STATE OF RHODE ISLANDCounty ofEstate ofAlias PROBATE COURT OF THECity or Town ofNo. I/We, the undersigned, as Principal(s):FiduciaryStreet AddressCity/TownState Zip CodeEmailPhone NumberCo-FiduciaryStreet AddressCity/TownState Zip CodeEmailPhone Numberand as Surety(ies): Bonding Agent NameStreet AddressCity/TownState Zip CodeEmailPhone NumberDate of execution, that if the above bonded principal, the duly appointed (check one) To the best of my knowledge or belief, the statement(s) contained within this document are truthful and accurate.Signatureof FiduciaryDateSignature of FiduciaryDateSignature of SuretyDateWitnessDateSignature of SuretyDateWitnessDateCorporate Surety Agreement with Seal Attached UNIVERSAL APPOINTMENT BOND(With Corporate Surety) RIGL 33-17-10 PC-3.1B (Rev. 0/17) State of Rhode Island and Providence PlantationsProbate CourtPage 1 of 1 Executor AdministratorGuardianOther FILED DATEFORCOURT USE ONLY FIDUCIARY SIGN HERE SIGN HERESIGN HERE SIGN HERESIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com