NAIC NUMBER
31194
A Public Service Agency BOND NUMBER
MOTOR VEHICLE OWNERSHIP SURETY BOND
California Vehicle Code (CVC) Section 4157 and 4307
KNOW ALL PERSONS BY THESE PRESENTS that we ______________________________________________________
FULL NAME AND ADDRESS OF APPLICANT FOR A CALIFORNIA MOTOR VEHICLE TITLE
__________________________________________________________________________________________________________
________________________________________________________________________________________________________ as
Principal, and _____________________________________________________________________________________________ ,
SURETY NAME/BUSINESS ADDRESS
a corporation organized under the laws of _________________________________ and authorized to transact a general
surety business in the State of California, as SURETY, are held and firmly bound to the People of the State of California
in the penal sum of $ ________________ for which payment we bind ourselves, our heirs, executors, administrators,
successors and assigns jointly and severally, firmly by these presents.
WHEREAS, the provisions of Sections 4157 and/or 4307 of the Vehicle Code require that the Principal file or have on
file with the Department of Motor Vehicles a bond in the penal sum of $ ___________________ which is the fair market
value of the motor vehicle and is executed and tendered in accordance therewith.
NOW THEREFORE, the conditions of the foregoing obligation are identified in Section 4157 and/or 4307 of the Vehicle
Code and Article 3, Section 152.00, Division 1, Chapter 1, of Title 13 of the California Code of Regulations and apply to
the following described vehicle.
California plate # ___________________ VIN: ____________________________________ year model/make: ________________________
PROVIDED HOWEVER, this bond is issued subject to the following express conditions:
(1) This bond shall remain in full force and effect for all liabilities incurred before, and for acts, omissions, or causes
existing or which arose before, the cancellation or withdrawal.
(2) This bond is executed by the Surety to comply with Sections 4157 and/or 4307 of the Vehicle Code and chapter 2,
title 14, part 2 of the Code of Civil Procedure and said bond shall be subject to all of the terms and provisions
thereof.
(3) The aggregate liability of the Surety hereunder on all claims whatsoever shall not exceed the penal sum of this
bond in any event.
(4) This bond may be cancelled by the Surety in accordance with article 13, (commencing with section 996.310) chapter
2, title 14, part 2, of the Code of Civil Procedure. A notice of cancellation or withdrawal shall be received by DMV
in writing at least thirty days prior to the effective date and mailed to the department addressed with the unit
name and address at the top of this form. The bond remains effective in accordance with Vehicle Code section
4158.
(5) The Surety, its successors and assigns, agree they are jointly and severally liable on the obligations of the bond,
the provisions of chapter 2 (commencing with section 995.010) title 14, part 2, of the Code of Civil Procedure, and
Sections 4157 and/or 4307 of the Vehicle Code.
(6) The Principal and Surety may be served with notices, papers and other documents under chapter 2 (commencing
with section 995.010) title 14, part 2, of the Code of Civil Procedure at the addresses given above.
I certify under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct and
that I have executed the foregoing bond under an unrevoked power of attorney.
Executed at ____________________________________________________ On ____________________________________
DATE
__________________________________________________________________________________________
REG 5057 (REV. 12/2004) WWW
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of ____________________
On ______________ before me, ____________________________________________________
Insert name and title of officer here
personally appeared ______________________________________________________________
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf
of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
_________________________________________ (Notary Seal)
Signature of Notary Public
INFORMATION BELOW IS RECOMMENDED BUT NOT REQUIRED
TITLE/DESCRIPTION OF THE ATTACHED DOCUMENT
_____________________________________________________________________________________________
DOCUMENT DATE ______________________________________________ NUMBER OF PAGES _________________
_____________________________________________________________________________________________
Additional Information
CAPACITY CLAIMED BY SIGNER
Individual(s) Partner(s) Attorney-in-Fact Trustee(s)
Corporate Officer ________________________________ Other ____________________________________
2008 CA V13.01 .08
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REG 5057 (REV. 12/2004) WWW
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