ATT-21 |
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Rev. (12/09) |
BOND NO. |
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Department of Revenue
Alcohol & Tobacco Division
Audit and Regulatory Section
1800 Century Center Blvd. N.E.
P. O. Box 49728
Atlanta, Georgia 30359
Telephone: (404) 417-4870
FAX: (404) 417-4871
TOBACCO DISTRIBUTORS TAX STAMP BOND
Know all men by these presents that we,
(Name of Distributor)
of |
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a licensed wholesale tobacco distributor, as Principal and |
(Location) |
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, as Surety, are held and firmly bound unto the |
(Name of Surety) |
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Georgia Revenue Commissioner and the Department of Revenue of the State of Georgia, in the sum of |
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$ |
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, for which payment the said Principal |
(Written Amount) |
(Numeric Amount) |
and Surety bind themselves and their legal representatives, successors and assigns, jointly and severally.
The condition of the foregoing obligation is as follows:
WHEREAS, the Principal does unconditionally guarantee to the Georgia Commissioner of Revenue and the Department of Revenue, State of Georgia, full payment for all tobacco tax stamps purchased during the fiscal year ending
NOW, THEREFORE, if the Principal pays for such purchases of tobacco tax stamps when due, then this bond shall be void; otherwise to remain in full force and effect, with respect to all such tax stamp purchases within the above limits.
The Surety may cancel this bond by giving written notice to the Georgia Revenue Commissioner and to the Principal by certified or registered mail, return receipt requested, in which event the cancellation shall be effective sixty (60) days after the Georgia Revenue Commissioner and the Principal shall have received such notice, the Surety remaining liable, however, subject to the terms, conditions and provisions hereof for any purchases or acts covered hereby which may have been committed prior to the effective date of such cancellation.
This bond is given pursuant to an Act approved March 4, 1970 (GA. Laws 1970, p.146) and shall be construed in conformity therewith.
IN WITNESS WHEREOF, the
(Surety)
has caused this bond to be signed by its Attorney in Fact and its Corporate Seal be hereunto affixed
(Principal)
(Surety)
By
(Attorney In Fact)