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SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ Estate of ________________________________ NOMINAL BOND OF PERSONAL REPRESENTATIVE (For estates of decedents dying on or after January 1, 1981 through June 30, 1995) KNOW ALL BY THESE PRESENTS: That we _______________________________as principal and ___________________________________________ as surety are held and firmly bound to the District of Columbia in the sum of __________________ dollars. The condition of the above obligation is such that if ____________________________ shall, as Personal Representative of the Estate of ________________________________, deceased, late of the District of Columbia, pay the debts due by the deceased, which are not adequately secured, and, if the decedent died prior to April 1, 1987, the District of Columbia inheritance taxes payable with respect to property under the control of the Personal Representative, then the above shall be void; otherwise, it shall be full force and effect. ___________________________________ Signature of Personal Representative(s) ___________________________________ Typed Name of Personal Representative(s) ___________________________________ Address (Actual address/not Post Office Box) ___________________________________ ___________________________________ Surety ___________________________________ By: Seal ___________________________________ Date September 2010 104B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com