Fillable Form Mf-202 - Oil Inspection Bond printable pdf download

Bond Number

Form MF-202

SF# 50224

INDIANA DEPARTMENT OF REVENUE

(R2/05-07)

Oil Inspection Bond

Surety bond given by

Name of Principal

Street Address

City-Town of

County of

, and State of

, as

Name of City or Town

Name of County

Name of State

principal, and

Name of Surety

Street Address

as surety, to the State of Indiana in the sum of

City

State

Zip Code

Thousand Dollars, for the payment of which, we bind ourselves, our heirs, ex-

ecutors, administrators and assigns.

The above principal,

, has applied for,

Name of Principal

and, subject to the execution of a bond as provided by law, has obtained authoriztion to receive kerosene as deﬁ ned in Indiana

Code 16-44-2-18 known as the Oil Inspection Law, and all acts and regulations amendatory thereof and supplemental thereto,

now in force or which may hereafter be enacted, imposing certain duties, obligations and liabilities upon said principal, the

provisions of which act and all acts amendatory thereof and supplemental thereto being by reference made a part hereof.

If the above principal,

, shall pay all license

Name

taxes, penalties and interest and do, pay and perform all and singular the duties, obligations and liabilities imposed upon

him by virtue of the aforesaid acts in the manner and at the times provided therein, then this obligation is void; otherwise

it remains in full force and effect.

If the surety shall so elect, this bond may be cancelled by giving sixty (60) days’ written notice of such cancella-

tion to the principal and a like sixty (60) days’ written notice to the Indiana Departmet of Revenue, hereinafter referred to

as the Department. Cancellation shall become effective at the expiration of sixty (60) days from the Department’s receipt

of written notice, as provided by law, unless a new bond is ﬁ led by such principal and approved by the Department prior to

such time, in which event such cancellation shall be effective from the date of the approval of such new bond. Notice of

cancellation shall not affect the liability of the surety for any acts or omissions of the principal occurring prior to the date

when the cancellation shall become effective, but the surety shall continue to be liable under all of the provisions of this

bond for all acts and omissions of such principal occurring prior to the such cancellation to the same extent as if such notice

of cancellation had not been given. The principal binds himself, his successors and assigns, upon receipt of such notice and

within said period of sixty (60) days, to prepare and ﬁ le with the Department a new bond to the satisfaction and approval of

said Department, in the sum required by the Department with surety to be approved by said Department.

Form Mf-202 - Oil Inspection Bond

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