars inside the area Principal officers signature, Principal officers signature, type or print witnesss name, type or print witnesss name, witnesss signature, witnesss signature, NOTICE OF CANCELLATION, This is to advise that the above, Only financial institutions as, is hereby cancelled as security in, day of, b and CFR effective as of the, day of, of the trustor provided such date, and am standard time at the address.

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