State of Florida

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Secretary of State

Division of Elections

Room 1802, The Capitol

Tallahassee, Florida 32399-0250

Bond

County of

KNOW ALL MEN BY THESE PRESENTS, That we,

(O

fficial’s Name)

as Principal, and

as Surety, are bound unto the Governor of the State of Florida, and his successors in office, in the

sum of $

Dollars, we hereby bind ourselves and each of our heirs,

executors, administrators, successors and assigns, jointly and severally.

THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas, said official

was

appointed

(Name of Office)

to hold this office for a term

beginning

and ending

and until his/her

successor is qualified according to the Constitution and Laws of the State of Florida.

NOW, THEREFORE, If the official shall faithfully perform the duties of his/her office

as provided by law, this obligation is void.

X

(Signature of Official)

Signed and Sealed this

day of

, 20 .

(Address of Main Surety Company)

(Name of Local Bonding Company)

(SEAL)

By

X

(

Address of Local Bonding Company)

(Signature of Licensed Resident Agent)

(Social Security Number of Licensed Resident Agent)

(Type Name of License Resident Agent)

The above is approved this

Signature:

  

Approved by:

day of

, 20

.

1bond.doc (10/21/98)

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____________________________________________________________________________

OATH OF OFFICE

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STATE OF FLORIDA

COUNTY OF _______________________

I DO SOLEMNLY SWEAR (OR AFFIRM) that I will support, protect and defend the Constitution and

Government of the United States and of the State of Florida; that I am duly qualified to hold office under the

Constitution of the State, and that I will well and faithfully perform the duties of

of which I am now about to enter, so help me God.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE

FOREGOING OATH AND THAT THE FACTS STATED IN IT ARE TRUE .

(1)

Signature Date

Signed

ACCEPTANCE

SECRETARY OF STATE

THE CAPITOL

TALLAHASSEE, FLORIDA 32399-0250

I accept the office of ______________________________________________________

_______________________________________. The above is the oath of office taken by me.

In addition to the above office I also hold the office of _________________________________.

My mailing address is:

home

office

(2)

(3)

Street or Post Office Box

Sign as you desire commission issued

City, State, Zip Code

Print or type name as signed above

Person taking oath sign on line (1) above. Sign acceptance on line numbered (3) after giving address on line (2).

DS-DE 56 (rev.9/99)

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CERTIFICATE FOR FACSIMILE SIGNATURE

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(Section 116.34, Florida Statutes)

State of Florida

County of

I,

(print name as to be signed below)

being

Duly appointed as

(state complete title or position)

Do hereby file with the Secretary of State my official signature for the purpose of

complying with Section 116.34, Florida Statutes, and do hereby certify that the

signature below is true, correct and manually subscribed by me.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE

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READ THE FOREGOING OATH AND THAT THE FACTS STATED

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IN IT ARE TRUE .

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Signature

Date signed

Print Name as signed

Business Address

City

State

Zip Code

DE-DE 3 (Rev.10/99)