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Title Surety Bond Department of Highway for a Motor Vehicle

You are required to complete the Title Surety Bond Department of Highway for a Motor Vehicle Form accurately. The mentioned form is to be submitted to the Division of Motorist Services, Department of Highway Safety and Motor Services.

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STATE OF FLORIDA	  TITLE SURETY BO ND 
DEPARTME NT OF H IGHWAY  FOR A MOTOR VEHICLE 
SA FETY a nd MOTOR VEHICLES 	
DIVISION OF MOTORIST SERVICES  
KNOW ALL PERSONS BY THESE PRESENTS:  BOND NUMBER:  __________________________ 
That I/we  ______________________________________________________________________________________,  as Principal  and 
______________________________________________________________________________________,  a  Surety Co mpany,  
qualified  to do business in the State of Florida, as surety are held and firmly bound unto the duly appointed and qualified Director of the Division of 
Motorist Services of the State of Florida, and the successors in office of said Director, in the penal sum of $ _________________, which is twice the 
value of the vehicle established by a current national appraisal guide (Kelly Blue Book or NADA) for the payment which, well and truly to be made, 
we do hereby jointly and severally bind ourselves, our heirs, legal representatives, successors and assigns, firmly by these presents:  
WHEREAS , the Principal has been unable to provide a certificate of title that assigned the prior owner’s interest in the vehicle and  has 
submitted an application and affidavit to the Department of Highway Safety and Motor Vehicles of the State of Florida for a Certificate of Title on 
this certain vehicle described to wit:  
YEAR ________     MAKE ________ ____________________     BODY TYPE ______________     RETAIL VALUE: $  ______ __________ 
FLORIDA TITLE NUMBER _________ _________ VEHICLE IDENTIFICATION NUMBER ____________________________________ ___ 	
AND WHEREAS , the Principal and Surety herein desire to comply with the provisions of Florida Statute 319.23(7) to submit a properly 
executed surety bond conditioned as set forth below.   
THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT:  
If the aforesaid Principal shall  indemnify all prior owners and lienholders and all subsequent purchasers of the vehicle or persons who acquire a 
security interest in the vehicle, and their successors in interest, against any expense, loss, or damage, including reasonable attorney fees, occurring 
because of the issuance of the certificate of title for the vehicle or for a defect in or undisclosed security interest on th e right, title, or interest of 
the applicant to the vehicle, this obligation shall be void; otherwise, it shall remain in  full force and effect.  This bond to be effective on the   
___________ day of ________ ____________, _________ , and to expire three (3) years from the effective date of said bond.  
PROVIDED, HOWEVER, that an interested person has a right to recover on the bond for a breach of the bond’s condition.  The aggregate 
liability of the surety to all persons may not exceed the amount of the bond.  
IN WITNESS WHEREOF , the above bounden parties have executed this bond under their several seals this ___________  day of 
____________________,  _ ___ _____,  the name  and corporate seal of each corporate party being affixed hereto and these presents duly signed by 
its undersigned representatives, pursuant to authority of its governing body.  This bond is null and void unless signed by the Principal and Surety. 
When executed by an attorney -in -fact, the power of attorney (original copy) must be attached.  Any alteration of this document necessitates the 
issuance of a new bond or an attached amendment from the Surety Company.  
TYPED  NAME OF  PRINCIPAL  (	
OWNER & CO-OWNER, if applicable	)  SIGNATURE OF PRINCIPAL (	OWNER	)  
SIGNATURE  OF PRINCIPAL (	
CO- OWNER,  if applicable	)  SIGNATURE OF SURETY AGE NT  (SEAL) 
TYPED  NAME OF SURETY B OND COM PANY   TYPED NAME OF SURETY AGENT 
ADDRESS  OF SURETY B OND COMPA NY  ADDRESS OF SURETY AGE NT 
CIT Y/S TATE/ZIP C ODE  CITY/S TATE/ZIP  CODE 
TELEP HONE NU MBER   TELEPHONE NU MBER  
HSM V 8 2033 (REV.  12/12)
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