Form L-2080 - State Motor Fuel User Fee Bond
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3STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
L-2080
(Rev. 6/10/10)
STATE MOTOR FUEL USER FEE BOND
4162
Mail to: South Carolina Department of Revenue, Motor Fuel, Columbia, SC 29214-0139.
Bond Number
THE STATE OF SOUTH CAROLINA
KNOW ALL MEN BY THESE PRESENTS
That
(Taxpayer)
Address
as principal and the
(Bond Company)
a corporation under the laws of the State of
duly authorized to transact business in the State of South Carolina as surety are held and firmly bound unto
South Carolina Department of Revenue for and on behalf of the State of South Carolina in the penal sum of
Dollars,
lawful money of the United States of America, for payment of which, well and truly to be made, we bind ourselves, our
heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.
Signed, sealed and dated this
day of
, A. D., year of
.
NOW THEREFORE, the condition of this obligation is such that if
shall pay all the user fees, penalties, and/or interest which may be due under the provisions of Chapters 28 and 54, Title
12, Code of Laws of South Carolina, 1976 and Amendments thereto, providing for the requirement of bond for the
payment of user fees, penalties and/or interest, then this obligation is to be void, otherwise to remain in full force and
virtue.
THIS BOND IS EXECUTED BY THE SURETY COMPANY UPON THE FOLLOWING EXPRESS CONDITION.
Notice of noncompliance with the requirements and applicable provisions of Chapters 28 and 54,
Title 12, Code of
Laws of
South Carolina, 1976, and amendments thereto, must be delivered
to
the
Company at its
home office
or its duly constituted agents within the
city of
, South Carolina,
within thirty (30) days after discovery.
THE LIABILITY OF THE SURETY HEREUNDER SHALL TERMINATE:
A.
Sixty (60) days after receipt by the South Carolina Department of Revenue of written notice from the surety of
its desire to terminate liability under its terms,
AND
B.
Upon receipt of written notice by the surety from the South Carolina Department of Revenue terminating the
same.
Affidavits on back must be completed.
41621020
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