Comptroller of Maryland MATT Regulatory Division Alcohol and Tobacco Tax Louis L. Goldstein Treasury Building P. O. Box 2999 Annapolis, MD 21404-2999 ATT USE ONLY Approved____________________________ Date________________________________ Bond No. WINE AND LIQUOR BOND KNOW ALL PERSONS BY THESE PRESENTS, that we , hereinafter called the Principal, and , a corporation incorporated under the laws of the State of , hereinafter called the Surety, are held and firmly bound unto the State of Maryland in the full and just sum of DOLLARS, lawful money of the United States of America, to be paid to the said State of Maryland, or its assigns, to which payment well and truly to be made and done we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. Sealed with our respective seals and dated this day of , . WHEREAS, the above bounden principal is engaged or proposes to engage in the business of selling wine and/or liquor within the State of Maryland, and WHEREAS, pursuant to Section 13-825, Tax-General Article of the Annotated Code of Maryland as amended, this bond is required to be given and deposited with the Comptroller of the State of Maryland. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such, that if the above bounden principal shall promptly file true returns and reports with the Comptroller of the State of Maryland as required by law, and shall well and truly pay to the said Comptroller any and all wine and/or liquor taxes as they become due which are now or may hereafter be levied or imposed by the State of Maryland, together with any and all penalties and interest thereon, and shall faithfully comply with all of the provisions of the Tax-General Article of the Annotated Code of Maryland as amended, then this obligation to be void, otherwise to be and remain in full force and virtue. This Bond shall remain in full force and effect until cancelled in accordance with the provisions of said Tax-General Article. TO BE COMPLETED BY SURETY TO BE COMPLETED BY LICENSEE ___________________________________________________ Name of Surety _____________________________________________________ Name of Principal ___________________________________________________ Signature of President/Attorney-In-Fact _____________________________________________________ Signature of Owner, Partner or Officer Attest:______________________________________________ Witness:______________________________________________ NOTE: CANCELLATION OF THIS BOND REQUIRES A 60 DAY NOTICE. COM/ATT-4 Rev. 7/07 PS-2317 American LegalNet, Inc. www.FormsWorkflow.com