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Cigarette Tax Stamps Payment Bond Form. This is a Indiana form and can be use in Department Of Revenue Statewide.
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Tags: Cigarette Tax Stamps Payment Bond, CIG-2, Indiana Statewide, Department Of Revenue
Bond Number
Form CIG-2
State Form 50838
(R/ 02-02)
Cigarette Tax Stamps Payment Bond
Surety bond given by
of
,
Name of Principal
City-Town of
Street Address
, County of
Name of City or Town
, and State of
Name of County
, as principal, and
Name of State
of
Zip Code
Name of Surety
Street Address
City
of Indiana in the sum of
administrators, and assigns.
State
, as surety, to the State
Zip Code
Dollars, for the payment of which, we bind o urselves, our heirs, executors,
The above principal,
, has applied for, and subject to
Name of Principal
the execution of a bond as provided by law, has obtained a Cigarette Tax Registration Certificate to engage in a business as defined in
Indiana Code 6-7-1-1 entitled “ Indiana Cigarette Tax Law,” and all acts and regulations amendatory, thereof and supplemental thereto,
now in force or which may hereafter be enacted, imposing certain duties, obligations, and liabilities upon said principal, the provisions of
which act and all acts amendatory thereof and supplemental thereto being by reference made a part hereof.
NOW THE CONDITION OF THIS OBLIGATION IS SUCH,
Whereas the above named and bounden
Name of Principal
has been granted a Certificate of Registration by the State of Indiana as a Distributor of Cigarettes, and as such is an agent of the State of
Indiana, in accordance with Indiana Code 6-7-1-17, as amended, and is desirous of purchasing cigarette tax stamps, as defined in the
above Indiana Code, as amended, to be paid for within thirty days after date of purchase as provided in the above Indiana Code as
amended.
Now if the said
Name of Principal
shall, within thirty (30) days from the date of purchase of said cigarette tax stamps pay to the Indiana Department of Revenue the total
amount of tax represented by said stamps, less any discount that may be allowed by statute, this obligation on that purchase shall be null
and void, otherwise to be and to remain in full force and virtue in law.
Further: If the principal does not pay for the purchase of said cigarette tax stamps, when required by statute, the surety herein upon written
notice, will forthwith make payment of any liability as set forth above, not to exceed the penal sum specified herein:
This obligation is absolute and unconditional in that liability of the surety is not contingent upon pursuit of the principal, or assets of the
principal, or any remedy against said principal, its properties, securities, or interests whatever:
Said surety hereby waives all right of protest or contest in its own behalf, or on behalf of said principal for any reason whatever.
This bond shall be effective as to all purchases made on or after
, 20
for the term ending midnight the
, 20
IN WITNESS WHEREOF, we have set our hands and seals this
day of
.
, 20
day of
,
.
Principal
Attest:
By
Owner or President
Secretary of Corporation
Surety
By
Attorney in Fact
STATE OF
SS:
COUNTY
Before me, the undersigned, a Notary Public within and for the County and State aforesaid, this
day of
, 20
, personally appeared
(Owner or President of Principal)
and acknowledged the execution of the foregoing hand.
Witness my hand and seal this date.
Notary Public
My commission expires
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Form CIG-2
(R/ 02-02)
Cigarette Tax Stamps
Payment Bond
License No.
(name)
(address)
Taken and approved by me this
day of
20
Administrator
American LegalNet, Inc.
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