Form Mf-135 - Irrevocable Standby Letter Of Credit 2000 printable pdf download

Form Mf-135 - Irrevocable Standby Letter Of Credit 2000

STATE OF INDIANA

DEPARTMENT OF REVENUE

MF-135

SF#49169

(Rev. 01/00)

____________________________________

Applicant's Name

Applicant's License Account Number

IRREVOCABLE STANDBY LETTER OF CREDIT #

___________________________________________

Issuing Bank Name

Address

(______) ___________________________________

Phone Number

___________________________________________

Effective Date

Expiration Date

We, _________________________________________ , hereby issue an IRREVOCABLE STANDBY LETTER OF CREDIT for the

Issuing Bank

name of ______________________________________________________________________________________ , in the amount

Applicant's Name and Address

of $ _______________________ (________________________________________ Thousand and no/100 Dollars) which is available

by the Indiana Department of Revenue draft drawn at sight of __________________________________________ bearing the clause

Issuing Bank Name

"drawn under ___________________________________________ Letter Credit for _______________________________________"

Issuing Bank Name

Applicant's Name

accompanied by this Letter of Credit and the following:

Statement purportedly signed by an officer of the Indiana Department of Revenue certifying that

___________________________________________ has been served a pre-warrant notice covering nonpayment

of ____________________ taxes pursuant to ____________________ plus all applicable penalties and interest due the Indiana

Type of Tax

Indiana Code Reference

Department of Revenue an has failed to provide an acceptable explanation within the time period for such protests or payment of tax.

A copy of the pre-warrant notice which bears the expiration date of at least five (5) days prior to the date of the draft.

Drawings may be made up to an aggregate amount but not to exceed ___________________________________________.

Amount of Letter of Credit

Form Mf-135 - Irrevocable Standby Letter Of Credit 2000