Form Ador 74-4008 - Bond Release Request For Contractors Page 2

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For Department of Revenue Use Only
For Department of Revenue Use Only
License and Registration Section Use Only
License and Registration Section Use Only
Date received
Type of bond submitted
Date bond posted
Surety company
Date license issued
All TPT-1 fi led and current
Taxpayer liened
Yes
No
Yes
No
Taxpayer or principle on A/R
TPT
Withholding
Individual income
Corporate
N/A
Prior charge offs
Yes
No
Yes
No
Recommendation for release:
Recommendation for release:
Audit section use only
Audit section use only
Investigate
Date to omega
Yes
No
Supervisor assigned
Date contacted
Audit assigned
Audit date
Prior audit
On omega
Collection approval
Yes
No
Yes
No
Pre-audit received
Post audit received
Yes
No
Yes
No
SUPERVISOR
SIGNATURE
DATE
Explanation of denial of release:
Explanation of denial of release:
ADOR 74-4008 (9/02)

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