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Michigan Uniform Surety Bond for Title to Mobile Home (Lost Title)


Product Number: 164651
Michigan Uniform Surety Bond for Title to Mobile Home (Lost Title)

Price: To Be Determined




Surety: Merchants Bonding Company

Application Required


Issued under authority of P.A. 419 of 1976,
as amended. Filing of this form is
voluntary. Failure to do so will result in no
title being issued.
MICHIGAN DEPARTMENT OF COMMERCE
UNIFORM SURETY BOND
TO BE FILED WITH APPLICATION FOR TITLE TO MOBILE HOME

Bond No.
KNOW ALL MEN BY THESE PRESENTS, THAT

(Name of Applicant)
of
(Street Address of Applicant) (City) (State)

as principal, and Merchants Bonding Company (Mutual)
(Name of Surety Company)

as surety, are held and firmly bound unto the Michigan Department of Commerce and any prior owner and any subsequent purchaser of the Mobile Home
described below, in the penal sum of ( ), lawful money of the United States
of America, for which sum well and truly to be paid said principal and surety bind themselves, their heirs, executors, administrators, and assigns,
jointly and severally, and each of them firmly by these presents.

WHEREAS, the above named principal is applying to the Department of Commerce for a Michigan Certificate of Mobile Home Title for the unit described
below, and
WHEREAS, the Department of Commerce finds that the documents submitted with such Application for Mobile Home Title are not adequate to satisfy the
Department of Commerce that the applicant is entitled to the issuance of a Michigan Certificate of Mobile Home Title for such Mobile Home,

NOW THEREFORE, the condition of this obligation is such that the said principal shall indemnify and reimburse the Department of Commerce and each
and every employee of the Michigan Department of Commerce and any prior owners, and any subsequent purchaser, of the mobile home described below,
and their successors in interest, against any expense, loss, or damage, including reasonable attorney's fees, by reason of the issuance of a Michigan
Certificate of Mobile Home Title to the said principal for the mobile home described below, or on account of any defect in the right, title, or interest of the
principal in and to the said mobile home. Every interested person shall have a right of action to recover on this bond for any breach of its conditions, but
the aggregate liability of the surety to all persons shall not exceed the amount of this bond.
This bond is submitted with Application for Title for the following mobile home:

(Year and Brand Name) (Size) (Serial No.)
This bond shall be returned at the end of five years or prior thereto if the Mobile Home is no longer registered in this state and the currently valid Certificate
of Title is surrendered to this Department, unless this Department has received notification of the pendency of an action to recover on this bond.

Signed, sealed, and dated this day of , .

WITNESS TO APPLICANT - PRINCIPAL APPLICANT - PRINCIPAL

(Signature of Witness) (Signature of Applicant or Authorized Agent of Applicant)

(Print or type name of Witness) (Print or type name and title of Person Signing for Applicant)

WITNESS TO SURETY SURETY
Merchants Bonding Company (Mutual)
(Signature of Witness) (Name of Surety Company)

(Print or type name of Witness) (Signature of Attorney-in-Fact)

(Print or type name of Attorney-in-Fact)

TR-122 (7/86)
LP 1319 MI (6/04)


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