F/H Form C(1) Hazelnuts Bond

F/H Fonn C (1)
OMB CONT. NO.
0581-0178
HAZELNUT MARKETING BOARD
BOND
KNOW ALL MEN BY THESE PRESENT, the
(I or We)

As Principal, and
(Names of Sureties)
, are held and firmly bound unto the Hazelnut Marketing
(yories)
Board, its successor or successors in the sum of
Dollars $
lawful money of the United States of America, for the payment of which sum well and truly to be made to said Hazelnut
Marketing Board, we bind ourselves and each of us, our and each of our heirs, executors, administrators, successors and
assigns, jointly and severally, firmly by these present.
,asSuret

THE CONDmON OF TIllS OBLIGATION IS SUCH THAT, if the said above-bounden
or successors, shall well and
(Name of Principal)
truly perfonn all and singular the promises contained in a certain Undertaking executed by him on the
day
of
20---,
to the Hazelnut Marketing Board, whereby the Principal herein was pennitted to
postpone his surplus obligation as provided by Section 982.54 of the Hazelnut Marketing Agreement and the Order as
amended, then this obligation shall be void; otherwise to remain in full force and effect.
PROVIDED FURTHER, that this obligation may be cancelled by the Sureties, giving thirty (30) days notice in
writing to the Secretary of the Hazelnut Marketing Board, Aurora, Oregon, but such cancellation shall not affect any
liability which has accrued under this obligation prior to the effective date of cancellation.
SIGNED, SEALED AND DATED TIllS

.20 -

day of

(SEAL)
(Principal)
(SEAL)
(principal)
(SEAL)
(Surety)
(SEAL)
(Surety)
No defennent of restricted obligation will be granted by the Board unless a completed bond form has been received (7
U.S.C. 608(d), 7 CFR 982.54 and 7 CFR 982.454).
According to the PapelWOrk Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this infonnation collection is 0581-0178. The time
required to complete this infonnation collection is estimated to average 30 minutes per response, including the time for reviewing instrnctions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infonnation. The u.s.
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should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office
of Civil Rights, 1400 Independence Avenue, S.w., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (IDD). USDA
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