State of California Secretary of State Guaranteed Traffic Arrest Bail Bond (Vehicle Code Section 40305.5) Complete and mail to: Secretary of State, P.O. Box 942877, Sacramento, CA 94277-0001. (916) 653-3984 (Office Use Only) Bond Number Premium $ Term_______________________________________ KNOW ALL PERSONS BY THESE PRESENTS: That __________________________________________________________________________________________ Name of Principal as Principal , whose address__________________________________________________________CA__________________, Street Address City State Zip an association of motor carriers incorporated, or authorized to do business, in this state, and ___________________________ Name of Surety ____________________________________________________________, a corporation authorized to transact a general surety business in the State of California, as surety, are hled and firmly bound to the State of California in the sum of fify housand dollars ($50,000.00), for the payment of which, we bind ourselves, our heirs, executors, successors and assigns, jointly and severally, firmly by these presents. The Principal has guaranteed the appearance of a person to whom Principal has issued a guaranteed traffic arrest bail bond certificate, and if in the event of failure of the person to appear in court at thte time of trial, the Principal shall pay any fine or forfeiture imposed on the person, not to exceed the amount stated on the certificate, then this obligation is void, otherwise to remain in full force and effect. Any court in this state may access against the surety the amount of covered fines or bail which the Principal, as issuer of a guaranteed traffic arrest bail bond certificate, fails to pay. In no event shall the aggregate liability of the surety for any and all claims which arise under this bond exceed the penal sum hereof. SEC/STATE NP/SF 421 (REV. 03/2005) (OVER) American LegalNet, Inc. www.USCourtForms.com This bond is executed by the surety to comply with the provisions of Chapter 2, Division 17 of the Vehicle Code and of Chapter 2, Title 14, Part 2 of the Code of Civil Procedure and shall be subject to all of the terms and provisions thereof. _________________________________________ Name of Officer of Business _________________________________________ ________________________________________ Name of Surety ________________________________________ _________________________________________ ________________________________________ Address California Address This bond is executed under an unrevoked appointment or power of attorney. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. _________________________________________ ________________________________________ Date Signature of Attorney-In-Fact _______________________________________ Printed or Typed Name of Attorney-In-Fact American LegalNet, Inc. www.USCourtForms.com