Form Rev-1018 - Malt And Brewed Beverage Bond

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REV-1018 AS (2/06)
MALT AND BREWED
COMMONWEALTH OF PENNSYLVANIA
BEVERAGE BOND
DEPARTMENT OF REVENUE
BUREAU OF BUSINESS TRUST FUND TAXES
PO BOX 280909
HARRISBURG PA 17128-0909
Principal
Business Address (Number, Street, City, State)
Location of Brewery
Trade Name Under Which Operated
Surety(ies)
Amount of Bond
Effective Date
Bond Number
Expiration Date
KNOW ALL MEN BY THESE PRESENTS, That we, above-named principal and surety (or sureties), are held and
firmly bound unto the Commonwealth of Pennsylvania in the above-named amount, lawful money of
the United States of America; for the payment of which we bind ourselves, our heirs, executors, admin-
istrators, successors, and assigns, jointly and severally, firmly by these presents.
This bond shall not in any case be effective before the above-named date, but if accepted by the
Commonwealth of Pennsylvania it shall be effective according to its terms on and after that date with-
out notice to the obligors: Provided, That if no date is inserted in the space provided above, the date
of execution hereof shall be the effective date.
WHEREAS the PRINCIPAL now intends to be engaged in the manufacturing of malt or brewed
beverages for sale. (The definition for manufacturer shall include importing agents for foreign
manufacturers.)
WHEREAS the above bounden PRINCIPAL has been approved by the PA Department of Revenue to
report and pay taxes on malt or brewed beverages in accordance with the terms and provisions of the
Malt Beverage Tax Law of May 5, 1933, P.L. 284, as reenacted and amended July 9, 1935, P.L. 628 and
last amended by Act No. 51 effective July 1, 1965.
Now, therefore, the condition of this obligation is such that if the above bounden PRINCIPAL shall
fully, faithfully and punctually comply with the provisions of the “Malt Beverage Tax Law” of May 5,
1933, P.L. 284, as reenacted and amended July 9, 1935, P.L. 628, and last amended by Act No. 51, effec-
tive July 1, 1965, and the rules and regulations promulgated thereunder by the PA Department of
Revenue, and shall well and truly pay over to the Commonwealth of Pennsylvania, through the PA
Department of Revenue, all and every sum or sums of money that may be due and owing to the
Commonwealth of Pennsylvania on account of the manufacture and/or importing of malt or brewed
beverages during the time that the said principal has acted as a manufacturer and/or importer and shall
file all reports required by the rules and regulations of the PA Department of Revenue, Commonwealth
of Pennsylvania, and shall notify in writing at least thirty (30) days prior to the PRINCIPAL terminating its
business by any process, legal or equitable, voluntary or involuntary, and shall pay any assessments
made after final audit by the PA Department of Revenue, Commonwealth of Pennsylvania, on account
of the manufacture and/or importing of malt or brewed beverages, then this obligation shall be null and
void; otherwise; it shall be and remain in full force, virtue and effect.
(SEE REVERSE SIDE)

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