TELEPHONIC SELLER SURETY BOND FORM A
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
JUS 8775 Rev. 02/2015
PAGE 1 of 3
(BUSINESS AND PROFESSIONS CODE SECTION 17511.12(a))
MAIL REGISTRATION FORM TO:
Attorney General's Office
300 S. Spring Street, Suite 1702
Los Angeles, CA 90013
ATTN: Consumer Law Section, Telemarketing Unit
BOND NUMBER:
PREMIUM: $
TERM:
KNOW ALL PERSONS BY THESE PRESENTS:
THAT:
(NAME OF PRINCIPAL)
AS PRINCIPAL, DOING BUSINESS UNDER THE NAME OF:
(NAME OF BUSINESS)
A TELEPHONIC SELLER, AND WHOSE ADDRESS FOR SERVICE IS:
STREET ADDRESS CITY STATE ZIP CODE
AND
(NAME OF SURETY)
, A CORPORATION ADMITTED
TO TRANSACT A GENERAL SURETY BUSINESS IN THE STATE OF CALIFORNIA, AS SURETY, AND WHOSE ADDRESS FOR SERVICE IS:
STREET ADDRESS CITY STATE ZIP CODE
ARE HELD AND FIRMLY BOUND TO THE STATE OF CALIFORNIA IN THE PENAL SUM OF ONE HUNDRED THOUSAND DOLLARS ($100,000),
FOR THE PAYMENT OF WHICH, WE BIND OURSELVES, OUR HEIRS, EXECUTORS, SUCCESSORS AND ASSIGNS, JOINTLY AND
SEVERALLY, FIRMLY BY THESE PRESENTS.
WHEREAS, THE PROVISIONS OF SECTION 17511.12(a) OF THE BUSINESS AND PROFESSIONS CODE REQUIRES THAT THE PRINCIPAL
FILE OR HAVE ON FILE WITH THE CONSUMER LAW SECTION OF THE DEPARTMENT OF JUSTICE A BOND IN THE SUM OF ONE HUNDRED
THOUSAND DOLLARS ($100,000), THIS BOND IS EXECUTED AND TENDERED IN ACCORDANCE WITH SECTION 17511.12
NOW THEREFORE, THE CONDITIONS OF THE FOREGOING OBLIGATION ARE THAT IF THE PRINCIPAL COMPLIES WITH THE
PROVISIONS OF ARTICLE 1.4 (COMMENCING WITH SECTION 17511) PART 3 OF DIVISION 7 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA AND IF NO PERSON SUFFERS PECUNIARY LOSS IN ANY TRANSACTION SUBJECT TO SAID ARTICLE AS
THE RESULT OF ANY ACT OR OMISSION OF THE PRINCIPAL MENTIONED ABOVE, OR OF ITS REPRESENTATIVES, THEN THIS OBLIGATION
IS TO BE VOID; OTHERWISE IT IS TO REMAIN IN FULL FORCE AND EFFECT.
PRINT FORM
TELEPHONIC SELLER SURETY BOND FORM A
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
JUS 8775 Rev. 02/2015
PAGE 2 of 3
PROVIDED HOWEVER, THIS BOND IS ISSUED SUBJECT TO THE FOLLOWING EXPRESS CONDITIONS:
1. THIS BOND SHALL BE DEEMED CONTINUOUS IN FORM AND SHALL REMAIN IN FULL FORCE AND EFFECT FOR ALL
LIABILITIES INCURRED BEFORE, AND FOR ACTS, OMISSIONS, OR CAUSES EXISTING OR WHICH AROSE BEFORE, THE CANCELLATION
OR WITHDRAWAL OF THE SURETY FROM THE BOND.
2. THIS BOND IS EXECUTED BY THE SURETY TO COMPLY WITH, AND THE BOND SHALL BE SUBJECT TO, THE
PROVISIONS OF ARTICLE 1.4 (COMMENCING WITH SECTION 17511), OF CHAPTER 1 OF PART 3 OF DIVISION 7 OF THE BUSINESS AND
PROFESSIONS CODE AND, EXCEPT TO THE EXTENT OF ANY INCONSISTENCY WITH THAT ARTICLE 1.4, TO THE PROVISIONS OF
CHAPTER 2 (COMMENCING WITH SECTION 995.010), OF TITLE 14 OF PART 2 OF THE CODE OF CIVIL PROCEDURE.
3. THE CONDITIONS OF THE BOND ARE SET FORTH IN SECTION 17511.12 OF THE BUSINESS AND PROFESSIONS CODE,
AND ANY PERSON OR GOVERNMENTAL ENTITY CLAIMING AGAINST THE BOND MAY PROCEED AS PROVIDED IN SECTION 17511.12 OR
AS OTHERWISE PROVIDED BY LAW.
4. THE AGGREGATE LIABILITY OF THE SURETY HEREUNDER ON ALL CLAIMS WHATSOEVER SHALL NOT EXCEED THE
PENAL SUM OF THIS BOND IN ANY EVENT.
5. THIS BOND MAY BE CANCELED BY THE SURETY IN ACCORDANCE WITH THE PROVISIONS OF SECTIONS 996.310 ET SEQ. OF
THE CODE OF CIVIL PROCEDURE.
I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT I AM THE
PRINCIPAL OR AN OFFICER OR AGENT OF THE PRINCIPAL WITH THE AUTHORITY TO EXECUTE THIS DOCUMENT ON BEHALF OF THE
PRINCIPAL. EXECUTED AT
(CITY AND STATE)
DATE:
SIGNATURE:
PRINTED OR
TYPED NAME:
CAPACITY:
(e.g., PRINCIPAL, PRESIDENT, ATTORNEY-IN-FACT)
ADDRESS:
CITY STATE:
ZIP
CODE:
NAME OF OFFICER
OF BUSINESS:
ADDRESS:
CITY
STATE:
ZIP
CODE:
NAME OF SURETY:
ADDRESS:
CITY
STATE:
ZIP
CODE:
THIS BOND IS EXECUTED UNDER AN UNREVOKED APPOINTMENT OF POWER OF ATTORNEY.
I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS
TRUE AND CORRECT.
DATE:
SIGNATURE OF ATTORNEY-
IN-FACT FOR SURETY:
PRINTED OR TYPED NAME OF
ATTORNEY-IN-FACT FOR SURETY:
TELEPHONIC SELLER SURETY BOND FORM A
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
JUS 8775 Rev. 02/2015
PAGE 3 of 3
TELEPHONIC SELLER
PRIVACY NOTICE
As Required by Civil Code ยง1798.17
Information Collection, Use and Access
Collection and Use of Personal Information: The Consumer Law Section of the California
Department of Justice collects the information on this form as authorized by Government Code
sections 11180, 11181, and 11182, and Business and Professions Code sections 17511 et seq.
The Consumer Law Section uses this information in its review of your application to register as a
Telephonic Seller (Business and Professions Code section 17511.3). We may also use this
information to investigate alleged misconduct and in any law enforcement action based on that
misconduct. In addition, any personal information collected by state agencies is subject to the
limitations in the Information Practices and state policy. The Department of Justice's general
privacy policy is available at http://oag.ca.gov/privacy.
Providing Personal Information is Required: All of the personal information requested in the
form must be provided, including but not limited to all information required in Business and
Professions Code section 17511.4 (including name, complete business and residential addresses
and telephone numbers, driver's license number and state of issuance or equivalent personal
identification such as Social Security number, and the date of birth of each owner, principal,
manager and salesperson of the telephonic seller.). This form will not be processed if you fail to
provide all personal information requested.
Access to Your Information: You may review the registration materials and forms that you
submitted to the Consumer Law Section.
Possible Disclosure of Personal Information: In order to process your registration application,
we may need to share the information you give us with other government agencies. This may
include sharing any personal information you gave us. We may also need to share the
information to further any investigation of any claim against you by any other government
agency.
The information you provide may also be disclosed in the following circumstances:
- In response to a Public Records Act Request, as allowed by the Information Practices
Act;
- To another government agency as required by state or federal law;
- In response to a court or administrative order, a subpoena, or a search warrant.
Contact Information: For questions about your registration, please contact the Telephonic
Seller Program at [email protected] or call (213) 897-2000.