Form Ttb F 5210.12 - Deferral Bond-Tobacco Products Page 2
Download a blank fillable Form Ttb F 5210.12 - Deferral Bond-Tobacco Products in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ttb F 5210.12 - Deferral Bond-Tobacco Products with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2APPROVAL OF DISTRICT DIRECTOR (INVESTIGATIONS) PUERTO RICO OPERATIONS
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
On behalf of the United States, I approve the foregoing bond, which has been executed in due form and in compliance with the applicable laws, regulations,
and instructions.
DISTRICT DIRECTOR (INVESTIGATIONS) PUERTO RICO OPERATIONS
DATE
1. This bond must be filed in duplicate with the District Direc-
tor (Investigations) Puerto Rico Operations, Alcohol and
seal. If the corporation has no seal, that fact should be
Tobacco Tax and Trade Bureau, Ste 310, Torre Chardon,
stated. Each signature must be made in the presence of
350 Carlos Chardon Ave., San Juan, Puerto Rico
two witnesses (except where corporate seals are affixed),
00918.
who must sign their names as such.
2. The name, including the full given name, of each party to
7. A bond may be given with corporate surety authorized to
the bond must be given in the heading, and each such party
act as surety by the Secretary of the Treasury of the United
must sign the bond with his signature, or the bond may be
States, or by the deposit of collateral security consisting of
executed in his name by a duly empowered attorney-in-fact.
bonds or notes of the United States. The Act of July 30,
1947 (section 15, title 6, U.S.C.), provides that "the phrase
3. In the case of a partnership, the trade name of the firm,
bonds or notes of the United States shall be deemed ***to
followed by the names of all the members thereof, must be
mean any public debt obligations of the United States and
given in the heading. In executing the bond the firm name
any bonds, notes, or other obligations which are uncondi-
must be typed or written followed by the word "by" and the
tionally guaranteed as to both interest and principal by the
signatures of all partners, or the signature of any partner duly
United States”.
authorized to sign the bond in behalf of the firm, or by a duly
empowered attorney-in-fact.
8. If any alteration or erasure is made in the bond before its
execution, there must be incorporated in the bond a state-
4. If the principal is a corporation, give the corporate name,
ment to that effect by the principal and surety or sureties; or
the name of the political entity under the laws of which it is
if such alteration or erasure was made after the bond was
organized (i.e. Commonwealth of Puerto Rico, Delaware,
executed, the consent of all parties thereto must be written
etc.), and the location of the principal office. The bond must
in the bond.
be executed in the corporate name, immediately followed by
the signature and title of the person duly authorized to act for
9. The penal sum required for each of the premises cov-
the corporation.
ered by this bond must be computed in accordance with
the provisions of the regulations in 27 CFR Part 41, and
5. If the bond is signed by an attorney-in-fact for the princi-
must be set forth in the space provided there for. The penal
pal, or by one of the members for a partnership or associa-
sum of this bond must be equal to the total of such penal
tion, or by an officer or other person for a corporation, there
sums.
must be filed with the bond a duly authenticated copy of the
power of attorney, resolution of the board of directors, ex-
10. If the bond is approved, a copy will be returned to the
cerpt of the bylaws, or other document, authorizing the per-
principal.
son signing the bond to execute it on behalf of the principal.
11. All correspondence about the filing of this bond or any
6. The signature for the surety must be attested under cor-
subsequent action affecting this bond should be addressed
porate seal. The signature for the principal, if a corporation,
to the District Director (Investigations) Puerto Rico Opera-
must also be so attested if the corporation has a corporate
tions, Alcohol and Tobacco Tax and Trade Bureau, San
Juan, Puerto Rico.
PAPERWORK REDUCTION ACT NOTICE
This form is not subject to OMB review and approval because it requires only that information necessary to identify the parties
involved and the amount of the bond.
TTB F 5210.12 (05/2007)
Page 2 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial