Form Dr-77 - Contractor'S Sales Or Use Tax Bond

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DR-77
R. 04/96
Contractor’s Sales or Use Tax Bond
Bond Number _________________________
KNOW ALL MEN BY THESE PRESENTS THAT _________________________________________________
(Contractor)
whose place of business is located in ________________________________________________________________
(City)
at ______________________________________________________________ in the State of _________________
(Street Address)
as Principal, and ________________________________________________________________________________ ,
(Surety Company)
(Address)
duly qualified and authorized to transact a general surety business in the State of Florida, as Surety, are held and firmly
bound unto the Florida Department of Revenue on behalf of the State of Florida in the principal sum of ____________
_____________________________________________________________________________________________
($ _______________________ ) dollars, lawful money of the United States of America, for the payment thereof, well and
truly to be made, subject, however, to the terms and provisions hereinafter set forth, the said Principal and the said Surety
bind themselves, their personal representatives, successors, jointly and severally, firmly be these present.
Signed and Sealed at _____________________________ , Florida, this ___________________ , 19 ______ .
(City)
(Date)
THE CONDITIONS OF THE ABOVE OBLIGATION are such that the Principal has entered into a contract with
_____________________________________ on the ______ day of ________________________ , 19 ________
for the repair, alteration, or construction or improvement of the following realty: _______________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
lying and being in the County of _________________________ , State of Florida; and the Principal has made application
for a dealer’s certificate of registration pursuant to Section 212.14 (5), Florida Statutes, and will, in connection with his
performance of such contract be obligated by said statute to remit the State Sales or Use Taxes imposed by Chapter 212,
Florida Statutes.
This bond shall remain in force and effect until such time as the Florida Department of Revenue has issued a
formal certificate of clearance stating that all taxes due have been paid.
The Principal further agrees that the Department of Revenue of the State of Florida is authorized to permit the
Surety to examine any records kept by the Department of Revenue relating to the Principal, including all tax returns and
other documents relating to the account of the Principal.

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