Form Agtax-3 - Bond - State Of Hawaii - 2012

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STATE OF HAWAII
Rev.1-12
DEPARTMENT OF THE ATTORNEY GENERAL
TAX DIVISION
425 QUEEN STREET
HONOLULU, HAWAII 96813
(808) 586-1480
FAX (808) 586-8116
BOND - FORM AGTAX-3
BE IT KNOWN, That the applicant for registration,
NAME OF APPLICANT
a/an
INDIVIDUAL, ASSOCIATION, PARTNERSHIP OR CORPORATION
with business located at
STREET
MUNICIPALITY
COUNTY
STATE
ZIP CODE
as PRINCIPAL, and_______________________________________________________________________________________________________________
NAME OF SURETY COMPANY
with principal office located at_________________________________________________________________________________________
STREET
MUNICIPALITY
COUNTY
STATE
ZIP CODE
as SURETY, are held and firmly bound unto the State of Hawaii for the use of the Attorney General and any person having a
cause of action against the principal as defined in the chater 467B, Hawaii Revised Statutes, entitled "Solicitation of Funds from
the Public", in the sum of Twenty-Five Thousand Dollars ($25,000), lawful money of the United States of America, to be paid to
the State of Hawaii, its certain attorney or assigns, to which payment well and truly to be made, we do hereby bind ourselves,
jointly and severally, our heirs, executors, administrators, successors and assigns firmly by these presents.
BECOMES EFFECTIVE this ________ day of ______________________ , _______
EXPIRES one year from date.
WHEREAS, the above bounded Principal desires to operate as a Professional Solicitor or Professional Fundraising
Counsel under the provisions of the chapter 467B, Hawaii Revised Statutes, and the rules and regulations adopted pursuant
thereto;
NOW THEREFORE, the condition of this obligation is such that if upon and after the issuance of such registration the
above bounded Principal shall fully and faithfully observe the provisions of all the laws of the State of Hawaii and the rules
promulgated by the Attorney General, as a Professional Solicitor or Professional Fundraising Counsel, then this obligation shall
be void; otherwise, it shall remain in full force, virtue and effect.
And the obligors, jointly and severally, for themselves, their heirs, executors, administrators, successors and assigns, do
agree with the State of Hawaii that upon violation of any provisions of the chapter 467B, Hawaii Revised Statutes, as
amended from time to time, and the rules and regulations promulgated by the Attorney General, said Bond up to the full
amount shall be due and payable.
It is hereby stipulated that any suit on this bond may be brought before a court of competent jurisdiction without a jury.
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