GEORGIA PROBATE COURT STANDARD FORM

BOND OF ADMINISTRATORS, CONSERVATORS & EXECUTORS, ETC. GEORGIA Know all Men by these Presents: That we, Principal, and Surety, are held and firmly bound unto Judge of the Probate Court of said County, and the successors in said office, in the just and full sum of Dollars, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents. The condition of the above bond or obligation is such, that whereas the said , , , COUNTY BOND NO.

has been named and appointed as (Administrator) (Conservator) (Executor) (Temporary Administrator) (Guardian) of the estate of . Now should the said well and truly demean (himself) (herself) as such as aforesaid named, and faithfully discharge all of the duties required by law, then the above obligation to be satisfied and void, otherwise to remain in full force and effect. Signed, sealed and dated, this day of , 20 .

Address and telephone number of Surety for Notices and Copies of Filings (Agents address should not be used unless the agent is authorized by the issuer/underwriter to receive notices):

Principal

(Seal)

Principal

(Seal)

Corporate Surety Initial Premium: $ By: Attorney-in-Fact Approved: Probate Judge

(Seal)

Effective 7/08

GPCSF 21Complete