78 NATIONAL FOKEST MANUAL SALE AND FREE-USE FOEMS. 

 ACKNOWLEDGMENT OF SURETIES. 



STATE OF , COUNTY OF , ss: 



On this day of , 19. ., before me 



(Name of notary.) 



, a notary public, in and for , residing therein, duly 



sworn and acting under a commission expiring , 19. ., personally appeared 



(Name of sureties.) 



known to me to be the ..of the.. 



(Title.) 



(Name of surety company.) 



the corporation that executed the above instrument, and known to me to be the person 

 who executed the above instrument in behalf of the said corporation, and each 

 acknowledged to me that he said corporation executed the same as surety, volunta- 

 rily for the uses therein specified. 

 WITNESS my hand and official seal the date first in this certificate above written. 



[SEAL.] 



Notary Public. 

 N. B. Italics are to be stricken out when bond is executed by individuals and not by corporations. 



OATH OF SURETIES. 

 [Must be used when individuals are sureties.] 

 STATE OF , COUNTY OF , ss: 



and 



(Name of surety.) (Name of surety.) 



being duly sworn, each for himself says that he is a citizen of the United States and a 



resident of '. ; that he signed the above bond 



as one of the sureties thereon; that he is worth the sum of in property in the 



of his residence over and above all legal liabilities and exemptions, and 



that he has property therein subject to sale on excution worth the sum of . . . 



(Surety.) 



(Surety.) 



Subscribed in my presence by and 



(Name of surety.) 



, and by each of them sworn to before me 



(Name of surety.) 



this day of , 19... 



WITNESS my hand and official seal the date last above written. 



[SEAL.] 



Notary Public in and for the County of State of. 



My commission expires 



CERTIFICATE OF SOLVENCY. 



[To be filled in when sureties are individuals.] 



I hereby certify that I have made due and diligent personal inquiry as to the ability 

 of the signers of the foregoing bond, and am satisfied that they are good and sufficient 

 and fully responsible each for the sum of dollars. 



(Title.) 

 , 19.. 



(Day.) 



Approved at , , , 19. .. 



(City.) (State.) (Date.) 



(Signature of approving officer.) 

 (Title.) 



