STATE OF LOUISIANA 24th Judicial District Court for the Parish of Jefferson No.: Division: 223224 ADMINISTRATOR222S BOND SUCCESSION of: KNOW ALL MEN BY THESE PRESENTS, That we, of the State of Louisiana are held and firmly bound unto Clerk of the 24th Judicial District Court for the Parish of Jefferson, or to his successor in office, in the sum of Dollars current money of the United States of America, which we promise to pay to them or their successors in office, for the faithful performance of which we bind ourselves and each of us, our and each of our heirs, executors and administrators, jointly and severally, firmly by these presents renouncing all benefits, or division, or discussion whatever. Signed and dated this day of , 20 . THE CONDITION OF THE ABOVE OBLIGATION IS SUCH that if the above bounden of the estate of the late deceased, does well and truly, according to law, administer the same, and further does render a true, just and perfect account of his actions and doings, when thereunto lawfully required either by the aforesaid Judges or their successors in office, agreeably to law, or by the heirs of the said deceased, or their lawful attorney or attorneys, then this obligation to be void, or else to remain in full force and virtue. IN WITNESS WHEREOF, we have hereunto set our hands and seals, the day and year first above written. In the presence of: AFFIDAVIT OF SURETY , being duly sworn, says that is worth over and above all debts and obligations , Dollars in assets that can be subjected to levy, under execution, and that resides in the Parish of Jefferson. Sworn to and subscribed before me, this day of , 20 . NOTARY PUBLIC AFFIDAVIT OF PRINCIPAL , being duly sworn, says that is informed and believes that the surety on this bond, is worth over and above debts and obligations in assets that can be subjected to levy under execution, the amount for which has bound in this bond. Sworn to and subscribed before me, this day of , 20 . NOTARY PUBLIC American LegalNet, Inc. www.FormsWorkFlow.com