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Georgia Employee Leasing Company Statutory Surety Bond

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Georgia Employee Leasing Company Statutory Surety Bond Powered By Docstoc
					                                              STATE OF GEORGIA        DEPARTMENT OF LABOR
                                              148 Andrew Young International Blvd., N.E., Suite 826
                                                         Atlanta, Georgia 30303-1751
                                                            Phone: (404) 232-3310

                          EMPLOYEE LEASING COMPANY’S STATUTORY SURETY BOND

                                                            Georgia DOL Account No.
                                                            Calendar Years
                                                            Surety Bond No.

STATE OF GEORGIA                                                                                COUNTY
        KNOW ALL MEN BY THESE PRESENTS, That,
an employer subject to the provisions of OCGA Sections 34-8-32, 34-8-33, 34-8-34 and 34-8-172 of the Employment
Security Law, and having its principal place of business at
                                                                                                                       ,
as principal, and                                                                                                      ,
a surety corporation authorized by law to transact business in the State of Georgia, as surety, pursuant to the afore-
said law and in compliance therewith, are hereby held and firmly bound unto the Commissioner of Labor of the State
of Georgia, and his successors in office, and unto the State of Georgia, Department of Labor, upon the conditions,
hereinafter set forth, in the full sum of
($                   ), for the payment of which well and truly to be made we bind ourselves, our heirs, administrators,
executors, successors and assigns jointly and severally, firmly by these presents.
          Signed, sealed and delivered this               day of                                            , 20
        THE CONDITIONS OF THE FOREGOING OBLIGATION are such that the above named prinicpal has been
duly registered as an employer under the Employment Security Law subject to the provisions of the said Employment
Security Law;
       NOW THEREFORE, should the said prinicpal well and truly file all reports and otherwise timely fulfill and
comply with all requirements and regulations set forth in said Employment Security Law and pay all contributions
due and to become due under said law, and penalties and interest assessed pursuant to said law for the
period
to                                                 then this obligation to be void, otherwise, of full force and effect.
         IN WITNESS WHEREOF, the said principal and surety have executed this instrument under their hands and
seals, including the corporate seals, this        day of                                         , 20
Witnesses:
                                                                                                                    (L.S.)
                                                                                  (Prinicpal)
                                                                                                                    (L.S.)
                                                                                   (Surety)
Attest:
                                                            By
APPROVED AS TO AMOUNT, FORM AND
SURETY BY:

                                                             Countersigned by:
UI Legal
GEORGIA DEPARTMENT OF LABOR

NOTE: The official or attorney in fact signing for Surety shall attach to the original bond a certified copy of authority or
power to bind the Surety. It shall show that the power is in force and effect at the time of the execution of the bond.

                                                                                                        DOL-13B (R-7/08)

				
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