Looking for a Iowa Tax Forms And Templates? Download it for free!

Form 70-031 - Iowa Cigarette/tobacco Surety Bond, Form 70-015a - Annual Application For Iowa Cigarette Permit/tobacco Tax License - 2000

IOWA

Iowa Cigarette/Tobacco Surety Bond

d e p a r t m e n t o f R eve n u e a n d F i n a n c e

If this form is being completed for a new Iowa permit/license, complete form 70-015 (Annual Application for an

Iowa Cigarette Permit/Tobacco License) and mail it with this form.

BOND

Bond Amount $ ________________

Bond No.: _______________

Distribution or Sale of Cigarettes and/or Tobacco Products

This bond executed for:

Cigarette Permit No. _________________________

Tobacco License No. ________________________

Principal is:

and

Surety Company is:

Name_________________________________

Name _______________________________

Address _______________________________

Address ______________________________

_______________________________

_____________________________

County ________________________________

are held and firmly bound unto the State of Iowa in the penal sum of $ _____________ for the payment of

which in Des Moines, Polk County, Iowa, we bind ourselves, our heirs, executors, administrators, and

successors.

The conditions of the foregoing will be that the Principal will be/or was issued a permit/license in accordance

with Iowa Code chapter 453A and shall observe and obey all the provisions of the Iowa Cigarette and Tobacco

Products tax law, and shall pay all taxes, fines, penalties, damages and costs as provided in the said laws

which may be assessed against the said Principal during the time of the continuance of the said permit/

license.

This bond shall be effective for the permit/license year ending June 30, _____________ and each successive

permit/license year until canceled.

______________________________________

Authorized Signature

Date

Authorized Signature

Date

_________________________________

For

Principal

Surety Company

approved by State of Iowa _____________

Date

Bond Amount

for

Permit/License

$5,000

Cigarette Manufacturer

$3,500

Cigarette and Tobacco Distributor

$2,500

Cigarette Distributor, Wholesaler, Distributing Agent

$1,000

Cigarette Vendor, Tobacco Distributor

$ 500

Railway Car Retailer

Note: Surety on this bond must be a surety company authorized to do business in Iowa and approved as to its

solvency by the Insurance Commissioner.

The notice for relief from liability by the bonding company shall be by Certified Mail.

Mail this form to Examination Section, Iowa Department of Revenue and Finance,

PO Box 10456, Des Moines Iowa 50306-0456.

70-031 (6/16/00)

Form 70-031 - Iowa Cigarette/tobacco Surety Bond, Form 70-015a - Annual Application For Iowa Cigarette Permit/tobacco Tax License - 2000

Related Articles

Related forms

Related Categories