Form B-C-790 - Bond Of Resident Beer And/or Wine Wholesaler Or Importer
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2B-C-790
Bond of Resident Beer and/or Wine
G.S. 105-113.86
Wholesaler or Importer
Web
BOND NO.
3-07
North Carolina Department of Revenue
KNOW ALL MEN BY THESE PRESENTS, that _________________________________________________________________ , of
(PRINCIPAL Name)
_______________________________________________________ , _________________________________________ , as PRINCIPAL,
(PRINCIPAL Street Address)
(City/State/Zip Code)
and _____________________________________________________________________ , having its principal place of business at
(SURETY Company)
___________________________________________________________________________ , a corporation organized under the laws
(SURETY Complete Address)
of the State of ____________________________________________ and duly licensed to do business under the insurance laws as a
(State)
SURETY company in the State of North Carolina, as SURETY, are held and firmly bound unto the State of North Carolina in the sum of
_____________________________ dollars, lawful money of the United States, for payment of which, well and truly to be made, we bind
(Amount of Bond)
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally. The above-named SURETY is, by the
PRINCIPAL, irrevocably appointed process agent upon whom any process issued against said PRINCIPAL may be served.
WHEREAS, the PRINCIPAL desires to engage in business in the State of North Carolina as a wholesaler or importer of the beverages
defined in North Carolina G.S. 105-113.68(a)(5), (7) and (12), which beverages are subject to the North Carolina excise tax levied in North
Carolina G.S. 105-113.80(a) and (b) and
WHEREAS, North Carolina G.S. 105-113.86(a) requires that each wholesaler or importer referred to therein furnish bond in such sum
as the Secretary of Revenue shall find adequate to cover the anticipated tax liability of each such wholesaler or importer, and this Bond
is furnished in compliance therewith.
NOW THEREFORE, the conditions of this Bond are as follows:
1.
If the said PRINCIPAL shall make such reports as shall be required and promptly pay all beverage excise taxes which shall become
due, then this obligation shall be void; otherwise, to remain in full force and effect.
2.
The term of this Bond begins on the ____________ day of ___________________________ , ________ , and shall continue in force
(Month)
(Year)
until made void in the manner set forth in paragraph No. 1 immediately above, or cancelled in the manner set forth in paragraph No.
3 immediately below.
3.
The obligation of the SURETY may be cancelled upon 30 days’ written notice by registered mail given by the above-named SURETY
to the State of North Carolina through its agent, the Secretary of Revenue, at the address below; but such cancellation shall be
prospective in operation only from the effective date thereof, and shall not operate to release any liability which shall accrue or attach
before the effective date of such cancellation, whether such liability shall be ascertained or discovered before or after the effective
date of such cancellation.
,
.
Signed, sealed and delivered this
day of
(Month)
(Year)
(SEAL)
INDIVIDUAL PRINCIPAL:
(Signature)
(Print Name)
AFFIX SEAL OF
PARTNERSHIP PRINCIPAL:
(Print Name of Partnership)
CORPORATION/LLC
(SEAL)
BY:
(Signature)
(Title)
(Print Name of Signer)
ATTEST:
CORPORATION/LLC PRINCIPAL:
(Print Name of Corporation/LLC)
BY:
(Signature)
(Title)
(Signature)
(Title)
(Print Name)
(Print Name of Signer)
SURETY:
(Print Name of Surety Company)
AFFIX SEAL OF
BY:
SURETY
as Attorney in Fact for
(Signature)
SURETY HERE
(Print Name)
COUNTERSIGNED:
(N.C. REGISTERED AGENT OF SURETY)
North Carolina Department of Revenue, Alcoholic Beverage and Amusement Tax Unit, PO Box 25000, Raleigh, North Carolina 27640-0110
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