STATE OF NORTH CAROLINA County Name Of Decedent/Trust/Minor/Incompetent File No. In The General Court Of Justice Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: BOND (Corporate Surety) G.S. 28A-8-1, -1.1, -2, -3; 35A-1231 We, the undersigned principal(s) and surety, are obligated to the State of North Carolina in the sum shown below. We bind ourselves, jointly and severally, to the payment of this sum. The condition of this obligation is such that if the principal(s) shall administer the above estate/trust according to the law, faithfully execute the trust reposed in him/her, and obey all lawful orders issued by the Clerk of Superior Court or other court touching the administration of the estate/trust committed to the principal(s), then this obligation shall be void; otherwise, this obligation shall remain in full force and effect. Current Bond Amount Amount Increase/Decrease (if any) Amount New Bond Total (if applicable) $ Name Of Principal Signature Of Principal $ $ Name Of Principal 2 (if applicable) Signature Of Principal 2 (if applicable) ACKNOWLEDGED BEFORE ME (Principal) Date Signature Date Signature ACKNOWLEDGED BEFORE ME (Principal 2, if applicable) Deputy CSC Date Commission Expires County Where Notarized Assistant CSC Clerk Of Superior Court Notary Deputy CSC Date Commission Expires County Where Notarized Assistant CSC Clerk Of Superior Court Notary SEAL SEAL Name And Address Of Corporate Surety Bond No. Name Of Agent For Corporate Surety Signature Of Agent For Corporate Surety ACKNOWLEDGED BEFORE ME (Agent For Corporate Surety) Date Signature Deputy CSC Notary Assistant CSC Clerk Of Superior Court Date Commission Expires County Where Notarized SEAL Original-File AOC-E-401, Rev. 3/16 � 2016 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com STATE OF NORTH CAROLINA County Name Of Decedent/Trust/Minor/Incompetent File No. In The General Court Of Justice Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: BOND (Personal Sureties) G.S. 28A-8-1, -1.1, -2, -3; 35A-1231 We, the undersigned principal and sureties, are obligated to the State of North Carolina in the sum shown below. We bind ourselves, jointly and severally, to the payment of this sum. The condition of this obligation is such that if the principal shall administer the above estate/trust according to law, faithfully execute the trust reposed in him/her, and obey all lawful orders issued by the Clerk of Superior Court or other court touching the administration of the estate/trust committed to the principal, then this obligation shall be void; otherwise, this obligation shall remain in full force and effect. Current Bond Amount Amount Increase/Decrease (if any) Amount New Bond Total (if applicable) $ Signature Of Principal $ $ ACKNOWLEDGED BEFORE ME (Principal) Date Signature Deputy CSC Notary Assistant CSC Date Commission Expires County Where Notarized Clerk Of Superior Court SEAL Signature of Surety 1 Signature of Surety 2 ACKNOWLEDGED BEFORE ME (Surety 1) Date Signature Date ACKNOWLEDGED BEFORE ME (Surety 2) Signature Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court SEAL JUSTIFICATION SEAL Each of the undersigned personal sureties being first duly sworn, says that he/she is a resident of the State of North Carolina, owns real estate in North Carolina, has assets with an aggregate value above encumbrances of not less than the amount of the bond, which aggregate value is over and above all liabilities and exemptions allowed by law. Signature Of Surety 1 Name And Address Of Personal Surety 1 Signature Of Surety 2 Name And Address Of Personal Surety 2 SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court SEAL AOC-E-401, Rev. 3/16 � 2016 Administrative Office of the Courts SEAL Original-File American LegalNet, Inc. www.FormsWorkFlow.com