Form 04-063 - Bond For Exporting Salmon In The Round

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State of Alaska
DEPARTMENT OF REVENUE
P.O. Box 110420
Juneau, Alaska 99811-0420
Bond for Exporting Salmon in the Round
KNOW ALL MEN BY THESE PRESENTS:
That we,_________________________________________________________________________
(Principal)
_______________________________________
of
______________________________________
(Type of Business Entity)
(Address)
as PRINCIPAL(S) and_______________________________________________________, as surety,
(Name of Insurance Company)
a corporation incorporated under the laws of the State of __________________________________
and authorized to do business in the State of Alaska and to execute this bond, are held and firmly bound
unto the STATE OF ALASKA, in the sum of $ ________________________________________________,
for the payment of which we bind ourselves, our executors, administrators, heirs, assigns, and successors,
jointly and severally, firmly by these presents:
The conditions of the foregoing obligation is that the above bound principal:
(Principal)
shall pay when due all taxes, penalties, and interest due and to become due and owing to the State of
Alaska by said principal for fisheries business taxes for the calendar year, 20_______________ under the
provisions of Chapter 75.
The liability hereby assumed is to continue so long as the above bound principal shall be engaged in the
fisheries business in the State of Alaska and for a period thereafter until the statute of limitations has expired
on all fisheries business tax returns due to the State of Alaska.
In witness whereof, the above bound parties have executed this instrument under their several seals this
______________day of_________________________, 20____________, the name and seal of each
party being hereto affixed and these presents duly signed by its undersigned representative, if any,
pursuant to authority of its governing body.
_______________________________________________________________
(Seal)
(Principal)
ATTEST:
______________________________________
By:
____________________________________
(Secretary of Principal)
(Authorized Agent)
(Seal)
_______________________________________________________________
(Surety)
ATTEST:
______________________________________
By:
____________________________________
(Secretary of Surety)
(Authorized Agent)
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Form 04-063 (Rev. 10/96)
PM6/04-063

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