HomeMy WebLinkAbout02-13-12B0~ # 98 BZ K112 0
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_~ Register of Wills of Cumberland Coun
BOND AND SURETY FOR PERSONAL REPRESENTATIVE
e of ~~' '
Estat
Also known as ~~f ~ '
,Deceased
KNOW ALL BY THESE PRESENTS, that MARCIA CALI,OWAY As principal(s) and
STATE FARM FIRE AND as surety (sureties) are held and firmly bound unto
~ dollars
the Commonwealth of Pennsylvania in the sum ofd ointl and severally, our
($ ~~ ~ (j , ~V to be paid to the Commonwealth, for which payment we do bind ourselves, j y
he' executors, adm~ istr ors d successors, the condition of this obligation being that ~f as (state
a ~~ ~
n j , of the estate of
fi~lu iary capaci ) l~ U,
7 ~ (~ ,deceased, or any of them, shall well and truly administer the estate
according to law, then this obli tion shall be void as to the personal representative or representatives who shall so
administer the estate and his or their surety or sureties; but otherwise it shall remain in full force.
(c~ ~~~ ~ 20~, each intending to
Signed and sealed this ''~ day of
be legally bound hereby. - 1
Si ature of Personal Representative
Signa±ure of Personal Representative
Signature of Personal Representatwe
C~-V (Seal)
Signature f Bondin Agency
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Power of Attorney
STATE FARM FIRE AND CASUALTY COMPANY
KNOW ALL PERSONS BY THESE PRESENTS: That STATE FARM FIRE AND CASUALTY COMPANY, an Illinois corporation, with its principa o ice m
oint: Jennifer Bless, Eugina Brant, Amanda Cli hnsonhSusan Kr Joh son! Connie S!IKnox, Christine
Bloomington, Illinois, does hereby constitute and app ,
Chancellor, Julie Fehrman, Mark Fink, Julie Freed, Matthew J. Gibbons, John R. Horton, Cynthia Jo ,n-Fact, to
Macdonnell, Lori McDowell, Melissa L. Morris, Ma Veach Karen Weberg, Jenn f eWyant, of Bloom ngtonLll noisR obliuato din he natture of a bolnd Schuler
Mary A. Spotts, Heidi Stevens, Perry Tracy, Justin
make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writing 9
follows: Any such obligation in any amount
' made under and by the authority of a resolution which was ps s ddb authorized by the Board of Directorsan Article
This appointment is
Directors of State Farm Fire and Casualty CoWh ch resolutiont sday of June, 2009, a oint and empower any
II, Section 6 of the By-Laws of the Company,
Resolved, that the Officer of the Company who works regularly with surety bonds is hereby authorized to app
representative of the Company or other person °other writings otbfgatory inahetnature of a bond wh ch the C nmFact shall be as b riding ugh
undertakings, policies, contracts of indemnity or
ointed officers of the Company. Any
its officers, and affix the the) had been duly executed and acknowledged by thehegularl~ elecb#ed cr appn
upon the Company as Y
Attorne -in-Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power o
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Attorney. noted above and the seal of the Company may be affixed by facsimile on
Resolved, that the signature of any Officer of the Company
ranted, and the signatt h Dower and anycsuch powe~ o pcertificate bear rig such facsimile siynaturepand seal shall be
any power of attorney g
An such power so executed and sealed and certificate so executed and sealed shall, with respect o
affixed by facsimile to any certificate of anY suc p
valid and binding on the Company. Y
any bond or undertaking to which it is attached, continue to be valid and binding on the ompany.
N WITNESS THEREOF, STATE FARM FIRE AND CA BUhLd ofOJnune, 2009 s caused this instrument to be signed by its Assistant
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Secretary Treasurer, and its Corporate Seal to be affixed this
This APPOINTMENTSHALL CEASE AND TERMINATE AUTOMATICALLY AS OF DECEMBER 31, 2013, UNLESS SOONER
REVOKED AS PROVIDED. ,,,,,,,,~~~ STATE FARM FIRE AND CASUALTY COMPANY
s mot` '(~~ W
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,~: •• :~, By:
Treasurer
%, ~, .. 5E~.1~ ,: t s sistant Secr ary
STATE OF ILLINOIS
COUNTY OF McLEAN
On this 8th day of June 2009, before me personAally came Bradley M. Weaver to me known, who beinghduly sworn, did depose and say that a is
ND CASUALTY COMPANY, the corporation described in { he executed saiddinstrument onsbehalf of
Assistant Secretary Treasurer of STATE FARM FIRE
that he knows the s uthorit aof h srofficel under the By--Laws of said co poration. ent is such Corporate Seal; and
the corporation by a Y
OFF~CiAI, SFJ~L Notary Public
Karen Weber
NOTARY PUBLIC - STATE ~ IWNOIS My commission expires July 24, 2014
~, Commission Expires Suly 24, 2014 CERTIFICATE
undersi ned Officer of STATE FARM FIRE AND C has not beenOrevoked and t of eesolutio s as set forth) are now m fo~ce ttorney of which the
I, the 9
foregoing is a true and correct copy, is in full force and effect and
Signed and sealed at Bloomington, Illinois. Dated this 23RD day of JANU~ 012
'_ E`PE AND C,~u'~,i
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4f~' 4 PPOR,~ TE .~. ~ /~.
O ;
i f '~ }(' : ~ i
~'~ Assistant Secretary Tre r
~~~' ~~O~~ero~. ~~?±od
If you have a question concerning the validity of this Power of Attorney, call (309) 766-2090. printed in U.S.A.
FB6-9043.45A
(10-14-10)
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is #: A `~~ ~~ K ~'~~
Bond / Tol y
Principal (Insured)
ned Agent:
~~~~~~
Code # State
^ Ass~g - Name
ned to ou per state licensing requirements by Agency/Sales Resources (ASR) Services.
^ This bond has been asslg y pUr S stem.
Please verify this Bond ~ Please call us immediately.
If it is not on your system, p
ent is shown on the attached mail slip. Please co he mag sliptprovided d forward to the
^ The submtttmg ag agent in the enclosed envelope using t
g ent: r'o ~. n
Submittin Ag
One State Farm Plaza - D-
Bloomington, Illinois 61710-0001
800-251-BOND (2663)
ABS>Business Lines>Fire>Bonds-Fidelity Surety
Filenet: Commercial Unit: Agents Cover Letter-Submitting or Assigned...Revised 8/3/10 Sue
`.~ `-~ (a
Code #
Na e
agent (see attached mail slip), per state licensing
This bond has been assigned to a(n)
o,,,,;rP,,,ents. If countersignature is required, the assigned agent will mail the bon to you.
---~--_ 1~ ~., cnecKG~ may.
,~~~ a.
The enclosed materials were: underwritten by: ~- typed by:
Pleas read care ully t e items checkeeo~~ S ~ ~"`~ -~,,.`'t'~
d: with power of attorney. After your insured has signed as Principal, he/she needs
Bond re uirm the bond).
to send both to the Obligee (entity q g ou will need to sign.
Resident Agent: if required, y
• Acknowledgment of Principal: if required, your insured will need to have a Notary
Public or County Clerk complete it. lease mark
renewals, a bill will follow under separate mailing. If this renewal bond is not needed, p
For
`cancel' and return it to us.
ement: Please have appropriate person(s) sign where indicated, and return to us within 30
^ Indemnity Acre -
days.
ttached for $ ^ Please collect the premium before releasing the bond to
^ B~II: A your insured.
To follow for $
^ Firle]itV POl1CV'
^ Other•
This is for your insured.
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State
This is for you insured.
P & C Underwriting Fidelity & Surety Bonds
State Farm Fire and Casualty Company
1