Escrow Agreement Form For Guarantee Of Kansas Retail Liquor Licensee'S Performance

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KANSAS DEPARTMENT OF REVENUE
ALCOHOLIC BEVERAGE CONTROL DIVISION
ESCROW AGREEMENT
FOR GUARANTEE OF KANSAS RETAIL LIQUOR LICENSEE’S PERFORMANCE
This agreement entered into this ________ day of ___________________, _________, between ______________________,
(Day)
(Month)
(Year)
hereinafter referred to as the “ESCROW AGENT” and _____________________________________________, hereinafter
referred to as the “DEPOSITOR” is entered into comply with the requirements of K.S.A. 41-317(b).
The Depositor agrees to purchase and deliver to the Escrow Agent a certificate of deposit issued by a Kansas bank or savings
and loan association in the amount of $_____________, which amount the Depositor warrants is the amount established by
the statute as the required bond. The Depositor may not assign, pledge as security for any loan, or otherwise encumber the
certificate during the period of this agreement.
The Escrow Agent acknowledged receipt of the aforesaid certificate of deposit number ________________ and will not
return said certificate to the Depositor nor allow said certificate to be assigned, pledged or otherwise encumbered during the
period of this agreement except as provided below. The Escrow Agent shall remit interest on the certificate annually to the
Depositor.
In the event Depositor defaults in payment of any taxes, fines or forfeitures that may be assessed by the Director, Alcoholic
Beverage Control Division, the Escrow Agent, upon written demand from the Director, shall remit the proceeds of the
certificate of deposit and any interest accrued to date of notification to the Kansas Department of Revenue. Upon such
remittance to the Kansas Department of Revenue, this agreement shall be deemed terminated.
When the Director, Alcoholic Beverage Control Division, determines that a bond is no longer required for the Depositor,
notification in writing shall be made to the Escrow Agent who will then be authorized to release the certificate of deposit to
the Depositor and thus terminate this agreement.
Nothing in this agreement shall be so construed to increase the liability of the Escrow Agent beyond the amount and
provisions of this agreement.
DATED at ___________________ this ___________ day of _______________________, _________
(Day)
(Month)
(Year)
Depositor’s Signature
Escrow Agent’s Signature
Depositor’s Address
Escrow Agent’s Address
State of ____________________________________
ss
County of
Subscribed and Sworn to before me this _________ day of ________________________, _________
(Day)
(Month)
(Year)
Notary Public
My Commission Expires
ABC-57
(Rev. 5/01)

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