FORM G 7/99 COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION DIVISION OF SECURITIES AND RETAIL FRANCHISING FRANCHISORS SURETY BOND KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the State Corporation Commission has required ___________________ ___________ to furnish a surety bond as a condition of registration (or renewal of registration) of its franchise as defined in Title 13.1, Chapter 8, Code of Virginia (19 50), as amended, and conditioned as provided by law. NOW, THEREFORE, _____________________________, as principal and _________________, as surety, acknowledge themselves indebted and firmly bound unto the COMMONWEALTH OF VIRGINIA in the penal sum of ________ thousand dollars t o the payment of, which will and truly be made, they jointly and severally bin d themseleves, their successors and assigns, firmly by these presents. THE CONDITIONS of this obligation are such that if the principal satisfi es all criminal and civil penalties, or either, provided in Title 13.1, Chapter 8, Code of Virginia (1950), as amended, for which said principal may become liable, then this obligatio n shall be null and void; otherwise to be and remain in full force and effect. IT IS AGREED that this obligation is to remain in force until cancelled by the surety by thirty days written notice to the principal and the State Corporation Co mmission. WITNESS the following signatures and seals this _________ day of _______ _, ___. _____________________________(SEAL) Principal _____________________________(SEAL) Surety _____________________________ by Attorney-in-fact Countersigned: ________________________ Name of Agency by: ______________________ Registered Virginia Agent American LegalNet, Inc. www.USCourtForms.com