SSN Policy Manual

Sample Letters and Forms

Indemnity Bond

Indemnity Bond

, as surety, is bound to

1,

as principal, and

ohliror

o hliccc

for the payment of which I bind myself, my

in the sum of $

ohlicec

heirs, personal representatives, successors, and assigns, jointly and severally.

shall pay all costs and damages

The Condition of this Bond is that

oldi~y11.

sustains in consequence of any claims arising out of the release

ohkiwc

that

agreement herein.

Bv:

as Attorney in Fact, as Surety

Public Domain-IB(O1)