New Alcoholic Beverage Retailers Permit Application Page 13
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13Revised, 11/95
BOND NUMBER___________________
State of Mississippi
SURETY BOND
KNOW ALL MEN BY THESE PRESENTS: That we, ___________________________________
___________________________________ , of the City of _____________________________ ,
County of ___________________________ , State of ______________________ , as Principal,
and ___________________________________ , a corporation incorporated under the laws of
the State of ____________________________ , and duly licensed to do business in the State
of Mississippi, as Surety are held and firmly bound unto the State of Mississippi, obligee, in the
sum of ________________________________________________________________________
dollars ($
), for the payment of which we bind ourselves , our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents, and
Whereas, the Principal has been licensed by the Alcoholic Beverage Control of the State
Tax Commission to be a retailer of alcoholic beverages under and by virtue of the provisions of
the Local Option Alcoholic Beverage Control Laws of the State of Mississippi at
_____________________________ Street in the City of _______________________________ ,
County of ________________________________, State of Mississippi, for a term beginning the
____________ day of ______________________ , 19 _______ .
The conditions of this obligation are such that if the Principal shall faithfully observe the
provisions of the Local Option Alcoholic Beverage Control Laws, Sections 67-1-1, et. seq., MCA
1972, as well as Sections 27-71-1 through 27-71-31, MCA 1972, all amendments thereto and
Rules and Regulations issued thereunder, and shall pay all taxes, damages, interest, and
penalties, which may accrue to the State of Mississippi, including but not limited to sales, income
and privilege taxes; and in addition, shall pay any and all checks returned for non-payment to the
Alcoholic Beverage Control Division of the Tax Commission, then this obligation shall be void,
otherwise to remain in full force and effect, until a release from further liabilities imposed herein is
granted in writing; PROVIDED, HOWEVER, that if the Surety shall so elect, this bond may be
cancelled at any time by the Surety giving sixty (60) days notice in writing addressed to and
receipted therefor by the Director of the Alcoholic Beverage Control Division of the Tax
Commission, and upon the giving of such notice, this bond shall be deemed cancelled at the
expiration of sixty (60) days therefrom.
WITNESS our hand and seal, this the ________ day of ________________ , 19______.
_______________________________________
Principal
(SEAL)
By: ___________________________________
COUNTERSIGNED:
_______________________________________
Surety
_______________________________
By: ___________________________________
Resident Mississippi Agent
(if signed by Attorney in Fact, attach copy of written
authority)
_______________________________
Address
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial