INSTRUCTIONS: PROOF OF CLAIM SURETY BOND CLAIM FORM (BOND LOSS CLAIM) THE CONNECTICUT SURETY COMPANY IN LIQUIDATION

Following the liquidation of the Connecticut Surety Company, those affect had until November 15, 2002 to file a claim concerning bond losses. Though this deadline has passed, the form can still be obtained from the website of the government of Connecticut.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 1: Section I concerns the bond. Enter the bond principal on the first blank line, the bond obligee on the next blank line, the bond type on the next blank line, the bond number on the next blank line, the bond effective date on the next blank line, the bond end date on the next blank line, and (if applicable) the project name on the last blank line of this section.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 2: On line 1, enter the claimant's full name.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 3: On line 2, enter the claimant's mailing address.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 4: On line 3, enter the claimant's home and business telephone numbers.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 5: On line 4, indicate what the claim is for by circling the letter of the applicable statement.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 6: On line 5, give a concise explanation of the particulars of your claim.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 7: On line 6, enter the amount to which the Connecticut Surety Company was indebted at the time the order of liquidation was entered on May 17, 2002.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 8: Indicate what supporting documentation is attached on line 7.

Proof Of Claim Surety Bond Claim Form (Bond Loss Claim) The Connecticut Surety Company In Liquidation Step 9: Complete the remainder of the form as directed.