Fill and Sign the Bond for Written Contract Individual Massachusetts Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _________________ Company: __________________ Address: __________________ City: ___________________ State: ______ Zip: __________ Phone: __________________ Fax: ___________________ BOND FOR WRITTEN CONTRACT- INDIVIDUAL (Mass. Gen. Laws Ann. ch.254 §12) Know All Men By These Presents: That we, _______________________________ of ________________________ in the County of ______________________________ and Commonwealth of Massachusetts, as principal and _________________________________ a surety company organized under the laws of _________________________________ and authorized to do business in the Commonwealth as a surety company are holden and stand firmly bound and obliged unto ______________________________ Register of Deeds for the _______________________ District, County of _____________________ in the principal sum of ____________________ Dollars ($ _________________ ), to be paid unto said Register and his successors in said office, to which payment, well and truly be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Whereas, said principal is interested in the erection, alteration, repair or removal of a building or structure on a certain lot of land situated within the ________________________________ Registry District in the Commonwealth, bounded and described as follows: ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________ (Insert description) and desires to free said land from liens for all labor and all labor and materials entitled to lien protection under chapter 254 and amendments thereto; NOW, THEREFORE, the condition of this obligation is such that if the Principal shall pay for all labor and for all labor and materials entitled to lien protection under chapter 254 and amendments thereto under the contract referred to in the Certificate in this bond, irrespective of any agreement made between him and the owner or any other persons now interested or who may hereinafter be interested therein, then the above written obligation shall be null and void, otherwise to remain in full force and effect. This bond is made for the use and benefit of all persons entitled to file the documents for lien protection as provided in Massachusetts General Laws, chapter 254 and they and each of them are hereby made Obligees hereunder, and in case of the failure of the principal to carry out the provisions of this bond made for their use and benefit they and each of them may sue hereon in their own name. Signed, sealed and delivered this _____ day of ____________ , 20 _____ . ________________________ ________________________ Principal Surety ________________________ ________________________ By By _____ ___________________ _____ ___________________ Type or Print Name Type or Print Name Certificate _________________________________ , principal on the above bond, hereby certify that the (estimated) contract price for the proposed work to be performed on the land described in the above bond under a written contract between __________________________________ and ________________________________ dated ____________ , _____ , 20 ______ , is _______________ Dollars ($ __________ ). _________________________________ Signature State of Massachusetts County _____________ On this _______ day of _________, 20 ___, before me the undersigned notary public, personally appeared ________________________________________ (name of document signer), proved to me through satisfactory evidence of identification, which were _________________________________, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he or she signed it voluntarily for its stated purpose. _____________________ Notary Public Print Name: ___________________ My commission expires: ____________________