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Form Cd-18 - Tobacco Tax Credit Bond

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FORM

NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION

CD-18

TOBACCO TAX CREDIT BOND

UNDER THE PROVISIONS OF SECTION 9, CHAPTER 78, NEW HAMPSHIRE REVISED STATUTES 1977, AS AMENDED,

KNOW ALL MEN BY THESE PRESENT, THAT WE, __________________________________________________ OF

________________________________________, AS PRINCIPAL, AND _____________________________ OF

______________________________________________, AS SURETY, ARE HELD AND FIRMLY BOUND UNTO THE

COMMISSIONER OF REVENUE ADMINISTRATION, (HEREINAFTER CALLED THE COMMISSIONER) AND HIS SUCCESSOR

IN OFFICE, IN THE SUM OF $___________________________________, FOR THE PAYMENT OF WHICH, WELL AND

TRULY TO BE MADE, WE BIND OURSELVES, OUR HEIRS, EXECUTORS, ADMINISTRATORS, SUCCESSORS AND

ASSIGNS, FIRMLY BY THESE PRESENT, BUT THE CONDITION OF THIS OBLIGATION, IS SUCH THAT WHEREAS, THE

PRINCIPAL IS A LICENSED DISTRIBUTOR OF CIGARETTES AS CONTEMPLATED BY THE PROVISIONS OF CHAPTER 78

OF THE NEW HAMPSHIRE REVISED STATUTES 1977, AS AMENDED, AND WHEREAS UNDER THE PROVISIONS OF

SECTION7, CHAPTER 78, NEW HAMPSHIRE REVISED STATUTES 1977, AS AMENDED, A TAX IS IMPOSED ON THE SALE

OF ALL CIGARETTES SOLD IN NEW HAMPSHIRE, TO BE EVIDENCED BY THE AFFIXING OF STAMPS OR OTHER INDICIA

APPROVED BY THE COMMISSIONER TO THE PACKAGES CONTAINING SUCH CIGARETTES AND WHEREAS, UNDER

THE PROVISIONS OF SECTION 9 OF SAID CHAPTER, AS AMENDED, THE COMMISSIONER MAY SELL SUCH STAMPS

AND INDICIA TO THE PRINCIPAL AND PERMIT THE PRINCIPAL TO PAY THEREFORE WITHINTHIRTY (30) DAYS AFTER

THE DATE OF PURCHASE, PROVIDED A BOND SATISFACTORY TO THE COMMISSIONER CONDITIONED FOR THE

PAYMENT OF SUCH PURCHASE IS FILED. NOW, THEREFORE, IF SAID PRINCIPAL SHALL PAY FOR ALL SUCH STAMPS

AND INDICIA PURCHASED BY SAID PRINCIPAL FORM THE COMMISSIONER WITHINTHIRTY (30) DAYS AFTER THE

DATE OF PURCHASE THEREOF, THEN THIS OBLIGATION SHALL BE NULL AND VOID, OTHERWISE TO BE AND REMAIN

IN FULL FORCE AND EFFECT. THE TERM OF THE BOND SHALL BE FOR ONE YEAR FROM THE ___________DAY OF

______________________________, 20_____.

IN WITNESS WHEREOF, WE HAVE HEREUNTO SET OUR HANDS AND SEALS THIS

DAY OF

, 20______

SEAL

ATTEST:

PRINCIPAL

SEAL

ATTEST:

SURETY

CD-18

Updated 11/2007

Rev 10/5/06

Form Cd-18 - Tobacco Tax Credit Bond

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