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Games Of Chance Surety Bond Form. This is a New York form and can be use in Miscellaneous Secretary Of State.
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Tags: Games Of Chance Surety Bond, DOS-261, New York Secretary Of State, Miscellaneous
STATE OF NEW YORK • DEPARTMENT OF STATE
BOND NUMBER
Games of Chance Surety Bond
KNOW ALL MEN BY THESE PRESENTS, that
(Name of Corporation)
a corporation duly authorized and existing under the laws of the state of
,
and having its principal
place of business at
, as principal,
and
(Name of Surety)
as surety are held firmly bound to the people of the State of New York in the sum of $
,
,
pursuant to Section 369-e of the General Business Law; that the principal binds itself, its successors and assigns and the surety binds itself, its heirs,
executors and administrators and assigns.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT:
WHEREAS, the principal has filed with the Secretary of State of the State of New York to engage in a game, contest, promotion, advertising
scheme or plan pursuant to Section 369-e of the General Business Law;
NOW, THEREFORE, if the principal performs and fulfills all of the undertakings and obligations as offered in such game, contest, promotion,
advertising scheme or plan as provided in Section 369-e of the General Business Law, then this obligation shall be null and void; otherwise, it shall
remain in full force and effect.
IN WITNESS WHEREOF, the principal and the surety have signed this instrument on the day and year indicated below.
Date:
(Name of Principal)
By:
Title:
Date:
(Surety)
STATE OF
COUNTY OF
On this
s.s.:
day of
, 20
, before me personally came the above named individual, to me known and
who, being duly sworn by me, did depose and say that (he)(she) resides at
; and that (he)(she) is the
of the corporation described in and that executed the foregoing instrument.
(Notary Public)
STATE OF
COUNTY OF
On this
s.s.:
day of
, 20
, before me personally came
, residing at
, to me known and known to be the same person described in and that executed the foregoing instrument and
who acknowledged to me that (he)(she) executed the same.
(Notary Public)
DOS-261 (Rev. 11/99)
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ACCOUNT
BALANCE
NYS DEPARTMENT OF STATE
MISCELLANEOUS RECORDS BUREAU
41 STATE STREET
ALBANY, NY 12231-0001
DATE
$
Certificate of Deposit
This certificate evidences that on the _______ day of ___________, 20 ___, trust account No. ___________
was open at this bank, located at ___________________________________________________________,
The name of the account is ________________________________________________________________
_____________________________________________________________________________________ .
This certificate evidences a balance in the account as of this day in the amount shown above. Funds cannot be
withdrawn from this account without certification to the Secretary of State of the State of New York.
Bank ___________________________________
By ___________________________________
Cashier
Sworn to before me this _________ day of
___________________ , 20 _____.
___________________________
Notary Public
DOS-260 (Rev. 11/99)
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NYS DEPARTMENT OF STATE
Miscellaneous Records Bureau
41 State Street
Albany, NY 12231
Certification of Winners - Commodity Games of Chance
I certify that the persons whose names are shown below and on attached sheets have been awarded prizes in the amount or value shown and on date shown. This contest
is registered with the New York Secretary of State under Sponsor Name
, Name of Game
and File No.
DATE
NAME OF WINNER
NAME
TITLE
ADDRESS (STREET, CITY, STATE, ZIP)
FIRM
DESCRIPTION OF PRIZE
AMOUNT OR VALUE
DATE PRIZE
DELIVERED
DOS-262 (Rev. 10/00)
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