Wholesale Cigarettes Dealers Bonding
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Washington State
WHOLESALE CIGARETTE
Bond Number
Department of Revenue
Special Programs Division
Tax Reporting Acct No.
DEALERS BONDING
PO Box 47477
Olympia, Washington 98504-7477
Know All Men By These Presence: That we,
, as principal,
and
, a
corporation, as surety, are held and firmly bound unto the State of Washington in the penal sum of the dollar amount
stated within these bonding requirements established by said firm and as required by Chapter 82.24 Revised Code of
Washington and Washington Administrative Code (WAC) 458-20-186 for the payment of which, well and truly to be
made, we bind ourselves, our heirs, executors and administrators and assigns, jointly and severally, firmly by these
present.
Proper Performance Surety Bond — Required of All Wholesalers
The principal, herein named, shall guarantee proper performance of his duties and the discharge of his liabilities under
Chapter 82.24 Revised Code of Washington and is firmly bound unto the State in the just and full sum of Five Thousand
Dollars ($5,000).
Deferred Purchase Bond — Optional
The said principal is a licensed wholesaler of cigarettes doing business within the State of Washington and has received
permission from the State of Washington, Department of Revenue to defer payment of his cigarette tax as provided in
WAC 458-20-186, in the penal sum of
dollars
($
), the condition is such that said principal shall follow the provisions of said ruling and faithfully
pay the full amount of all deferred purchases of cigarette tax stamps made by him within 30 days following the purchase,
and are to be paid per "Authorization Instructions and Agreement for Electronic Funds Transfer (EFT)". (See reverse side
of this form.)
Unstamped Cigarette Bond — Optional
That said principal is a licensed wholesaler of cigarettes doing business within the State of Washington, and has received
permission from the Department of Revenue to set aside, without affixing the stamps required by
Chapter 82.24 Revised Code of Washington, such part of his stock necessary to conduct business with authorized
receivers of unstamped stock as stated in said Chapter; and shall keep such unstamped stock separate from stamped
stock; and shall report full and completed details of the sales or delivery to the department as stated in said Chapter.
The minimum bond satisfactory to the Department is the penal sum of
dollars ($
), and the unstamped stock to be carried in bond shall not exceed
cigarettes. (See reverse side of this form.)
Conditions of Obligation(s)
The condition of these obligation(s) is that, whereas, the above named principal has applied to the Department of Revenue
of the State of Washington for a license as a cigarette wholesale dealer pursuant to the provisions of Chapter 82.24
Revised Code of Washington and WAC 458-20-186, and amendments thereto, and is required by the provisions of said
law(s) to furnish bond(s) conditioned as therein provided, if the above named principal shall fully comply with all
provisions of these laws and any amendments thereto, then this obligation shall be void; otherwise it shall remain in full
force and effect. Upon notification by surety of cancellation, said bond will be canceled 45 days after receipt of notice.
If you have questions or need assistance, call the Cigarette Tax Program at (360) 570-3265.
In Witness Whereof, the said principal and the said surety have affixed their hands and seals this
day
of
, (year)
.
Next Page
By
By
Principal
Surety
Surety’s Seal
Insurance Commissioner’s Stamp
REV 82 2060-1 (06/05/07)
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