Fillable Form Bt-168 - Motor Fuel Tax Bond printable pdf download

Form BT-168

State of Oklahoma

Revised 11-2013

Taxpayer Assistance Division - Oklahoma Tax Commission

Motor Fuel Tax Bond

(Surety bond Form)

Know All Men By These Presents:

FEI/SSN:

Bond Number

License Number

That I, we, or either of us,

(If partnership, names of all partners)

doing business under the name of

with the principal place of business at

as PRINCIPAL and

mailing address of

a corporation duly incorporated under the laws of

and authorized to transact business within the State of Oklahoma,

as Surety, are all held and firmly bound unto the State of Oklahoma, and to the Oklahoma Tax Commission, as the official collector of the motor fuel

tax levied by the laws of the State of Oklahoma, in the sum of ($

) for the payments of which, well

and truly to be made, the said Principal and Surety bind themselves, their successors, heirs and assigns jointly and severally by these presents:

THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, that,

WHEREAS, The said Principal is required to comply with motor fuel tax laws pursuant to Title 68 O.S. 2096, Section 500.1 et seq., the “Motor

Fuel Tax Code.”

NOW THEREFORE, If the said Principal shall, while this bond is in force and effect, beginning at noon, Central Standard Time, on the

day of

, make and file with the Oklahoma Tax Commission, the reports, statements

and documentation of transactions and operations in motor fuel required by law, and by the rules and regulations of the Oklahoma Tax Commis-

sion, and shall well and truly pay, or cause to be paid, any and all motor fuel taxes, and penalties and interest thereon, due the State of Oklahoma,

(the amount due to be ascertained by the Oklahoma Tax Commission, whose finding shall be final and conclusive in any action upon said bond

to enforce liability thereunder), then this obligation shall be null and void; otherwise, to remain in full force and effect.

This bond is a continuing bond, and may be terminated and surety released from any and all liability to the State of Oklahoma accruing on

such bond after the expiration of sixty days from the date upon which Surety shall have filed with the Oklahoma Tax Commission a written request

to be released and discharged, but this provision shall not operate to relieve, release or discharge the Surety from any liability already accrued,

or which shall accrue before the expiration of the sixty day period. The written request of the Surety to be released and discharged hereunder

shall be given by certified mail to the Director of the Taxpayer Assistance Division, Oklahoma Tax Commission, PO Box 269057, Oklahoma City,

Oklahoma 73126-9057.

BY EXECUTION OF THIS BOND, PRINCIPAL SPECIFICALLY AUTHORIZES THE OKLAHOMA TAX COMMISSION TO FURNISH ANY

AND ALL AUDIT PAPERS TO THE SURETY AS MAY BE DEEMED NECESSARY BY THE OKLAHOMA TAX COMMISSION TO SUPPORT ANY

CLAIM HEREUNDER.

IN TESTIMONY WHEREOF, the said Principal has executed this bond, if a corporation, by causing this bond to be signed by its president

and attested by its secretary, with its corporate seal affixed, or if a partnership, all partners have signed as Principals; and the said Surety has

executed this bond or caused same to be executed by its attorney in fact, with its corporate seal hereunto affixed.

Signed and sealed this

day of

(CORPORATE SEAL OF PRINCIPAL)

ATTEST:

Principal

President

Secretary

(CORPORATE SEAL OF SURETY)

ATTEST:

Surety

Attorney-in-Fact

Secretary

Registered, This

day of

Oklahoma Tax Commission

Director, Taxpayer Assistance Division

Form Bt-168 - Motor Fuel Tax Bond

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