Bond of Treasurer Form

The	Board of Education

We	, (Treasurer, Interim Treasurer, Finance Officer

or Other), and the	, (Surety Company), do hereby acknowledge ourselves jointly and severally indebted to the Commonwealth of Kentucky

in the penal sum of $	that	, (Treasurer, Interim Treasurer, Finance Officer or Other) with the Board of Education, shall discharge the duties of said office according to law, account for, to the proper authorities, and pay over to all parties legally entitled thereto, on the proper vouchers only, any and all funds that may come into his/her hands as the (check the box of the title that applies) and/or or or of the Board of

Education aforesaid, beginning	\	\20	; and to be renewed on an annual basis or until his/her successor is duly appointed and qualified. This bond can be terminated by the surety, upon written notice to the Department of Education and school board given by registered mail sixty (60) days in advance. The school board has the right of cancellation with this surety company/bond for any reason with a written 60-day notice to the surety company and the Department of Education.

This joint agreement was WITNESSED on the	day of	, 20	.

By (School Board):	Title

Name of the Surety Company:

By (Insurance Agent):	Title

Number of Bond	Annual Premium of Bond $

Approved by the	Board of Education

on ____________________________, 20______

Chairperson

Secretary