Form Rev-1018 As - Malt And Brewed Beverage Bond (Rev-1018) (Page 2 of 2) in pdf

Form Rev-1018 As - Malt And Brewed Beverage Bond (Rev-1018) Page 2

AND,

in the event that the above bounden

PRINCIPAL

shall in any respect fail fully and faithfully to comply with

the provisions of the

“MALT BEVERAGE TAX LAWS”

aforesaid, or shall fail well and truly to pay over to the

Commonwealth of Pennsylvania any sum or sums of money due as aforesaid, or shall fail to file with the PA

Department of Revenue the reports required as aforesaid, we do hereby empower the Attorney General of the

Commonwealth of Pennsylvania, or any attorney of any court of Record within the Commonwealth of

Pennsylvania or elsewhere, to appear for and enter judgment against us or either of us, with or without default for

the penal sum of

DOLLARS

with costs of suit, release of all errors and without stay of execution.

And we waive the right of inquisition on any real estate which may be levied upon to collect the above sum, and

we do hereby voluntarily condemn the same and authorize the prothonotary to enter upon the fieri facias our said

voluntary condemnation. And we further agree that said real estate may be sold on a fieri facias and hereby waive

and release all relief from any and all appraisement, stay or exemption laws of any state now in force or hereafter

to be enacted. And for the entering of such judgment and so doing this shall be the sufficient warrant, and a copy

of this Bond and Warrant being filed in such action it shall not be necessary to file the original as a warrant of

attorney, any law or rule of the court to the contrary notwithstanding.

It is further understood and agreed that this bond shall be cancelled at any time as to future liability by writ-

ten notice of cancellation by surety to the PA Department of Revenue, Bureau of Business Trust Fund Taxes, Malt

Beverage, PO BOX 280909, Harrisburg, PA 17128-0909, effective sixty (60) days after delivery of such notice.

WITNESS

our hands and seals this

day of

Signed, sealed and delivered in the presence of:

(Principal officers sign and seal here)

(SEAL)

SIGNATURE

PRINT NAME

(SEAL)

SIGNATURE

PRINT NAME

(Surety sign below)

SURETY COMPANY

ATTEST

Resident Agent Signature

PRINT NAME

Approved this

day of

For the PA Department of Revenue

TITLE

Approved as to form and manner of execution.

Form Rev-1018 As - Malt And Brewed Beverage Bond (Rev-1018) Page 2

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