Form Ccb 8813 – Fill Out and Use This PDF

CCB-8813 (Rev. 10-01-10)

STATE CORPORATION COMMISSION BUREAU OF FINANCIAL INSTITUTIONS 1300 EAST MAIN STREET, SUITE 800 POST OFFICE BOX 640

RICHMOND, VIRGINIA 23218-0640

SURETY BOND

PURSUANT TO §§ 6.2-1604 and 6.2-1703 OF THE CODE OF VIRGINIA

Bond No. ________________Bond Amount $_______________

KNOW ALL MEN BY THESE PRESENTS:

THAT WE, _____________________________________________________, as principal, and

_________________________________________________________, as surety, are bound unto the Commonwealth

of Virginia in the penal sum of ________________________________________________ ($______________),

payable to the State Corporation Commission, for the payment of which we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, by these presents:

WHEREAS, the above named principal is engaged in business as a mortgage lender or mortgage broker, or both, and is either exempt from such application requirement or has applied to the State Corporation Commission for a license to engage in business under Chapter 16 of Title 6.2 of the Code of Virginia;

NOW THEREFORE, the conditions of this obligation are such that if the above named principal and all persons acting for the principal shall strictly comply with the provisions of Chapter 16 and/or Chapter 17 of Title 6.2 of the Code of Virginia, as applicable, all regulations duly promulgated thereunder, and all other laws applicable to the conduct of its business, and shall pay and satisfy all loss, damage and liability suffered by or owing to the State Corporation Commission or any person dealing with the principal on account of its violation of any such laws and regulations, then this obligation to be void, otherwise to remain in full force and effect.

In no event shall the aggregate liability of the surety exceed the penal sum specified herein. The surety shall have the right to terminate its obligation under this bond by written notification to the principal and the Commissioner of Financial Institutions at least ninety (90) days prior to the effective date of such termination. Obligations of the surety arising prior to such effective date shall not be affected by such termination.

WITNESS the following signatures and seals this __________ day of _______________________, _______.

Name, address, and telephone number of person with surety to be contacted in the event a claim must be filed:

Name:____________________________ Title:_________________________________

Address:________________________________________________________________

City:_________________________ State:_____________________Zip:___________

Telephone Number: (_____)_____________________________