Form 08-4075 - Concert Promoter Registration Application Packet Page 6
ADVERTISEMENT
1
2
3
4
5
6
7CPR
State of Alaska
Department of Commerce, Community, and Economic Development
Division of Corporations, Business and Professional Licensing
CONCERT PROMOTER SECTION
P.O. Box 110806, Juneau, Alaska 99811-0806
CONCERT PROMOTER ASSIGNMENT OF CASH DEPOSIT
AS 08.92.030: A certificate of deposit, other negotiable instrument, or cash filed with the commissioner instead of a bond must
be accompanied by an Assignment of Cash Deposit signed by both the concert promoter and bank representative
acknowledging transfer to the department.
For value received, the undersigned assigns and transfers to the State of Alaska, the attached
Certificate of Deposit No.
Passbook No.
Other Security No. and type
In the amount of $5,000 issued by:
Bank Name and Address:
as and for the concert promoter surety bond as required by the laws of the State of Alaska for the registration of
(proprietor’s or all
partners’ names) as a concert promoter doing business as
,
which is a
sole proprietorship
partnership
corporation
other
The undersigned irrevocably constitutes and appoints the State of Alaska by and through its duly authorized agents as his/
her/their Attorney-in-Fact to do all things necessary and appropriate to effectuate the purposes of this assignment. It is agreed
and understood that this assignment shall remain in full force and effect for the period of time provided by law for actions
against the surety bond.
All persons whose names appear on the certificate or passbook account must sign below.
Applicant’s Signature
Applicant’s Signature
This is to certify that on
(date), before me, the undersigned notary public, duly
commissioned and sworn, personally appeared
to me known to be the person(s) described in and who executed the above Assignment of Cash Deposit, and he/she/they
acknowledged to me that he/she/they signed and sealed the document freely and voluntarily for the uses and purposes stated
in it.
SUBSCRIBED AND SWORN TO before me on
(date).
Signature of Notary Public
(NOTARY SEAL)
Notary Public, State of
My Commission Expires:
By signature below, the issuing institution agrees that only the State of Alaska, upon presentation of written notice, shall cause
the release of any and all funds described above.
Bank Representative
Date
08-4075b (Rev. 06/11/13)
(4)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Cpr - Concert Promoter Registration Application - Alaska Department Of Community And Economic Development
Legal
Form 08-497 - Certificate Of Registration Foreign Limited Liability Company, Form 08-561 - Contact Information Sheet - 2013
Life
Related Categories
Parent category: Legal