Bond Of The Collector/ex-Officio Collector Or Revenue Page 2

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SECTION III
This certificate to be used if the county Commission HAS NOT applied the County Depository Law to the Collector/Ex-Officio Collector
County Collector’s Funds.
Now, at this day comes
, Collector/Ex-Officio Collector, with and for
County, Missouri, and presents to the County Commission his bond as Collector/Ex-Officio Collector
of Revenue, which bond is hereto attached, for the four years next ensuing or the full term of office if appointed, effective the
day of
,
. The County Commission, after examining said bond, finds
that it is in a sum for any one month equal to the average total monthly collection for the same month during the preceding four years,
but not to exceed the largest total collections made during any one month of the year for the month
,
.
The County Commission further finds this bond to be executed by an acceptable surety company. No collector shall be required to give
bond in excess of $750,000. It is therefore ordered said bond be approved and a duplicate thereof be transmitted by the Clerk of this
County Commission to the DIRECTOR OF REVENUE.
SIGNATURE OF PRESIDING COMMISSIONER
SIGNATURE OF DISTRICT COMMISSIONER
ATTEST: (SIGNATURE OF COUNTY CLERK)
SECTION IV
I,
, Clerk of the County Commission within and for the County and State aforesaid,
do hereby certify the above and foregoing is a true and complete copy of the proceedings of the County Commission of
county on the
day of
,
, pertaining to the
examination and approval of Collector/Ex-Officio Collector’s bond, and that said bond is duly recorded in record
,
of bonds at page
.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said County Commission at office
, this
day of
,
.
(SEAL )
STATE OF
COUNTY
MISSOURI
CLERK OF THE COUNTY COMMISSION
FOR DEPARTMENT OF REVENUE USE ONLY:
BOND OF COLLECTOR/EX-OFFICIO COLLECTOR OF REVENUE OF
COUNTY FOR THE TERM
ENDING APRIL 1,
. FILED AND APPROVED THIS
DAY OF
,
DIRECTOR OF REVENUE
MO 860-1196 (02-2011)
DOR-326 (02-2011)

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