Revised 08/14/08 

                            STATE OF WEST VIRGINIA 

                            DEPARTMENT OF REVENUE 

   OFFICE OF TELEMARKETING REGISTRATION 

                            CORPORATE SURETY BOND 

Surety Bond No.                                     Surety Bond Amount $                               

KNOW ALL MEN BY THESE PRESENTS: 

   That  we,  [telemarketer]                                                                       ,  of  [street 
and  city  address]                                                                                                                , 
County of                                                        , State of                                                 , as 
Principal,  and  [surety]                                                                                                   ,  of 
[surety’s  street  and  city  address]                                                                                      , 
                                           County  of                                                                 ,  State  of 
                                        ,  as  corporate  Surety  licensed  to  transact  the  business  of 
fidelity and surety insurance in the State of West Virginia, are indebted to the State of 
West  Virginia  in  the  penal  sum  of                                                      Thousand  Dollars 
(U.S.  currency)  for  which  payment  we  bind  ourselves,  and  our  legal  representatives, 
successors and assigns, jointly and severally. 

   The condition of this obligation is that the Principal is a "telemarketer," as defined 
by W. Va. Code §46A-6F-113, who intends to conduct telemarketing activity for which 
registration is required by W. Va. Code § 46A-6F-301. Principal is required by W. Va. 
Code  §  46A-6F-302  to  obtain  a  continuing  surety  bond  in  the  amount  of 
                                        Thousand  Dollars  from  a  corporation  licensed  to  transact  the 
business of fidelity and surety insurance in the State of West Virginia, and to file a copy 
with the Secretary of the Department of Revenue before acting as a telemarketer in the 
State of West Virginia. 

   If  Principal  and  all  of  Principal’s  agents  faithfully  conform  to  and  abide  by  the 
provisions of chapter 46A of the West Virginia Code, together with all amendatory and 
supplementary acts, now or hereafter enacted, then this obligation will be null and void; 
otherwise, it shall be in full force and effect until three years after the Principal ceases to 
engage in telemarketing activity in West Virginia. 

   This corporate surety bond is intended to comply with provisions of W. Va. Code 
§ 46A-6F-302 and, in accordance with the provisions and requirements of that statute, it 
is expressly provided that: 

1. This bond is for the benefit of the State of West Virginia and any private person 
   who is damaged by any unlawful act or action of the telemarketer or its agent in 
   connection with the conduct of telemarketing activity in the State of West Virginia. 

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2.   The  total  aggregate  liability  of  surety  hereon  is  limited  to  the  sum  of 
                                                      Thousand Dollars (United States currency). 

3.   This bond is deemed continuous in form and shall remain in full force and effect 
     for  three  years  after  the  date  on  which  the  Principal  ceases  to  engage  in 
     telemarketing  activity  in  the  State  of  West  Virginia,  unless  terminated  or 
     cancelled in the manner provided in this bond. 

4.   This bond may be cancelled by Surety on sixty (60) days’ written notice to the 
     Principal; Principal may cancel this bond by notice in writing to Surety specifying 
     the date of cancellation. Notice of cancellation shall be served at least sixty (60) 
     days prior to the effective date of the cancellation by certified mail, return receipt 
     requested,  postage  prepaid.  A  copy  of  the  notice  shall  also  be  served  on  the 
     Secretary of the Department of Revenue in the same manner. 

5.   No cancellation shall relieve Surety from liability under this bond on account of 
     any act committed by the Principal or its agent in connection with the conduct of 
     telemarketing activities prior to the effective date of cancellation. 

6.   In the event Principal and Surety, or either of them, is served with notice of any 
     action brought against the Principal or Surety under this bond, written notice of 
     the  filing  of  such  action  shall  be  immediately  given  by  Principal  or  Surety,  as 
     each is served with notice of the action to the Secretary of  the Department of 
     Revenue by certified mail, return receipt requested, postage prepaid:  

         Secretary of the Department of Revenue 
         West Virginia Department of Revenue 
         Office of Telemarketing Registration 
         1001 Lee Street, East 
         Charleston, WV 25301 

7.   The premium for this Bond is                                                                      Dollars 
     ($                     ), and shall by paid to Surety by Principal. 

8.   The effective date of this bond is                                                              . 

     In witness whereof, Principal and Surety have executed this Bond this                  
day of                                            , 20_____. 

SURETY:                                                       

                   Name of Surety 
 
By:                                      
 
Its:                                     
       print or type name of signatory 

                                        Page 2 of 4 

 [Acknowledgement by Surety] 

STATE OF                                              
County of                                            , to-wit: 

I,                                                                      , a Notary Public in and for the county and 
State aforesaid, do hereby certify that                                                                                , 
who, as [title]                                       ,  signed  the  foregoing  writing  for  [name  of 
surety]                                          ,  a  corporation,  has  this  day,  in  my  said  county, 
before  me,  acknowledged  the  foregoing  writing  to  be  the  act  and  deed  of  the  said 
corporation. 

Given under my hand this the              day of                                     , 20       . 

Notary Seal                              

                                                    Notary Public                                      
                                                    
My Commission expires on the            day of                                        , 20         . 

PRINCIPAL: 

                   Name of Principal 
 
By:                                     
 
Its:                                    

      print or type name of signatory 

[Acknowledgement by Principal] 

STATE OF                                              
County of                                            , to-wit: 

I,                                                                      , a Notary Public in and for the county and 
State aforesaid, do hereby certify that                                                                                , 
who, as [title]                                       ,  signed  the  foregoing  writing  for  [name  of 
principal]                                       ,  a  corporation,  has  this  day,  in  my  said  county, 

                                       Page 3 of 4 

before  me,  acknowledged  the  foregoing  writing  to  be  the  act  and  deed  of  the  said 
corporation. 

Given under my hand this the            day of                                        , 20_____.   

Notary Seal                        

                                           Notary Public                                            
                                   
My Commission expires on the             day of                                    , 20          . 

Approval by Office of the Attorney General, State of West Virginia: 
 
Approved as to form and sufficiency of execution this ____________ day of 
________________________, 20____. 
 
                         Deputy Attorney General 

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