Surety Bond Credit Services Organization {CSO-2}

(WV CODE CHAPTER 46A, ARTICLE 6C) Bond Number KNOW ALL PERSONS BY THESE PRESENTS That as PRINCIPAL, a credit service organization, and whose address for service of process is and , a corporation authorized to transact a general surety business in the State of West Virginia, as surety, whose address is , are held and firmly bound to the State of West Virginia in the sum of fifteen thousand dollars ($15,000), for the payment of which, we bind ourselves, our heirs, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, The principal is engaged in the business of selling the services of a credit services organization within the meaning of Section 46A-6C-2 of the West Virginia Code and is required by the provisions of Section 46A-6C-3(1) and 46A-6C-4 of the West Virginia Code to furnish a bond conditioned as herein set forth, and this bond is executed and tendered in accordance therewith. NOW, THEREFORE, The conditions of this obligation are that if the principal complies with the provisions of Chapter 46A, Article 6C of the West Virginia Code and does not damage any person by any violation of said article then this obligation is to be void, otherwise it is to remain in full force and effect. Any person damaged by any violation by the principal of Chapter 46A, Article 6C of the West Virginia Code may bring an action of law against the principal and surety on this bond in his or her own name to recover such damages. The liability of surety for any claim arising under this bond shall not exceed the actual damages arising from the principal222s violation of said code provisions and surety shall not be liable for the punitive damages permitted under Section 46A-6C-9 of the West Virginia Code. The aggregate liability of the surety on all claims whatsoever shall not exceed the penal sum of the bond. This bond shall be effective from the day of , 20, and continue for two years after the date that the credit service organization ceases operations, unless new security is provided in the form of a surety trust account as permitted by West Virginia Code 46A-6C-4. IN WITNESS WHEREOF, the principal and surety have executed this instrument the day of , 20. {Raised Seal} {Raised Seal} Name of Business Name of Business Signature Signature Title Title Countersigned By Attach Power of Attorney with raised seal, current as of execution date. WV Resident Agent Form CSO-2 Rev. 11/2017SURETY BOND CREDIT SERVICES ORGANIZATIONFEE: N/AWest Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov Acknowledgement by Principal if Individual or Partner STATE OF , SS County of , to-wit I, , a Notary Public in and for the county and state foresaid, do hereby certify that whose name is signed to the Name of individual or partner foregoing writing has this day acknowledged the same before me in my said county. Given under my hand this day of , 20. (Notary Seal) Signature of Notary Public My commission expires on the day of , 20. Acknowledgement by Principal if Corporation STATE OF , SS County of , to-wit I, , a Notary Public in and for the county and state foresaid, do hereby certify that , who as Name of Corporate Officer , signed the foregoing writing for , Title/Office A corporation, has this day, in my said county, before me, acknowledged the said writing to be the act and deed of the said corporation. Given under my hand this day of , 20. (Notary Seal) Signature of Notary Public My commission expires on the day of , 20. Official Form CSO-2 Acknowledgement by Surety STATE OF , SS County of , to-wit I, , a Notary Public in and for the county and state foresaid, do hereby certify that Name of corporate officer with Power of Attorney (see instructions below) who as , signed the foregoing writing for Title/Office , a corporation, has Name of Corporation this day, in my said county, before me, acknowledged the said writing. Given under my hand this day of , 20. (Notary Seal) Signature of Notary Public My commission expires on the day of , 20. Approved as to Form and Sufficiency of Execution by the Attorney General Dated this day of , 20. By Assistant Attorney General POWER OF ATTORNEY INSTRUCTIONS FOR SURETY Certificate of Power of Attorney for Surety must be attached to this form and it must show that it was in full force and effect on bearing date (execution) indicated on the face of the bond. The raised corporate seal must also be affixed to the Power of Attorney. 1.Name of attorney in fact must be listed. If attorney is a non-resident, West Virginia residentagent must countersign bond. 2.Power of Attorney may not exceed imposed limitations.3.Certificate date, preferably the bearing date of bond, but not earlier than bearing date, must beentered.4.Signature of authorizing official must be affixed to power of attorney. (Signature may befacsimile)5.Raised seal must be affixed to power of attorney.NOTICE: THIS BOND MUST BE MAINTAINED UNTIL TWO YEARS AFTER THE DATE THAT THE CREDIT SERVICES ORGANIZATION CEASES OPERATIONS UNLESS NEW SECURITY IS PROVIDED IN THE FORM OF A SURETY TRUST ACCOUNT AS PERMITTED BY WEST VIRGINIA STATE CODE, 46A-6C-4. Official Form CSO-2 CHOOSE ONE OF THE FOLLOWING PROCESSING SERVICES: 1 EXPEDITED SERVICE (24-hour, 2-hour and 1-hour; *Requires standard filing fee plus additional expedite fee, see below) West Virginia Secretary of State Business & Licensing Division Tel: (304) 558-8000 Fax: (304) 558-8381 Website: www.wvsos.gov Filing Submission Instructions - Business DivisionSUBMIT THE COMPLETED APPLICATION WITH THE CUSTOMER ORDER REQUEST FORM TO ONE OF THE OFFICES BELOW. CHOOSE EXPEDITED OR STANDARD PROCESSING SERVICE. IF NOT USING THE CUSTOMER ORDER REQUEST FORM AND YOU ARE REQUESTING EXPEDITED SERVICE, YOU MUST INCLUDE THE WORD "EXPEDITE" AND THE LEVEL OF EXPEDITED SERVICE BEING REQUESTED (24-HOUR, 2-HOUR OR 1-HOUR) IN YOUR CORRESPONDENCE. BE SURE TO INCLUDE THE CORRECT ADDITIONAL EXPEDITED FEE. THIS FEE IS IN ADDITION TO THE REGULAR FILING FEE (SEE FEES BELOW).BUSINESS SERVICE CENTERS Standard and Expedited Filings Charleston Office One-Stop Business Center 1615 Washington Street East Charleston, WV 25311 Phone: (304) 558-8000 Fax: (304) 558-8381 Hours: Mon. - Fri. 8:30a - 5:00p EST Clarksburg Office North Central WV Business Center 200 West Main Street Clarksburg, WV 26301 Phone: (304) 367-2775 Fax: (304) 627-2243 Hours: Mon. -Fri. 9:00a - 5:00p EST Martinsburg Office Eastern Panhandle Business Center 229 E. Martin Street Martinsburg, WV 25401 Phone: TBA Fax: TBA Hours: Mon. - Fri. 9:00a - 5:00p ESTIMPORTANT: READ ALL INSTRUCTIONS CAREFULLY BEFORE COMPLETING FORMS. Please follow the instructions included with the application. Failure to include any of the required information on the form may cause the filing to be rejected.All forms may be downloaded from our web site www.wvsos.gov . Rev. 11/2017 *Fee$ 25.00 $250.00 $500.00 Expedite Service 24-Hour 2-Hour 1-HourEXPEDITED SERVICE requests may be submitted by: - E-mail to efilings@wvsos.gov - Fax - Walk in delivery 2 STANDARD PROCESSING (5-10 business days) SUBMIT COMPLETED FILING TO ONE OF THE BUSINESS CENTERS BELOW: INCLUDE PAYMENT: Be sure to enclose the correct filing fee with your filing. If paying by credit card, be sure to include the e-Payment Authorization form with your filing. Your filing will be rejected if the payment is not included or if the e-Payment Authorization form is not included if paying by credit card. Standard filing fees apply.STANDARD PROCESSING requests may be submitted by: - E-mail to CorpFilings@wvsos.gov - Fax - Walk in delivery (drop off service only filed within 5-10 business days) READ CAREFULLY BEFORE SUBMITTING - Expedite service is NOT AVAILABLE for the following filings: West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov Customer Order RequestSUBMIT THIS COMPLETED FORM WITH YOUR FILING. Order Processing Requested*: * * * Expedite Processing Requires Additional Fees * * * Standard Processing** 24-HOUR Expedite*** 2-HOUR Expedite 1-HOUR Expedite Name of Entity: Return filing to: (Return Address)