Fillable Form R-1343 - Contractor/subcontractor Surety Bond printable pdf download

R-1343 (6/09)

Contractor/Subcontractor Surety Bond

Pursuant to Louisiana Revised Statutes 47:9 and R.S. 47:306(D)

Louisiana Department of Revenue

Taxpayer Services Division

P.O. Box 4998

Baton Rouge, LA 70821-4998

(225) 219-7356, Option 3

Bond Number_________________

Mark one:

Single Contract

Multiple Contracts (Blanket Bond)

■

BE IT KNOWN TO ALL BY THESE PRESENTS, that we, the Principal and Surety listed below, as agreed to by their duly authorized

representatives, do provide the identifying data and bind ourselves as follows:

Principal

(Name of Legal Entity—individual, partnership, or corporation)

Mark one:

Individual

Partnership

Corporation

Other _________________________________________

■

If a corporation, indicate the state of domicile

Parish/County

Trade name of business

Mailing address of business

City

State

ZIP

Name/ Nature of Contract

Location of Contract

Name of Surety

Home office address of Surety

City

State

ZIP

(Street, P.O. Box)

It is agreed to by Surety that it is held and bound in solido with the Principal, to the Secretary of the Department of Revenue for the

State of Louisiana, or his successors in office, in the amount of __________________________ dollars ( $________________ ) for the

payment of which, will be made to the Department of Revenue. We, the Principal and Surety, do now agree to bind ourselves jointly and

severally with the Department of Revenue to this contract. This bond shall be effective on and after ___________________________.

Month, Day, Year

The condition of the foregoing obligation is such that:

WHEREAS, the said Principal is a contractor or subcontractor performing work on or subcontracting a construction project or projects

in this state, and,

WHEREAS, as a result of said Principal’s business operation in the State of Louisiana, the Principal will become liable for taxes levied

by the State of Louisiana and its political subdivisions.

NOW, THEREFORE, if the said Principal shall pay all taxes, penalties, and costs levied by, accrued or accruing under the laws and

ordinances of this state and its political subdivisions, as amended; and shall fully, completely, and faithfully perform all of the conditions

and requirements of the laws and ordinances, as amended; and shall guarantee payment of all taxes and penalties levied by said laws

and ordinances in the manner and at the time provided therein, then this obligation shall be null and void, otherwise it is to remain in full

force and effect.

This is a continuing bond and may be terminated by either Surety or Principal by giving the other 90 (ninety) days prior notice of such

intention to terminate the bond. In the event the bond existing between the Principal and Surety is canceled, the Principal shall be required

to give a new surety bond before the 90 days elapse. Any notices shall be filed with the Secretary or his authorized representative, but

such termination of the bond shall not relieve the Surety of any liability on which any claim or claims known, or claims which might arise,

and for which the Surety would be liable before the effective date of said notice of termination.

This bond authorized by and made pursuant to the provisions of R.S. 47:9 and R.S. 47:306(D), as amended, and all provisions of said

law are hereby made a part of this bond by reference.

FURTHER, the Principal, Surety, and the Louisiana Department of Revenue agree to litigate any and all disputes involving said bond

in the 19th Judicial District Court for the State of Louisiana.

{ Signatures required on page 2. }

Form R-1343 - Contractor/subcontractor Surety Bond

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