Form St-160 - Indiana State Gross Retail And Use Taxes
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1
2Bond Number
Form ST-160
(Rev. 10/99)
Indiana State Gross Retail and Use Taxes
(Applicable to Prepaid Sales Taxes Only)
Surety bond given by
of
Name of Principal
Street Address
City-Town of
Name of City or Town
County of
, and State of
, as principal, and
Name of County
Name of State
of
Street Address
Name of Surety
, as surety, to the State of Indiana in the sum of
City
State
Zip Code
Thousand Dollars, for the payment of which, we bind ourselves, our heirs,
executors, administrators and assigns.
The above principal,
, has applied for, and,
Name of Principal
subject to the execution of a bond as provided by law, has obtained an Indiana Registered Retail Merchant Certificate to
engage in a business as defined Indiana Code 6-2.5 entitled “State Gross Retail and Use Taxes,” and all acts and regula-
tions amendatory thereof and supplemental thereto, now in force or which may hereafter be enacted, imposing certain
duties, obligations and liabilities upon said principal, the provisions of which act and all acts amendatory thereof and
supplemental therto being by reference made a part hereof.
If the above principal,
, shall pay gross retail
Name
and use taxes, penalties and interest and do, pay and perform all and singular the duties, obligations and liabilities im-
posed upon him by virtue of the aforesaid acts in the manner and at the times provided therein, then this obligation is
void; otherwise it remains in full force and effect.
If the surety shall so elect, this bond may be cancelled by giving sixty (60) days’ written notice of such cancella-
tion to the principal and a like sixty (60) days’ written notice to the Indiana Departmet of Revenue, hereinafter referred to
as the Department. Cancellation shall become effective at the expiration of sixty (60) days from the Department’s receipt
of written notice, as provided by law, unless a new bond is filed by such principal and approved by the Department prior
to such time, in which event such cancellation shall be effective from the date of the approval of such new bond. Notice
of cancellation shall not affect the liability of the surety for any acts or omissions of the principal occurring prior to the
date when the cancellation shall become effective, but the surety shall continue to be liable under all of the provisions of
this bond for all acts and omissions of such principal occurring prior to the such cancellation to the same extent as if such
notice of cancellation had not been given. The principal binds himself, his successors and assigns, upon receipt of such
notice and within said period of sixty (60) days, to prepare and file with the Department a new bond to the satisfaction
and approval of said Depatment, in the sum required by the Department with surety to be approved by said Department
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