Know all men by these presents: That we, A. 8. as principal and E. F. and G. H. as sureties, are held and firmly bound unto C. D. and J. D. his wife, in the sum of --------- dollars ($---------), for which payment well and truly to be made we do bind ourselves jointly and severally by these presents.

Dated this--------- day of ---------, 19-.

The condition of this obligation is such, that, in consideration of ---------

[insert consideration] such' as the conveyance of a certain farm situated in---------

County, ---------, and described as follows: --------- [insert description], the 6aid

A. B. has agreed to support the said C. D. and J. D. and the survivor of them, during the term of their natural lives. Now, if the said A. B. shall furnish the said C. D. and J. D. with comfortable rooms, food, clothing, medicines and medical attendance in sickness, and shall pay to the said C. D. the sum of---------dollars

($--------) each year, and shall well and sufficiently provide for both C. D. and

J. D. the necessaries and comforts of life, suitable for persons of their age and situation in life, then this obligation to be void; otherwise to remain in full force and effect.

In witness whereof, etc.

See references under Sec. 3817.

For form of contract for support, see $ 3926.