Form Wv/sev-Nrt-Bond 2 - Nonresident Timber Severance Tax Surety Bond

WV/SEV-NRT-Bond 2

West Virginia

Original 1/99

State Tax Department

NONRESIDENT TIMBER SEVERANCE TAX SURETY BOND

BOND NUMBER

KNOW ALL MEN BY THESE PRESENTS:

(1)

That we,

As principal,

(2)

and

(3)

a firm and/or a corporation authorized to do business in the State of West Virginia, as Surety, are held and firmly bound

unto the State of West Virginia in the just and full sum of__________________________________________dollars

($_______________) to the payment whereof well and truly to make, we bind ourselves, our heirs, executors,

administrators, successors, and assigns, jointly and severally, firmly by these presents.

WHEREAS, the above bound Principal is a nonresident person within the meaning of Chapter 11, Article 13A, Section 16a,

of the Official Code of West Virginia of 1931, as amended, and whereas the Tax Commissioner of the State of West Virginia

has required the said Principal to deposit a bond, in accordance with the provisions of Chapter 11, Article 13A, Section

16a of the said Code of West Virginia;

NOW THEREFORE, if the said Principal shall in all respects fully comply with the provisions of Chapter 11, Article

13A, Section 16a of the said Code of West Virginia and the rules and regulations adopted and promulgated thereunder,

and shall account for and pay over all Timber Severance Taxes and penalties for which the said Principal shall be liable,

and shall protect and save harmless the State of West Virginia from any loss arising from the failure of the Principal to pay

such Timber Severance Taxes and penalties, for any cause whatsoever, then this obligation to be void; otherwise, to remain

in full force and effect.

The Principal hereby waives the secrecy provisions of West Virginia Code 11-10-5(d) and authorizes the Tax Department

to release to the surety company information necessary to file a proof of claim concerning any tax liability covered by this

bond and accruing during the effective dates of this bond.

(4)

This bond shall be effective from the _______________day of ____________________________, 19______________.

IN WITNESS WHEREOF the said principal has hereunder set his or its hand affixed his or its seal, and the said surety has

caused its corporate name to be signed hereto and its corporate seal to be hereunto affixed by its duly authorized officer

or agent and executed this

(5)

__________________day of __________________________, 19_______________.

(6)_______________________________________________________ (Seal)

Principal

(8)

(Principal)

Corporate Seal

(7) By:____________________________________________________ (Seal)

Title (Must be President or Vice-President)

(9)_____________________________________________________________

(11)

Surety

(Surety)

Corporate Seal

(10)By:_________________________________________________________

Form Wv/sev-Nrt-Bond 2 - Nonresident Timber Severance Tax Surety Bond - 1999

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