_________________
Bond Number
WINE TAX BOND
_____________________________________________ (Surety), who is authorized to do business as a surety in Idaho,
(Bond Company)
binds itself to the Idaho State Tax Commission for the amounts provided in this bond.
The business named below is applying to engage in a business requiring a Wine Tax Permit according to the provisions of Chapter
13, Title 23, Idaho Code, or is presently permitted to engage in such a business, and is subject to wine taxes. Security for the payment
of taxes is required under Idaho Code section 23-1319.
________________________________________________
____________________________________________
Business name
Taxpayer Identification Number
________________________________________________
____________________________________________
Address
City
State
Zip
If the business does not pay the taxes imposed under Chapter 13, Title 23, Idaho code, when due, the surety agrees to pay all
taxes, and any related penalties, and interest that may be due or become due, and the Commission may recover the tax, and any
related penalties, and interest from the Surety, up to $________________.
The Surety reserves the right to withdraw as Surety, except for any liability already incurred or accrued, and may do so by giving
written notice to the Commission. The withdrawal will not become effective until thirty (30) days after the Commission has received
the notice. The withdrawal will not, in any way, affect the liability the Surety has to pay all taxes, penalties, and interest owed by
the Principal before the expiration of the thirty (30) days under Chapter 13, Title 23, Idaho Code, regardless of whether or not an
assessment for tax due is issued before the lapse of the thirty (30) days.
Dated the _____ day of _______________, 20_____.
______________________________________________________
________________________________________________
Surety's signature
Title
State of ___________
S.S.
County of ______________
SUBSCRIBED and SWORN TO before me this _____ day of _______________, 20_____.
______________________________________________
Notary Public
(S E A L)
My Commission Expires on _______________________
EFO00108
04-15-2008