Form Mf-135 (State Form 46844) - Gasoline/special Fuel Irrevocable Standby Letter Of Credit 2004 Page 2

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Unless the Indiana Department of Revenue, Fuel Tax Section is notified in writing to the contrary by
___________________________________________, this Letter of Credit, the expiration date, and any future expiration dates shall
Issuing Bank Name
automatically renew each year for additional periods of one (1) year. If ___________________________________________
Issuing Bank Name
elects not to renew this Letter of Credit and the expiration date thereof (or any subsequent renewal or extension hereof),
_____________________________________ shall notify the Indiana Department of Revenue, Fuel Tax Section in writing by
Issuing Bank Name
certified mail, at least one hundred eighty (180) days prior to stated expiration date of the bank's election in that regard, in which event,
the Indiana Department of Revenue, Fuel Tax Section shall have the right thereafter until the stated expiration date
to draw upon ___________________________________________ in the manner above provided.
Issuing Bank Name
engages with the Indiana Department of Revenue, Fuel Tax Section , that all drafts
Issuing Bank Name
drawn under and in compliance with the terms of this letter of Credit will be duly honored upon delivery of documents as specified if
presented at
on or before
.
Issuing Bank Address
Expiration Date
Except so far as otherwise stated, this credit is subject to the Customs and Practice for Documentary Credits (1983 Revision),
International Chamber of Commerce Publication No. 400.
IN WITNESS WHEREOF, we have hereunto set our hand and seal this
day of
, 20
Issuing Bank
By:
Officer of Bank
Title:
STATE OF
COUNTY
Before me, the undersigned, a Notary Public within and for the County and State aforesaid, this
day of
,
20
personally appeared
.
Officer of Bank
the execution of the foregoing Letter of Credit.
Witness my hand and seal this date
Notary Public
My Commission Expires

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