Additional information

NAIC NUMBER
STATE OF CALIFORNIA
Department of Motor Vehicles BOND NUMBER
Registration Operations A Public Service Agency
PO Box 942869
Sacramento CA 94269-0001
MOTOR VEHICLE OWNERSHIP SURETY BOND
California Vehicle Code (CVC) Section 4157 and 4307

KNOW ALL PERSONS BY THESE PRESENTS that we ______________________________________________________
FULL NAME AND ADDRESS OF APPLICANT FOR A CALIFORNIA MOTOR VEHICLE TITLE
__________________________________________________________________________________________________________
________________________________________________________________________________________________________ as

Principal, and _____________________________________________________________________________________________ ,
SURETY NAME/BUSINESS ADDRESS
a corporation organized under the laws of _________________________________ and authorized to transact a general
surety business in the State of California, as SURETY, are held and firmly bound to the People of the State of California
in the penal sum of $ ________________ for which payment we bind ourselves, our heirs, executors, administrators,
successors and assigns jointly and severally, firmly by these presents.
WHEREAS, the provisions of Sections 4157 and/or 4307 of the Vehicle Code require that the Principal file or have on
file with the Department of Motor Vehicles a bond in the penal sum of $ ___________________ which is the fair market
value of the motor vehicle and is executed and tendered in accordance therewith.
NOW THEREFORE, the conditions of the foregoing obligation are identified in Section 4157 and/or 4307 of the Vehicle
Code and Article 3, Section 152.00, Division 1, Chapter 1, of Title 13 of the California Code of Regulations and apply to
the following described vehicle.
California plate # ___________________ VIN: ____________________________________ year model/make: ________________________
PROVIDED HOWEVER, this bond is issued subject to the following express conditions:

(1) This bond 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.
(2) This bond is executed by the Surety to comply with Sections 4157 and/or 4307 of the Vehicle Code and chapter 2,
title 14, part 2 of the Code of Civil Procedure and said bond shall be subject to all of the terms and provisions
thereof.
(3) The aggregate liability of the Surety hereunder on all claims whatsoever shall not exceed the penal sum of this
bond in any event.
(4) This bond may be cancelled by the Surety in accordance with article 13, (commencing with section 996.310) chapter
2, title 14, part 2, of the Code of Civil Procedure. A notice of cancellation or withdrawal shall be received by DMV
in writing at least thirty days prior to the effective date and mailed to the department addressed with the unit
name and address at the top of this form. The bond remains effective in accordance with Vehicle Code section
4158.
(5) The Surety, its successors and assigns, agree they are jointly and severally liable on the obligations of the bond,
the provisions of chapter 2 (commencing with section 995.010) title 14, part 2, of the Code of Civil Procedure, and
Sections 4157 and/or 4307 of the Vehicle Code.
(6) The Principal and Surety may be served with notices, papers and other documents under chapter 2 (commencing
with section 995.010) title 14, part 2, of the Code of Civil Procedure at the addresses given above.

I certify under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct and
that I have executed the foregoing bond under an unrevoked power of attorney.

Executed at ____________________________________________________ On ____________________________________
DATE

X
__________________________________________________________________________________________
SIGNATURE OF ATTORNEY-IN-FACT FOR SURETY
__________________________________________________________________________________________
PRINT OR TYPE NAME OF ATTORNEY-IN-FACT FOR SURETY
REG 5057 (REV. 12/2004) WWW
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INSTRUCTIONS
FOR COMPLETING THE SURETY BOND

The surety completes the bond form to validate the bond and meet the department’s regulatory requirements

Principal Name and any “Doing Business As” DBA Names
When the principal is:
A sole owner; list the true full name of that person and any DBA name(s).
A partnership; list the true full name of each partner and any DBA name(s).
A limited liability partnership or limited liability company; list the true full name of the limited liability partnership
or company and any DBA name(s).
A corporation; list the true full name of the corporation and any DBA name(s) as filed with and the registration
number assigned by the California Secretary of State.
An association; list the true full name of the association and any DBA name(s).

A surety bond is only valid when it is issued to the true full name of the person(s) or entity applying for a California
motor vehicle certificate of title. When the name of the principal is the same as the DBA name, only list the
principal’s name.

Principal Address
The address where legal documents may be served on the principal.

Surety Name

Enter the true full name as filed with the Department of Insurance. A surety issuing the bond must be an
admitted surety insurer authorized to transact business in California.

A corporation under the laws of
Enter the state or country where the surety company’s incorporation documents are filed.

Surety Address
The address where legal documents may be served on the surety.

Motor Vehicle Description
California plate # (license plate on the motor vehicle); VIN (vehicle identification number identified on the
registration or title document; year model/make (identified on the registration or title document).

Executed in
Enter the city and county where the bond is signed.

On (date)
Enter the month, date and year when the bond is signed.

Signature of Attorney-in-Fact
Enter the true full name of the person who represents and is authorized to sign for the surety company.

Printed or Typed Name of Attorney-in-Fact
Enter the true full name of the person signing on behalf of the surety company.

REG 5057 (REV. 12/2004) WWW
Go to Page 1