F/H Form C(2) Hazelnuts Form for Justification of Sureties

F/H Form C (2)
OMB CONT. NO.
0581-0178
STATE OF

)
) ss.
)

COUNTY OF

(FORM FOR
JUSTIFICATION OF SURETIES)

, a surety whose name is
subscribed to the above undertaking, being duly sworn, says that he is one of the sureties named in the forgoing
undertaking and is worth the sum specified in said undertaking as the maximum total aggregate liability thereunder, over
and above all his just debts and liabilities, exclusive of property exempt from execution, and that he is a resident of
, Countyof
, State of

Subscribed and sworn to before me
this
day of
20_.

.

Notary Public for
My commission expires

STATE OF

)
) ss.
)

COUNTY OF

(FORM FOR
JUSTIFICATION OF SURETIES)

, a surety whose name is
subscribed to the above undertaking, being duly sworn, says that he is one of the sureties named in the forgoing
undertaking and is worth the sum specified in said undertaking as the maximum total aggregate liability thereunder, over
and above all his just debts and liabilities, exclusive of property exempt from execution, and that he is a resident of
State of
, County of

.

Subscribed and sworn to before me
this
day of
20_.

.

Notary Public for
My commission expires

No deferment of restricted obligation will be granted through bonds with sureties acceptable to the Board unless a form
for justification of sureties is completed and received by the Board (7 U.S.C 608(d), 7 CFR 982.54 and 7 CFR 982.454
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