THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) FIDUCIARY BOND 1. Principal (fiduciary liable for bond) Telephone Mailing address Principal (fiduciary liable for bond) Telephone Mailing address 2. Amount of bond (total value of estate unless otherwise ordered by the court) $ To the judge of probate for the county of I, THE PRINCIPAL NAMED ABOVE, AGREE TO PAY THE JUDGE OF PROBATE THE AMOUNT OF THIS BOND IF I DO NOT FAITHFULLY PERFORM THE DUTIES OF MY OFFICE AS FIDUCIARY AS REQUIRED BY NEW HAMPSHIRE LAW. THIS OBLIGATION SHALL CONTINUE UNTIL I FULFILL ALL OF MY DUTIES AND SHALL BE BINDING ON MY ESTATE. Date Principal Date Principal ORDER This bond is: approved not approved Date Judge NHJB-2137-P (10/01/2006) (formerly AOC 1222-003) Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com