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Surety Bond Recreational Vehicle Manufacturer or Van Converter

You have to complete and file the Surety Bond Recreational Vehicle Manufacturer or Van Converter. The completed form has to be filed with the State of Florida Department of Highway Recreational Vehicle Safety and Motor Vehicles. The Surety Bond Recreational Vehicle Manufacturer or Van Converter form has to be completed accurately.

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STATE OF FLORIDA               SURETY BOND 
DEPARTMENT OF HIGHWAY             RECREATIONAL VEHICLE  
SAFETY and MOTOR VEHICLES            M ANUF AC T UR E R, DISTRIBUTOR,   
2900 APALACHEE PARKWAY                            	IMPORTER OR VAN CONVERTER	   	 	 	 	 	 	 	ROOM A312, Mailstop #65                  
TALLAHASSEE, FLORIDA 32399-0500                       
 	
 	  KNOW ALL MEN BY THESE PRESENTS:  	BO ND NUM BE R :  ________________________ ________	 	 	 	
  That we  ____________________________________________________________________________________ ______________ 
____ _____________________________________________________________________________________________  as principal and 
  ________________________________________________________________________________________________ ______________  
a surety company qualified to do business in the State of Florida, as surety are held and firmly bound unto the duly appointed and qualified 
Director o f t he D ivision o f M otorist Services o f t he S tate o f  Florida, an d t he  successors  in o ffice o f  said D irector, i n t he p enal s um o f T en 
Thousand D oll ars, for the p ayment  whereof  well and truly t o b e made,  we d o hereby j ointly and severally b ind o urselves, o ur heirs, legal  
representatives, successors and assigns, firmly by these presents:  
  Signed and Sealed this  _______   day of ________________________, _ ______.    The condition of the above obligation is such that:    	WHEREAS, 	the a bove n amed pr incipal h as  made t o t he obl igee h ereunder a pplication f or a  l icense, un der S ection 320. 8225, 
Florida Statutes, to engage in the business of a recreational vehicl e manufacturer, distributor, importer  or van converter in  this state, or who 
manufactures ,  distributes,  or  imports  recreational v ehicles  or  van  conversions  out  of  state,  which  are  ultimately  offered  for  sale  in  this 
state.  	
  	WHEREAS,	 the a bove na med p rinci pal i s r equired as  a co ndition p recedent t o h is ap pointment as   such  manufacturer , d istributor, 
importer  or van converter to deliver annually to the obligee hereto a good and sufficient surety bond for the license period for protection of 
any retail custome r who shall suffer any loss as a r esult of any failure to comply with the conditions of any written contract made by such 
manufacturer , distributor, importer  or van converter in connection with the manufacture , distribution, importation or van conversion o r sale 
of an y r ecreational  vehicle o r  van co nversion as  a  result of  any violation o f the provisions of Chapter 319 or  320, Florida Statutes, in  the 
conduct of the business for which he /she is licensed.  	
  	NOW, THEREFORE,	 if the above named principal shall f ully comply with the conditions of any written contract made by hi m/her  
as s uch  manufacturer , d istributor, i mporter  or va n c onverter i n  connection w ith  the m anufacture , d istribution, i mportation or v an 
conversion o r s ale o f an y r ecreation al vehicle o r va n  conversion a nd s hall pa y or  c ause t o be   paid t o  any r etail c ustomer a ny l oss or  
damages  which a ny r etail c ustomer s hall s ustain a s a  r esult o f a ny  failure to  c omply  with t he c onditions o f a ny  written c ontr act  made b y 
such manufacturer , distributor, i mporte r o r va n c onverter  in c onnection  with the  manufacture , distribution, i mportation or van conversion 
or s ale of  a ny r ecreational  vehicle or  v an c onversion or   as a  r esult of  a ny  violation of  t he pr ovisions of   Chapter 319 or   320, F lorida 
Statutes, i n t he c onduct o f t he b usiness o f  which  he i s l icensed, t hen t his o bligation s hall b e vo id, o therwise t o r emain i n  full  force a nd 
effect.  	
        Such bon d s hall be come e ffective a s o f  ____________________ ________, _______ _, an d s hall b e f or t he l icense p eriod en ding  
September 30,  ________ .  A new bond sh all be delivered to the Division of Motorist Services  at the beginning of each license period.  
         	 P r ovided, 	however, that the a ggregate liability of the surety hereunder shall in no event, in a ny one (1) year, exceed the sum o f the 
bond.  	
         	P r ovided,	 further, the surety shall have the right to terminate its liability hereunder by serving written notice of its election to do  so , 
by  United S tates r egistered  mail,  upon t he  obligee, an d t hereupon t he s urety s hall  be  discharged  from a ny  liability h ereunder f or a ny 
default of the principal, after the expiration of thirty (30) days from and after service of such notice.	
 	 	 
 
 
 
_______________________________________________________________________  _______________________________________________________________________ 
NAME OF BUSINESS                                                        (SEAL)  SIGNATURE OF SURETY AGENT                             (SEAL)   
_______________________________________________________________________  _______________________________________________________________________ 
SIGNATURE OF PRINCIPAL    ADDRESS OF SURETY AGENT  
_______________________________________________________________________  _______________________________________________________________________ 
NAME OF SURETY BOND COMPANY  CITY/STATE/ZIP CODE  
_______________________________________________________________________  _______________________________________________________________________ 
ADDRESS OF SURETY BOND COMPANY   TELEPHONE NUMBER  
_______________________________________________________________________  _______________________________________________________________________ 
CITY/STATE/ZIP CODE     TYPED NAME OF SURETY AGENT                                       _______________________________________________________________________   
TELEPHONE NUMBER	                                                                                                                             	                                                                 	                                                                                                              	              	                       	          	
 	
HSM V 86051 (R ev. 0 8/11)
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