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- Form FM-11 - 2014 Premiums for Assessment Statement - New York
- Form MV-994 - Bond Under the State Vehicle and Traffic Law - New York
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Fillable Printable Form MV-994 - Bond Under the State Vehicle and Traffic Law - New York
Fillable Printable Form MV-994 - Bond Under the State Vehicle and Traffic Law - New York
Form MV-994 - Bond Under the State Vehicle and Traffic Law - New York
New York State Department of Motor Vehicles
BOND UNDER SECTION 2105 (d)
OF THE NEW YORK STATE VEHICLE AND TRAFFIC LAW
KNOW ALL MEN BY THESE PRESENTS:
That I/we _______________________________________________________ , of ______________________________________________ ,
_________________________________ , as Principal and ________________________________________________________________ ,
of ________________________________________________ , ________________________ , a corporation organized and existing under the
laws of the State of _____________________________________________ and authorized to do business in the State of New York, as Surety,
is/are held and firmly bound unto the Commissioner of Motor Vehicles, and successors in office, as trustees for the benefit of those who
have incurred expense, suffered loss or damage, including reasonable attorney fees, by reason of the issuance of a Certificate of Title on a
_______________ ______________________________ ___________________________________________________ or on account
of any defect in or undisclosed security interest upon the right, title and interest of the said ________________________________________
____________________________ in and to the aforesaid vehicle in the sum of _____________ dollars for the payment of which sum I/we do
bind myself/ourselves, my/our heirs, executors, administrators, and assigns, and each and every of them, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT:
WHEREAS, the said ____________________________________________________________________ has applied for a Certificate of Title
for the said ________________ _______________________________ __________________________________________________
and has been required by the Commissioner of Motor Vehicles to furnish indemnity pursuant to the Uniform Motor Vehicle Certificate of Title
Act, Title X Article 46, of the New York State Vehicle and Traffic Law or amendments thereof and
WHEREAS, said Obligor(s) has/have undertaken, and do hereby agree to pay, all legal liability of said principal for any damage suffered by
reason of the issuance of a Certificate of Title on said vehicle or on account of any defect in or undisclosed security interest upon the right, title
and interest of the said _____________________________________________________ in and to the said vehicle not exceeding said sum of
of _____________________ dollars.
NOW THEREFORE, if said Obligor(s) shall pay all legal liability as aforesaid, or be otherwise absolved from paying under the provisions of
said New York State Vehicle and Traffic Law aforesaid, then this obligation shall be void, but otherwise to be and remain in full force and
effect.
IN WITNESS WHEREOF, the said Obligor(s) has/have signed and sealed this instrument on the
___________________________ day of ____________________________ in the year of _____________.
______________________________________________ ____________________________________________ (Seal)
______________________________________________ ____________________________________________
______________________________________________
______________________________________________
______________________________________________ ____________________________________________ (Seal)
(Name)
(City)
(City)
(State)
(Year) (Make)
(Principal)
(Principal)
(Principal)
(WITNESS SIGNATURE)
(WITNESS SIGNATURE) (SURETY)
(ATTORNEY-IN-FACT SIGNATURE)
(PRINCIPAL SIGNATURE)
(WITNESS SIGNATURE)
(WITNESS SIGNATURE)
(WITNESS SIGNATURE)
www.nysdmv.com
NOTE: This statement will not be accepted if it is not signed by the involved parties.
(Identification Number)
(Year) (Make) (Identification Number)
(State)
(Name of Surety Company)
MV-994 (1/08)
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