Form Wv/sev-Nrt-Bond 2 - Nonresident Timber Severance Tax Surety Bond Page 3
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4BOND PREPARATION INSTRUCTIONS
IF PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP:
Complete the bond, lines (1) through (8);
Have Notary complete the applicable section of acknowledgment titled, Acknowledgment by Principal if Individual or
Partnership, on the back of bond.
IF PRINCIPAL IS A CORPORATION:
Complete the bond, line (1) through (8);
Have Notary complete the applicable section of acknowledgment titled, Acknowledgment by Principal if Individual or
Partnership, on the back of bond;
Affix corporate seal as requested on face of bond.
SURETY:
Complete applicable portion of bond;
Have notary complete applicable section of acknowledgment titled, Acknowledgment by Surety, on the back of the
bond;
Attach Power of Attorney to bond if surety signatory is an attorney in fact;
Affix raised Surety Seal to bond and to Power of Attorney.
LINE NUMBER INSTRUCTIONS
FACE OF BOND CANNOT CONTAIN WHITE-OUTS OR ALTERATIONS. REVERSE OF BOND MAY
CONTAIN WHITE-OUTS OR ALTERATIONS PROVIDING CHANGES ARE INITIALED BY NOTARY.
(1)
Enter name and address of Principal (Specify individual, partnership, or corporation) to be covered by bond.
(2)
Enter name and address of Surety Company issuing bond.
(3)
Enter amount of bond.
(4)
Enter effective date of the bond. (West Virginia Code requires continuation certificate annually on anniversary date).
(5)
Enter execution date of bond (also known as the bearing date of the bond).
(6)
Enter name of the Principal (individual, partnership, or corporation covered by bond).
(7)
If principal is an individual, affix signature. If principal is a corporation, President or Vice-President must sign bond
and underline the appropriate title. If bond is to be signed by one other than the President or Vice-President, affix
copy of corporate resolutions showing authorization of individual to bind corporation.
(8)
If Principal is a corporation, be sure to affix corporate seal, if not available draw facsimile.
(9)
Enter name of Surety.
(10) Affix signature and title of person having Power of Attorney to bind Surety.
(11) Affix corporate seal of Surety.
ACKNOWLEDGMENT PREPARATION INSTRUCTIONS:
IF PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP, HAVE NOTARY COMPLETE LINES (12) -(18).
IF PRINCIPAL IS A CORPORATION HAVE NOTARY COMPLETE LINES (19) - (27).
SURETY MUST HAVE NOTARY COMPLETE LINES (28) - (36)
ACKNOWLEDGMENT BY PRINCIPAL IF INDIVIDUAL OR PARTNERSHIP
(12) Enter name of State and County.
(13) Enter name of Notary Public witnessing transactions.
(14) Enter name of principal covered by bond if individual or partnership.
(15) Enter bearing date of bond (also known as execution date). Must be same date entered on line 8 of the bond.
(16) Notary enters date bond was witnessed. May be same as bearing date or any date thereafter.
(17) Affix Notary Seal. If notary is located outside the State of West Virginia, seal must be affixed.
(18) Notary affixes signature here and enters expiration date of appointment.
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