SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ INT _________ In re ________________________________ An Adult _________ IDD _________ BOND OF CONSERVATOR KNOW ALL PERSONS BY THESE PRESENTS: That whereas the undersigned _________________________________________________________________________________, whose address is ___________________________________________________________________ _________________________________________________________________________________, has been appointed conservator of _____________________________________________________ by order of the Court dated _______________________________, 20______, and is required to give a bond, under seal, in the maximum amount of ___________________________________________ ($___________________) dollars, fixed by the Court, conditioned as by law and said order required; and whereas the condition of the undertaking is that the said _____________________________________ shall faithfully discharge all duties of the trust according to law as such conservator and in all things obey such order as the Court shall make in the premises: We, therefore, the undersigned ________________________________________________________________________________ as principal_ and __________________________________________________________________ as surety appearing and submitting to the jurisdiction of the Court, hereby undertake for ourselves and each of us, and each of our heirs, personal representatives, successors, and assigns to abide by and perform the order of the Court in the premises, and do further agree that upon default by the said principal in any conditions hereof, the damages, not exceeding the sum aforesaid, may be ascertained in such manner as the Court shall direct; that the Court may give judgment hereon in favor of any person thereby aggrieved against us for damages suffered or sustained by such aggrieved party; and that such judgment may be rendered in said cause against all or any of us whose names are hereto signed: April 2014 ­ 953.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com Signed, sealed, and delivered in the presence of: ___________________________________ Witness ___________________________________ Witness ___________________________________ Witness ___________________________________ Witness ______________________________________ (SEAL) Signature of Conservator ______________________________________ (SEAL) Signature of Conservator ______________________________________ (SEAL) Bonding Company ______________________________________ (SEAL) By Surety approved this _________ day of ________________, 20______ REGISTER OF WILLS CLERK OF THE PROBATE DIVISION By: ___________________________________ Deputy Clerk April 2014 ­ 953.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com