Form St-C-214-4 - Nonresident Contractor Performance Tax Bond - Georgia Department Of Revenue

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NONRESIDENT CONTRACTOR PERFORMANCE TAX BOND

GEORGIA DEPARTMENT OF REVENUE

1800 CENTURY BLVD.

ATLANTA, GA 30345

STATE OF GEORGIA

FILE NO._________________________

COUNTY OF _______________

(FOR DEPARTMENT USE ONLY)

Surety Bond No.____________________

KNOW ALL MEN BY THESE PRESENTS:

That we, ____________________________________________________________________________________

AS PRINCIPAL, and __________________________________________________________________________

a surety company incorporated and existing under the laws of the State of __________________________, and licensed

and authorized to execute bonds and undertakings as a surety in the State of Georgia, AS SURETY, are held and firmly

bound unto the STATE REVENUE COMMISSIONER of the State of Georgia, and his successors in office, for the use

and

benefit

said

State

and

the

political

subdivisions

thereof,

OBLIGEE,

the

sum

____________________________________________________________________________________________

(

) DOLLARS, for payment of which, we bind ourselves, our heirs, executors, administrators,

and successors, as the case may be, jointly, severally, and firmly by these presents.

The Condition of the Foregoing Obligation Is Such That:

Whereas, the above Principal, being a nonresident contractor, is now or will be engaged under a contract, or

contracts commenced during the current calendar year under which the bond is filed, hereby tenders this bond to comply

with Sections 48-13-30 through 48-13-38 of the Official Code of Georgia Annotated, together with Rules and Regulations

promulgated by the Commissioner of Revenue.

Now, therefore, the condition of this bond is such that if the Principal shall promptly pay to the State of Georgia

and the political subdivisions thereof all taxes, including contributions due under the employment security law, together

with penalties and interest collectible as taxes, which may accrue during the period of this bond on account of the

execution by the Principal of contracts covered by this Act, then this bond shall be void; otherwise it shall remain in full

force and effect as provided by said Act.

In Witness Whereof, the said Principal has hereunto set his hand and affixed t his seal, and the said Surety has

caused these presents to be duly executed by its duly authorized officials, or is duly authorized attorney in fact, and its

corporate seal to be hereunto affixed, this _____ day of ______________, 20_____.

_______________________________________

_____________________________________(L.S.)

Local Agent

Principal

_______________________________________

By__________________________________(L.S.)

Address

Attorney in Fact

Approved this _____day of________________, 20____.

Note: The official or attorney in fact signing for Surety shall attach to the original bond a certified copy of authority or power to bind the Surety.

It shall show that the power is in force and effect at the time of the execution of the bond.