MISSING DOCUMENT OF TITLE
_________________________________________ (claimant), of __________
_________________________________________ (address), ________________ (city),
______________ County, __________ (state), , as principal, and __________
(surety), a corporation organized and existing under the laws of __________
(state), and duly licensed to transact a surety business in __________ (state),
as surety, acknowledge our indebtedness to __________ (obligee), of
____________________ ______________ (address), ____________ (city), __________
County, _________ (state), as obligee, as well as its successor and assigns, in
consideration for the release of the goods subject to __________ (bill of
lading) no. __________, in the sum of __________ Dollars ($__________), in
order to indemnify the obligee, its successor and assigns against all loss,
damage, charges, or other expenses reasonably incurred by obligee by reason of
claimants failure to return such document on surrender by obligee of the goods.
condition of the foregoing obligation is that:
Obligee has received on __________ (date), the following described goods from
claimant and has issued its original __________ (bill of lading), no.
__________, dated __________, covering these goods: __________ (describe
Principal has represented to obligee that:
The above described document which is missing is lost, stolen, or destroyed;
Principal is the owner of these goods and the person entitled under this
document to the delivery of the goods; and
Principal has requested delivery despite principals failure to produce and
surrender the above described missing document covering these goods; and
Principal has agreed to indemnify obligee and any other person for any loss,
injury, or expense arising out of principals failure to surrender the document.
The goods represented by the missing document, issued by obligee, bearing no.
__________, and dated ___________, have been delivered by obligee to principal
without surrender of such document in the good faith belief that principal is
the owner entitled to the goods and that the above described document
representing such goods is lost, stolen, or destroyed.
obligation shall be void if the above described document is found and principal
delivers such document to obligee for cancellation.
bond is executed pursuant to ________________________ (cite local enactment of
UCC § 7-601), and is intended to comply with all requirements of such statute.
premium, for which this bond is written, is ___________ Dollars ($__________).
witness whereof, the parties have executed this bond at __________ (designate
place of execution) on __________ (date).