Form Dr 0300 - Colorado Mileage And Fuel Tax Bond
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DR 0300 (08/15/13)
COLORADO DEPARTMENT OF REVENUE
Taxpayer Service Division, Room 200
PO Box 17087
Denver, CO 80261 - 0087
Colorado Mileage and Fuel Tax Bond
Bond number
Amount
$
Know all men by these presents: That principal(s)
Last Name or Business Name
First Name
Middle Initial
DBA
Address
City
State
Zip
Surety
Name
Mailing Address
City
State
Zip
as SURETY, being a bonding company authorized to do business in the State of Colorado, are held and firmly bound
unto the State of Colorado in the penal sum of ______________________________________________ dollars
($ _________________________________________________________ ) for the 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.
The conditions of this obligation are such that whereas the principal has operated or will operate vehicles upon the
public highways of the State of Colorado and therefore is or may be liable for the payment of certain taxes, penalties
and interest prescribed by the laws of the State of Colorado, and particularly taxes, penalties, and interest prescribed by
C.R.S. 42-3-123 to C.R.S. 42-3-126 as amended, C.R.S. 39-27-101 to C.R.S. 39-27-310, as amended and by Article
21, Title 39, C.R.S. as amended.
NOW, THEREFORE, if said principal shall at all times duly, promptly and faithfully pay all taxes, penalties and interest
by law imposed upon said principal because of his operation of vehicles upon the highways of the State of Colorado,
and particularly all penalties, and interest imposed by C.R.S. 42-3-123 to C.R.S. 42-3-126 inclusive, C.R.S. as amend-
ed, C.R.S. 39-27-101 to C.R.S. 39-27-310, C.R.S. as amended, and said Article 21, Title 39, C.R.S. as amended, and
the rules and regulations of the Department of Revenue and the rules and regulations of the Public Utilities Commission,
then this obligation is null and void; otherwise to remain in full force and effect.
This obligation shall be a continuing obligation until and unless sixty days’ written notice of termination shall be given
to the Director of Revenue or his legal successor.
Provided further, that any action upon this obligation may be instituted upon behalf of the People of the State of
Colorado by the then Director of Revenue or by his legal successor, and by service upon the surety. The surety hereby
waives any objection it may now or hereafter have concerning the capacity of the Director of Revenue or his legal
successor to bring suit upon this obligation or to any rights said surety may have to require service upon the principal.
In witness whereof, the principal(s) and the surety have hereunto set their hands and seals this ___________
day of ______________________________________________ , A.D., 20 ______________________________
(Corporate Seal of Principal)
Principal
Principal
Attest: Secretary
Surety
( Seal )
By
See Instructions on Reverse
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