Form 04-655 - Tax Liability Bond
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1Alaska Department of Revenue
PO Box 110420
Juneau, AK 99811-0420
TAX LIABILITY BOND
AS 43.10.160
KNOW ALL MEN BY THESE PRESENTS:
BOND NO.
That we,
(Principal)
as principal, and
(Type of Business Entity)
as surety,
(Name of Insurance Company)
(
a surety complying with the laws of surety obligations in the State of Alaska) and authorized to do
business in the State of Alaska and to execute this bond, are held and firmly bound unto the Commissioner
of Revenue for the State of Alaska and his or her successors in office in the sum of $ ___________________,
the payment of which we bind ourselves, our executors, administrators, heirs, assigns, and successors,
jointly and severally, firmly by these presents.
The condition of the foregoing obligation is that the above bound principal shall pay when due all
fees and/or taxes, penalties, and interest due and to become due and owing to the State of Alaska by
said principal during the effective period of the bond, under the provisions of the various tax and licensing
laws of the State of Alaska.
LIABILITY UNDER THIS BOND BEGINS: ______________________________________ for
the period beginning ______________________________________________ and ending
____________________________________________, and shall be continuous for a period thereafter
until the statute of limitations has expired on all taxes due to the State of Alaska. The bond shall apply
to all liens and liabilities which arise during the effective period of the bond and to which the bond is
applicable under law even if the liens are foreclosed or valid liens settled after the period of the bond or
the liabilities are enforced after the effective period of the bond.
IN WITNESS WHEREOF, the above bound parties have executed this instrument this __________
day of _______________, the name of each party being hereto affixed and these presents duly signed
by its undersigned representative, if any, pursuant to authority of its governing body.
(
seal)
A
TTEST:
(Principal)
By:
(Secretary of Principal)
(Authorized Agent)
(
Surety's seal)
(Surety)
A
TTEST:
By:
(Secretary of Surety)
Authorized Agent)
(
.
THIS BOND IS NOT VALID UNTIL SIGNED BY BOTH PRINCIPAL AND SURETY
PLEASE NOTE: Surety's power of Attorney must be attached.
Form 04-655 (Revised 1/97)
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