Form Ctx-Cb - Form Of Credit Bond For Agent To Affix Cigarette Stamps
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1
2NYC DEPARTMENT OF FINANCE
ENFORCEMENT DIVISION
- OFFICE USE ONLY -
FORM OF CREDIT BOND FOR AGENT
G
TO AFFIX CIGARETTE STAMPS
Bond No.
________________________
KNOW ALL PERSONS BY THESE PRESENTS, that we ________________________________________________
(Name of Corporation)
_______________________________________________ of ______________________________________________________
(Partnership or Individual)
Address (Street, City, State, Zip Code)
having its principal office at __________________________________________________________________ as Principal, and
Address (Street, City, State, Zip Code)
________________________________________________________________ a corporation organized under the laws of the
(Name of Surety)
State of ____________________ having its principal office at ______________________________________________________
Address (Street, City, State, Zip Code)
and being duly authorized to transact business in the State of New York, as Surety, are held and firmly bound to the People of the City
of New York and/or the Commissioner of Finance of the City of New York in the sum of
__________________________________________________________________________________________________________
($______________________ ) dollars, lawful money of the United States of America to be paid to the said People of the City of New
York and/or the Commissioner of Finance of the City of New York, their attorney or assigns, for which payment will and truly to be
made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, said Principal is a manufacturer of or dealer in cigarettes within the meaning of Chapter 13 of Title 11 of the
Administrative Code of the City of New York, having a place of business at ____________________________________________
Address (Street)
__________________________________ , and said Chapter 13 of Title 11 of the Administrative Code of the City of New York providing
Address (City, State, Zip Code)
that the Commissioner of Finance of the City of New York may appoint manufacturers or dealers as agents to affix adhesive or meter
stamps provided for in said Chapter 13 of Title 11 of the Administrative Code of the City of New York, and may in his discretion, permit
such agents to pay for said stamps within thirty (30) days after the date of the purchase thereof provided a bond conditioned upon the
payment of any such stamps shall be filed as provided in said Chapter 13 of Title 11 of the Administrative Code of the City of New York.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if the Principal shall pay to the Commissioner
of Finance of the City of New York, its fiscal agent, or any fiscal sub-agents all sums due for all such stamps purchased by said
Principal, including penalties and interest, within thirty (30) days after the date of the purchase thereof, then this obligation to be void,
otherwise to remain in full force and effect, subject, however, to the following conditions:
1.
The aggregate liability of the Surety on account of all defaults in payments of any or all sums due for stamps purchased by said
Principal, including penalties and interest, during the entire effective period of this bond, shall not exceed the penalty above stated.
2.
This bond may be cancelled upon the written consent of the Commissioner of Finance of the City of New York, or by the
service of written notice by certified mail by the Surety upon the Commissioner of Finance of the City of New York, in
which event the liability of the Surety hereunder shall absolutely cease and terminate thirty (30) days after the service of
such notice as to any subsequent purchases of stamps by said Principal.
IN WITNESS WHEREOF, said Principal and Surety have caused this instrument to be duly signed, sealed and acknowledged on
the ____________day of _____________________________________, 20____.
____________________________________________________________(Seal)
Principal
By:_________________________________ ________________________________ _________________________________
Signature
Print Name
Title
____________________________________________________________(Seal)
Surety
By:_________________________________ ________________________________ _________________________________
Signature
Print Name
Title
The signature of the officer of Surety, certifying the correctness of a copy of power of attorney or certifying the correctness of
the excerpt from the Suretyʼs By-Laws showing the authority of the officer or Attorney-in-Fact to execute the bond, must also be
acknowledged before a notary public.
NOTE: Attach acknowledgements by both Principal and Surety, financial statement of Surety, etc.
Visit Finance at nyc.gov/finance
CTX-CB
Rev. 6.21.13
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