STATE OF SOUTH CAROLINA COUNTY OF: ____________________________ IN THE MATTER OF: ________________________________________ (Decedent) ) ) ) ) ) ) ) IN THE PROBATE COURT FIDUCIARY BOND CASE NUMBER: _____________________________________ We, ____________________________ (Personal Representative), as principal, and _______________________ ______________________________________, a corporation duly licensed to do business in South Carolina, as Surety, are held and bound unto the ______________________County Probate Court Judge in the sum of __________________ __________________________________________($________________) Dollars, to be paid to the Probate Court Judge or his/her successors of this County. We jointly and severally bind each of ourselves, our heirs, fiduciaries, and assigns for the entire amount. The principal and the surety consent to the jurisdiction of this Probate Court in any proceeding pertaining to the fiduciary duties of the Personal Representative. THE CONDITION OF THE ABOVE OBLIGATION IS, that if the above bound principal shall faithfully discharge the duties of his/her trust as Fiduciary of the person and/or estate in this matter, according to law, then the above obligation is to be void, else to remain in full force. Executed this______ day of _________________________, 20_________. *Witness Signature: Print Witness Name: Principal Signature: Print Principal Name: Principal Address: Bonding Company Home Office: Address: Telephone: S.C. Bonding Company Agency: By Attorney in Fact: Print Agent Name: Agency Address: Telephone: *The Personal Representative is not allowed to serve as the witness. FORM #341ES (04/2017) 62-3-604, 62-3-606 American LegalNet, Inc. www.FormsWorkFlow.com